Add your company in 30 seconds Add Company
  1. Home
  2. Services
  3. Outsourced Medical Billing
Billing service

Outsourced Medical Billing Services

Outsourcing gives your practice an experienced billing team, modern tools and accountability for results, usually for less than the cost of in-house staff.

  • A dedicated team that works inside your EHR
  • Pay as a percentage of collections, aligned incentives
  • No hiring, training or turnover headaches

Get a free billing audit

We'll review your denials and A/R and match you with specialists. No obligation.

HIPAA-aware. We never share your details.

30–40%
Typical cost savings vs. in-house
95%+
Clean-claim rate target
24–48h
Typical claim turnaround
Overview

Why practices outsource medical billing

Running billing in-house means hiring and training billers, buying software and clearinghouse access, covering vacations and sick days, and keeping up with payer rule changes every month. For many small and mid-size practices, that is more cost and risk than it is worth.

An outsourced medical billing company takes over claim creation, submission, payment posting, denial management and A/R follow-up. Because the company bills for many practices, it has specialists for each payer and specialty, established workflows and reporting that most single practices cannot build alone.

The best partners do not just "send claims". They prevent denials by fixing problems at registration and coding, follow up on every unpaid claim, and give you transparent monthly reports so you always know how your revenue is performing.

BillerFirms helps you compare outsourced billing companies side by side, by specialty, location, pricing model and verified reviews, and request a free audit before you decide.

Why it's hard

Common billing challenges

01

High cost of in-house staff

Salaries, benefits, software, training and office space add up, often more than a percentage-based outsourcing fee.

02

Turnover and coverage gaps

When a biller leaves or takes leave, claims stop going out and follow-up stalls, creating cash-flow dips.

03

Keeping up with payer rules

Commercial payers and Medicare change policies constantly. Small teams struggle to track every update.

04

Denials nobody has time to work

In-house staff juggle front-desk duties, so denied and underpaid claims sit unworked until they expire.

05

Limited reporting

Without proper analytics, practices cannot see which payers, codes or providers are causing revenue loss.

06

Choosing the wrong vendor

Billing companies vary widely in quality. Comparing reviews, references and contracts carefully is essential.

What's included

What an outsourced billing company should handle

  • Insurance eligibility and benefits checks
  • Charge entry and certified coding review
  • Claim scrubbing and electronic submission
  • ERA/EOB payment posting
  • Denial management and appeals
  • A/R follow-up on every unpaid claim
  • Patient statements and billing support line
  • Credentialing and payer enrollment
  • Month-end reporting and practice reviews
  • Smooth transition from your current biller
Compare

In-house billing vs. outsourced billing

FactorOutsourced billing advantage
CostUsually a percentage of collections instead of salaries, benefits, software and training.
ExpertiseAccess to certified coders and payer specialists across many specialties.
CoverageNo gaps from vacations, sick leave or resignations, the team covers itself.
TechnologyClaim scrubbers, clearinghouses and analytics included in the service.
AccountabilityContracted performance targets and monthly KPI reporting.
ScalabilityEasily handles new providers, locations or service lines.

Some practices choose a hybrid model, keeping front-desk tasks in-house and outsourcing coding, claims and A/R.

What to put in the contract

Look for clear service scope, performance KPIs, data ownership and exit terms, how fees are calculated (on collections only, not charges), and a HIPAA Business Associate Agreement. Avoid long lock-in periods without performance clauses.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven multi-specialty experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 9%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Outsourced Medical Billing billing FAQs

Most companies charge 4% to 9% of monthly collections. Rates depend on specialty, claim volume, payer mix and services included. Per-claim and flat-fee models also exist.

Often yes. Small practices benefit most because they avoid the fixed cost of a full-time biller while gaining specialist expertise and better follow-up.

Yes. Most outsourced billers work directly in your EHR or practice-management system and connect to your clearinghouse.

Plan a transition period: the new company takes over new claims while the old one finishes working existing A/R, and you secure full data exports and access credentials.

A good partner provides dashboards and monthly reports showing collections, denials, A/R aging and payer performance.

Compare specialty experience, verified reviews, pricing, reporting and contract terms. BillerFirms lets you compare companies and read reviews from other practices.

Related billing services

Stop leaving medical practices revenue on the table

Get a free audit and compare specialist billing companies, no obligation.

Get my free audit