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Billing service

Revenue Cycle Management Services

Revenue cycle management connects every step from scheduling to the final payment. Get it right and your practice gets paid faster, with fewer denials and a lower cost to collect.

  • Front-end eligibility, authorizations and patient estimates
  • Certified coding, clean claims and same-day submission
  • Denial prevention, appeals and aggressive A/R follow-up

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.

95%+
Clean-claim rate target
< 35
Days in A/R goal
96%+
Net collection rate goal
Overview

What is revenue cycle management?

Revenue cycle management (RCM) is the process a healthcare practice uses to turn patient visits into collected revenue. It starts before the patient arrives, with insurance verification, prior authorization and cost estimates, continues through charge capture, coding and claim submission, and ends only when the payer and patient balances are fully paid or appropriately adjusted.

Most revenue is lost in the gaps between those steps: an eligibility check that was skipped, a missing modifier, a denial nobody appealed, or a patient balance that never received a statement. Industry studies consistently show that a large share of denied claims are never reworked, which means money the practice already earned is simply written off.

An RCM partner owns the whole cycle and measures it. Instead of reacting to problems, a good RCM team tracks clean-claim rate, first-pass resolution, denial rate, days in A/R and net collection rate, finds the root cause of every denial category and fixes it upstream, at registration, in documentation or in the coding rules.

On BillerFirms you can compare RCM companies that work with practices like yours, read verified client reviews and request a free audit of your current revenue cycle.

Why it's hard

Common billing challenges

01

Front-end registration errors

Wrong subscriber IDs, outdated coverage and missing referrals cause a large share of denials before a claim is even coded.

02

Rising denial rates

Payers continually add edits, prior-authorization rules and documentation requirements, pushing denial rates up year after year.

03

Unworked A/R

Small balances and older claims are easy to ignore. Without disciplined follow-up they age past timely-filing limits and are lost.

04

Staff turnover and training

Billing staff are hard to hire and retain. Each departure means lost payer knowledge and a backlog that keeps growing.

05

Patient responsibility

High-deductible plans shift more of each bill to patients. Without estimates and clear statements, patient collections fall behind.

06

No visibility into performance

Many practices cannot see their real denial rate, payer mix or collection rate, so they cannot tell what is going wrong.

What's included

What full-service RCM includes

  • Patient registration and demographic review
  • Real-time eligibility and benefits verification
  • Prior authorization and referral management
  • Charge capture and charge-lag monitoring
  • Certified medical coding and coding audits
  • Claim scrubbing and electronic submission
  • ERA/EOB payment posting and reconciliation
  • Denial management and root-cause analysis
  • A/R follow-up, appeals and underpayment recovery
  • Patient statements, payment plans and online pay
  • Credentialing and payer enrollment support
  • Monthly KPI dashboards and practice reviews
Benchmarks

RCM metrics every practice should track

MetricWhat good looks like
Clean-claim rateShare of claims accepted on first submission. Aim for 95% or higher.
Denial rateShare of claims denied by payers. Best-performing practices keep it under 5%.
Days in A/RAverage time to collect. Under 35 days is strong; over 50 signals problems.
A/R over 90 daysPortion of receivables older than 90 days. Keep it below 15% of total A/R.
Net collection rateCollected vs. collectible after contractual adjustments. Target 96% or more.
Charge lagDays from date of service to claim submission. Same-day to 3 days is ideal.

Benchmarks vary by specialty and payer mix; use them as a starting point when you compare RCM companies.

Ask for proof, not promises

Before you sign, ask each RCM company for de-identified KPI reports from current clients, their denial-management process, who owns your data and how it is returned if you leave, and a signed HIPAA Business Associate Agreement.

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

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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)
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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
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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
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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
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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

Revenue Cycle Management billing FAQs

Medical billing usually means creating and submitting claims and posting payments. Revenue cycle management covers the entire process, including front-end eligibility and authorizations, coding, denial prevention, A/R follow-up, patient collections and performance reporting.

Most RCM companies charge a percentage of collections, typically between 4% and 9%, depending on specialty complexity, claim volume and which services are included. Some offer per-claim or dedicated-staff pricing.

Front-end and claim-quality improvements usually show within 30–60 days. Working down older A/R and lowering days in A/R typically takes two to four months.

No. A good RCM partner works in your EHR and practice-management system, gives you live dashboards and monthly reviews, and you keep ownership of all data.

Yes, when the company signs a Business Associate Agreement, limits access to the minimum necessary, uses secure systems and trains staff on HIPAA privacy and security rules.

Many RCM companies also handle payer enrollment and re-credentialing, which prevents claims from being denied because a provider is not yet in network.

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