Outsource Medical Billing

Outsource Medical Billing: Lower Denials, Faster Payments

Outsource medical billing to a dedicated team that codes, submits and follows up every claim, so your staff can focus on patients. Our outsourced medical billing services cut denials, shorten days in A/R and give you clear monthly reporting, usually for less than the cost of an in-house biller.

Medical billing and claims paperwork on an office desk

The Problem

Why Practices Outsource Medical Billing

In-house billing works until it does not. One biller goes on leave, payer rules change, denials pile up and nobody has time to chase aged claims.

Outsourcing medical billing services gives you a trained team, proven processes and denial management at scale, without hiring, training or covering vacations.

01

Staff turnover stalls cash flow.

When your only biller leaves, claims stop going out and A/R ages fast.

02

Denials are written off, not worked.

Busy in-house teams rarely have time to appeal, so recoverable revenue is lost.

03

Hiring and training costs add up.

Salary, benefits, software and training for one biller often exceed the cost of outsourcing.

04

No visibility into performance.

Without KPIs, you cannot tell whether billing is working until cash flow drops.

What We Do

What Our Outsourced Medical Billing Services Include

01

Charge Entry and Coding

Charges entered and coded to current CPT, ICD-10-CM and HCPCS rules.

02

Claim Scrubbing and Submission

Payer-specific edits before every claim is sent through the clearinghouse.

03

Denial Management and Appeals

Every denial worked, appealed and tracked to root cause.

04

A/R Follow-Up

Unpaid claims chased on a set cadence, including old balances.

05

Payment Posting

ERA and EOB payments posted accurately with variance tracking.

06

Patient Billing

Clear statements, payment plans and patient balance follow-up.

07

Eligibility Verification

Insurance verified before visits to prevent avoidable denials.

08

KPI Reporting

Clean claim rate, days in A/R, denial rate and net collection rate monthly.

The Process

How to Outsource Medical Billing to Us

01

Free Billing Audit

We review 90 days of claims, denials and A/R and show you the gaps.

02

Proposal

A clear fee, usually a percentage of collections, with no hidden charges.

03

Onboarding

System access, payer set-up and a parallel run so nothing is missed.

04

Go Live

Claims coded and submitted by our team from day one.

05

Denials and A/R

Denials and aged claims worked every week.

06

Monthly Review

KPI report and a call to review trends and actions.

FAQ

Outsourced Medical Billing Questions

The provider’s visit is coded, a claim is created and scrubbed, sent through a clearinghouse to the payer, adjudicated and paid with an ERA or EOB. Payments are posted, denials are corrected or appealed, and patients are billed for their share.

Your outsourced billing company works inside your EHR or practice management system, takes over coding, submission, posting, denials and A/R follow-up, and reports results to you every month. You stay in control of your data and systems.

Outsourced medical billing companies typically charge 4% to 10% of collections. For many practices that is less than the full cost of an in-house biller once salary, benefits, software and training are included.

AI automates repetitive steps such as eligibility checks, claim scrubbing and posting, but denials, appeals and payer follow-up still need experienced billers. We combine both.

E/M codes (99202 to 99215 for office visits) describe evaluation and management services. The level depends on medical decision-making or total time, and accurate E/M coding has a direct impact on revenue and audit risk.

No. You keep ownership of your systems and data, see a live dashboard and get monthly reports. You can end the agreement with notice and keep everything.

Outsource medical billing services usually include coding, claim submission, denial management, A/R follow-up, payment posting and reporting.

Compare outsource medical billing companies on specialty experience, KPIs, pricing on collections and transition support. A good outsource medical billing company reviews your claims before quoting.

Yes, when the provider signs a Business Associate Agreement and controls access. Medical billing services outsourcing should never mean losing visibility into your data.

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See What Outsourcing Your Billing Would Change

Send us 90 days of claims and we will show you your denial rate, days in A/R and what is recoverable, plus what outsourcing would cost.