18 Best Medical Billing Services Reviewed For 2025
10 Best Medical Billing Services Shortlist
Here's my pick of the 10 best software from the 18 tools reviewed.
Our one-on-one guidance will help you find the perfect fit.
Medical billing services streamline claims processing, reduce errors, and speed up reimbursements, freeing up your team to focus on delivering quality patient care. Managing denied claims or chasing unpaid invoices can be frustrating, but the proper support can improve cash flow and reduce administrative burdens.
In this article, I compare and review the best services to support your buying decision.
Best Medical Billing Services Summary
Here are the best medical billing services, how they work, and what support they offer:
| Tool | Best For | Trial Info | Price | ||
|---|---|---|---|---|---|
| 1 | Best for integrated solutions | Free demo available | From $429/user/month (billed annually) | Website | |
| 2 | Best for compliance standards | Free consultation available | Pricing upon request | Website | |
| 3 | Best for small practices | Consultation available upon request | Pricing upon request | Website | |
| 4 | Best for cloud-based solutions | Free demo available | Pricing upon request | Website | |
| 5 | Best for team scalability | Free consultation available | Pricing upon request | Website | |
| 6 | Best for cost efficiency | Contact for a free consultation | Pricing upon request | Website | |
| 7 | Best for personalized service | Free consultation available | Pricing upon request | Website | |
| 8 | Best for community hospitals | Free consultation available | Pricing upon request | Website | |
| 9 | Best for large hospitals | Free discovery call | Pricing upon request | Website | |
| 10 | Best for data security | Free discovery call | Pricing upon request | Website |
Best Medical Billing Services Reviews
AdvancedMD flexible RCM services cater to practices of all sizes, allowing for easy transitions between in-house and outsourced billing as needs evolve. They integrate revenue cycle management (RCM), electronic health records (EHR), practice management, and patient engagement tools into a unified platform.
Why I picked AdvancedMD: They excel in offering integrated solutions that combine practice management and electronic health records, enhancing workflow efficiency. Their automated claims processing and patient scheduling tools are designed to boost financial performance. With customizable options, they ensure that your specific needs are addressed, providing flexibility in managing your practice.
Standout Services: Patient engagement tools help you maintain strong connections with your patients, improving satisfaction and retention. Telemedicine capabilities allow your team to offer remote consultations, expanding access to care and enhancing convenience.
Target industries: Healthcare, medical practices, clinics, hospitals, and telemedicine
Specialties: Practice management, revenue cycle management, electronic health records, telemedicine, and patient engagement
Pros and cons
Pros:
- Customizable for specialties
- Automated claims processing
- Integrated management and EHR solutions
Cons:
- No coding services
- Limited in-person support options
BellMedEx is known for their rigorous compliance standards, making it an ideal partner for healthcare organizations prioritizing data security and regulatory adherence. The company ensures HIPAA compliance through comprehensive protocols to protect patient health information (PHI) during billing processes.
Why I picked BellMedEx: Their strong focus on compliance standards is a significant differentiator, which is essential for maintaining data security and meeting regulatory requirements. They conduct regular audits and provide staff training to maintain high compliance standards, minimizing the risk of data breaches and legal penalties. With advanced analytics, your team can make data-driven decisions to improve financial performance.
Standout Services: Claims submission ensures that your billing is done accurately and efficiently, reducing the chances of denial. Revenue cycle management provides a complete overview of your financial operations, helping you identify areas for improvement and ensuring steady cash flow.
Target industries: Healthcare, hospitals, clinics, telemedicine, and medical billing companies
Specialties: Claims submission, denial management, revenue cycle management, compliance with industry standards, and data analytics
Pros and cons
Pros:
- Consistent follow-ups
- Detailed claim analysis
- Strong compliance focus
Cons:
- AR follow-up concerns
- Limited specialty customization
3Gen Consulting helps small practices minimize billing errors, reduce claim denials, and accelerate reimbursements. It has customizable pricing models and dedicated account managers, offering scalable solutions that adapt to the unique needs of smaller practices.
Why I picked 3Gen Consulting: They are particularly suited for small practices due to their emphasis on cost savings and customer service. Their services include eligibility verification, coding audits, claims submission, denial management, and payment posting, helping reduce billing errors and improve cash flow. With a focus on technology-driven solutions, they ensure over 95% accuracy in billing processes.
Standout Services: Eligibility verification is crucial for ensuring that your patients' insurance details are accurate before services are rendered, reducing claim denials. Medical coding by certified professionals helps you maintain compliance and enhances cash flow by ensuring claims are processed correctly.
Target industries: Home health, hospice, radiology, telemedicine, and general healthcare
Specialties: Medical coding, claims submission, accounts receivable management, denial management, and compliance with HIPAA
Pros and cons
Pros:
- HIPAA-compliant
- Supports small practices
- Emphasizes cost savings
Cons:
- May not suit very large hospitals
- Limited public customer reviews
CureMD offers a comprehensive, cloud-based medical billing solution that integrates seamlessly with electronic health records (EHR), practice management, and patient engagement tools. Their AI-powered platform automates billing processes, leading to a 96% first-pass claim acceptance rate and a 5–10% increase in collections within the first few months.
Why I picked CureMD: Their outsourced medical billing services allow you to access billing information from anywhere, making it ideal for practices with remote teams. They offer integrated electronic health records and practice management solutions, helping your team maintain efficiency and accuracy. With real-time analytics, you can make informed decisions to optimize financial performance.
Standout Services: Electronic health records integration helps your team maintain accurate patient information, improving billing accuracy and reducing errors. Real-time analytics provide insights into your financial data, allowing you to quickly identify trends and make necessary adjustments to enhance revenue.
Target industries: Healthcare, clinics, hospitals, telemedicine, and specialty practices
Specialties: Cloud-based billing, electronic health records integration, real-time analytics, revenue cycle management, and practice management
Pros and cons
Pros:
- Real-time denial resolution
- Integrated EHR and practice management
- High clean claims rate
Cons:
- No direct payer edits
- Limited batch claim support
Helpware offers scalable medical billing outsourcing solutions tailored for healthcare providers seeking flexible growth. It has a global presence, including offices in the U.S., Philippines, Mexico, and Europe, and multilingual teams that enable expansion of billing operations without in-house hiring.
Why I picked Helpware: Their ability to scale services according to your needs is a key feature, allowing you to adjust resources as your practice grows. They offer flexible staffing models, which help you manage costs effectively while maintaining high-quality service. Their dedicated teams are trained in revenue cycle management, coding, and patient support, ensuring seamless integration with existing systems.
Standout Services: Coding services ensure your claims are accurately coded, reducing errors and improving reimbursement rates. Patient billing support helps your team manage patient inquiries and payments, enhancing satisfaction and ensuring timely collections.
Target industries: Healthcare, hospitals, clinics, telemedicine, and medical billing companies
Specialties: Coding, claims management, patient billing, flexible staffing, and data-driven insights
Pros and cons
Pros:
- Supports various practice sizes
- Flexible staffing models
- Scalable service options
Cons:
- Basic denial follow-ups
- No in-house coders
Global Healthcare Resource offers end-to-end revenue cycle management services that integrate seamlessly with any EHR system, enabling automation of processes like eligibility verification and patient intake. Outsourcing to Global Healthcare Resources cuts billing costs, boosts accuracy, and speeds pay.
Why I picked Global Healthcare Resource: Their global team of over 7,000 HIPAA-compliant professionals ensures high accuracy and quick turnaround times, leveraging a 'Time Zone Advantage' to maximize productivity. They provide claims processing and denial management, ensuring you maintain a steady cash flow. With a focus on reducing overhead costs, they support your practice in achieving financial stability.
Standout Services: Claims processing helps ensure that your billing is accurate and submitted on time, reducing the chances of rejections and delays. Denial management identifies the root causes of denied claims, allowing your team to address them quickly and improve your reimbursement rates.
Target industries: Hospitals, clinics, telemedicine, specialty practices, and healthcare systems
Specialties: Claims processing, denial management, revenue cycle management, cost reduction, and cash flow optimization
Pros and cons
Pros:
- Strong denial management services
- Globex dashboard access
- SOC 2 Type 2 compliant
Cons:
- Standardized service packages
- Limited EHR integrations
MediBillMD excels in delivering personalized, results-driven revenue cycle management (RCM) solutions tailored to each healthcare practice’s unique needs. It focuses on client-specific customization and understands and addresses the distinct requirements of clients, ensuring optimal billing, efficiency, and compliance.
Why I picked MediBillMD: They provide personalized service tailored to the specific needs of your practice, ensuring accurate billing and timely reimbursements. With dedicated billing specialists, they help with physician and hospital billing, coding, denial management, and accounts receivable recovery. Their commitment to HIPAA compliance and advanced technology supports efficient processing and data security.
Standout Services: Insurance verification helps your practice confirm patient coverage, reducing the risk of denied claims. Billing audits identify discrepancies in your billing process, allowing you to address issues proactively and improve accuracy.
Target industries: Cardiology, dermatology, physical therapy, mental health, and chiropractic
Specialties: Denial management, medical coding, accounts receivable recovery, insurance verification, and billing audits
Pros and cons
Pros:
- Advanced technology use
- Dedicated billing specialists
- Personalized service approach
Cons:
- Limited in-house control
- Limited specialty customization
TruBridge offers comprehensive revenue cycle management (RCM) solutions tailored specifically for community and rural hospitals. With over 45 years of experience, TruBridge understands the unique challenges these hospitals face, such as limited resources and the need for financial stability.
Why I picked TruBridge: Their tech-enabled RCM services, including billing, invoicing, claims management, and denial management, streamline operations, reduce administrative burdens, and accelerate reimbursements. They help minimize claim errors and denials by automating billing processes. Their custom solutions and support boost efficiency for community hospitals.
Standout Services: Denial management focuses on identifying and resolving the causes of claim denials, improving your reimbursement rates. Patient access services help your team manage patient information and scheduling, enhancing the overall patient experience and operational efficiency.
Target industries: Community hospitals, clinics, healthcare systems, telemedicine, and specialty practices
Specialties: Billing and invoicing, denial management, patient access services, revenue cycle management, and analytics
Pros and cons
Pros:
- Advanced analytics tools
- Strong denial management focus
- Integrated coding technology
Cons:
- Delayed denial appeals
- Generic payer rules setup
McBee Associates specializes in revenue cycle management (RCM) solutions for large hospitals and health systems and high-volume healthcare organizations. Their expertise in navigating billing processes and regulatory requirements ensures accurate claims processing and maximized revenue capture.
Why I picked McBee Associates: Their expertise in handling complex billing operations for large hospitals is unmatched, allowing your team to focus on patient care. With a focus on data analytics, they help you identify trends and improve financial performance. Their ability to customize solutions ensures that the specific needs of your hospital are met efficiently.
Standout Services: Data analytics provides insights into your financial performance, helping you make informed decisions to enhance revenue. Accounts receivable management focuses on reducing outstanding balances, ensuring that your cash flow remains steady and predictable.
Target industries: Large hospitals, healthcare systems, clinics, telemedicine, and specialty practices
Specialties: Billing, coding, accounts receivable management, data analytics, and customized solutions
Pros and cons
Pros:
- Improves cash flow
- Strong client support
- Expertise in large hospital billing
Cons:
- Limited payer flexibility
- Limited specialty support
Rely Services ensures HIPAA compliance through stringent protocols, including end-to-end encryption, multi-factor authentication, and strict access controls, safeguarding sensitive information during transmission and storage. They have zero record of data breaches and are committed to maintaining the integrity of patient data.
Why I picked Rely Services: They are distinguished by their emphasis on data security, crucial for protecting sensitive patient information. Their 24/7 global support and commitment to HIPAA compliance ensure that your data is handled with the utmost care. With an industry-leading error rate below 0.01%, they help you maintain accuracy and compliance in your billing operations.
Standout Services: Revenue cycle management helps you optimize financial processes, ensuring timely payments and reduced denials. OCR services improve efficiency by accurately converting different types of documents into editable and searchable data, reducing manual data entry errors.
Target industries: Healthcare, hospitals, clinics, telemedicine, and medical billing companies
Specialties: Revenue cycle management, medical coding, claims processing, data entry, and HIPAA compliance
Pros and cons
Pros:
- Focus on data security
- Industry-leading low error rate
- HIPAA-compliant systems
Cons:
- Requires setup and training time
- May not suit very small practices
Other Medical Billing Services
Below is a list of additional medical billing services that we shortlisted, but did not make it to the top 10. Definitely worth checking them out.
- Medisys Data Solutions Inc.
For specialty billing
- Invensis
For global reach
- Medcare MSO
For small practice support
- OutsourceRCM
For customized billing plans
- Outsource Strategies International
For dental billing expertise
- Flatworld Solutions
For global service coverage
- Coronis Health
For multispecialty group practices
- 24/7 Medical Billing Services
For 24/7 customer support
Other Medical Billing Tools
Here are some other billing tools, systems, and services that might interest you.
How I Picked The Best Medical Billing Services
In this article, we offer an understanding of medical billing and coding to help you choose the right service.
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Selecting medical billing services involves evaluating functionality and meeting specific use cases that matter most when choosing this type of software. I have personally tried and researched these tools; here's how I evaluate them:
Core Medical Billing Services Functionality - 25% of total weighting score:
- Claim submission and tracking
- Patient billing and invoicing
- Insurance verification
- Payment processing
- Reporting and analytics
- Integration with medical billing codes
Additional Standout Features - 25% of total weighting score:
- AI-driven claim scrubbing
- Real-time eligibility checks
- Customizable reporting dashboards
- Integration with EHR/EMR systems
- Mobile access for on-the-go billing
Usability - 10% of total weighting score:
- Intuitive user interface
- Drag-and-drop functionality for claim management
- Customizable workflows
- Easy navigation and search capabilities
- Minimal clicks to complete tasks
Onboarding - 10% of total weighting score:
- Availability of training videos
- Interactive product tours
- Chatbots for instant support
- Webinars for in-depth training
- Pre-built templates for quick setup
Customer Support - 10% of total weighting score:
- 24/7 support availability
- Multiple support channels (phone, email, chat)
- Dedicated account managers
- Comprehensive knowledge base
- Fast response times
Value For Money - 10% of total weighting score:
- Transparent pricing models
- Competitive pricing compared to similar tools
- Flexible subscription plans
- Discounts for long-term commitments
- ROI potential based on feature set
Customer Reviews - 10% of total weighting score:
- Overall satisfaction ratings
- Specific feedback on ease of use
- Comments on customer support quality
- User testimonials on feature effectiveness
- Frequency of updates and improvements
What Are Medical Billing Services?
Medical billing services are outsourced solutions that handle coding, claims, and insurance payments for healthcare providers. Used by private practices, clinics, and hospitals, these services eliminate billing errors, reduce claim denials, and speed up reimbursements, freeing up staff from time-consuming paperwork.
Key Functions Of Medical Billing Services
Here are the key functions I always look for when evaluating or recommending a billing service:
- Claims Submission: Sends insurance claims quickly with clean, accurate coding.
- Claims Follow-Up: Tracks unpaid claims and handles denials and rejections.
- Insurance Verification: Confirms active coverage before patient visits or treatments.
- Patient Billing: Manages statements, payment reminders, and overdue balances.
- Coding Accuracy: Uses certified coders to reduce errors and ensure compliance.
- Payment Posting: Applies payments to accounts and tracks outstanding balances.
- Reporting Tools: Provides insights into revenue cycle performance and trends.
- Compliance Monitoring: Keeps billing aligned with changing healthcare regulations.
- Eligibility Checks: Verifies patient benefits and copays before service delivery.
- Credentialing Support: Assists with payer enrollment and provider credentialing processes.
Benefits Of Medical Billing Services
From my experience, here are the key benefits of outsourcing medical billing:
1. Higher Revenue Collection
We saw our collections increase almost immediately after switching. These companies are laser-focused on maximizing reimbursements. They know how to fight denials and get claims processed faster.
2. Fewer Errors and Denials
With certified coders and experienced billers handling our claims, error rates dropped significantly. Fewer mistakes mean fewer denials, and fewer denials mean faster payments.
3. Time and Cost Savings
We didn’t need to hire or train billing staff, and we avoided turnover headaches. Plus, my front desk staff stopped juggling billing issues and could focus more on patients.
4. Better Compliance
Billing rules change constantly—especially with Medicare and commercial payers. A good billing service keeps up with those changes and helps keep the practice compliant.
5. Scalability
As we grew, our billing needs got more complex. Outsourced billing scaled with us without needing to expand our in-house team. That flexibility was a huge advantage during expansion.
Costs And Pricing Of Medical Billing Services
This section provides an estimate of average medical billing services plans and costs.
| Plan Type | Average Price | Common Features |
|---|---|---|
| Free Plan | $0 | Basic claim processing, limited customer support, up to 25 claims per month |
| Personal Plan | $200 - $300 per month | Claim processing, basic reporting, limited customer support, up to 100 claims |
| Business Plan | $800 - $3000 per month | Advanced reporting, dedicated account manager, unlimited claims, EHR integration |
| Enterprise Plan | $2500 - $6000+ per month | Comprehensive reporting, priority support, custom integrations, unlimited claims |
Frequently Asked Questions
Here are some FAQs about medical billing services.
In the context of medical field, what are credentialing services?
In the medical field, credentialing services involve verifying and validating healthcare providers’ qualifications, licenses, certifications, education, and professional background. These services ensure that doctors, nurses, and other medical professionals meet the required standards to provide care within a healthcare facility or participate in insurance networks.
Key aspects of credentialing services include:
- License Verification: Ensuring the provider has valid and up-to-date state medical licenses.
- Education and Training Validation: Confirming the provider’s educational background, residency, and fellowships.
- Work History: Reviewing employment history to verify past positions and professional experience.
- Malpractice and Disciplinary Record Checks: Checking for any malpractice claims or disciplinary actions.
- Insurance Network Participation: Credentialing is often required for providers to bill insurance companies and receive reimbursements.
These services are crucial for maintaining healthcare quality and compliance with regulatory standards.
How can an medical billing service or expert team help with denial management?
A medical billing service or expert team can significantly improve denial management by offering specialized skills and strategies, including:
- Identifying Denial Patterns: They analyze claim denial data to detect recurring issues and correct them proactively.
- Accurate Claim Submission: Experts ensure claims are submitted with the correct codes, documentation, and details, reducing the likelihood of errors.
- Efficient Appeals Process: The team handles the resubmission and appeal of denied claims promptly and effectively, increasing the chances of approval.
- Staying Updated on Regulations: Billing professionals stay current with changing insurance policies and compliance rules, helping to avoid denials due to outdated practices.
- Training and Support: They provide training to internal staff on best practices for reducing claim errors and managing denials in-house.
This ultimately boosts revenue cycle performance and reduces administrative burdens
What are the cheapest and most expensive Medical Billing Services?
The most affordable Medical Billing Services usually start around $100 per provider per month, while the most expensive ones can exceed $500 per provider per month. However, keep in mind that the quality of the service is more important than the cost.
How long does it take to transition to a new medical billing system?
Transitioning to a new medical billing system typically takes anywhere from 3 to 12 months, depending on several factors:
- System Complexity: More complex systems with extensive features or customization options take longer to implement.
- Data Migration: Transferring and validating large amounts of historical billing data can add time.
- Training Requirements: The time needed to train staff on the new system influences the transition period.
- Testing and Troubleshooting: Running test phases to ensure everything works properly can extend the timeline.
- Organizational Size: Larger organizations with multiple departments or facilities may require more time for full integration.
Planning and allowing for flexibility in the timeline is key to a smooth transition.
Is it better to have an in-house medical billing team or use a medical billing service?
This decision depends on the size of your practice, your budget, and your administrative capacity. Small to medium-sized practices often benefit from using a Medical Billing Service as it reduces the need for in-house expertise, minimizes errors, and improves efficiency. However, larger practices with the budget and capacity may choose to keep it in-house for more control over the billing process.
How to change your medical billing system?
Efficient management of transitions between hospital billing systems involves several key strategies:
- Thorough Planning: Develop a detailed project plan, including timelines, task owners, and risk assessments.
- Cross-Department Collaboration: Involve all stakeholders, including IT, billing staff, and clinical teams, to ensure smooth integration.
- Staff Training: Provide comprehensive training on the new system to avoid disruptions.
- Data Migration Best Practices: Ensure accurate and secure migration of historical billing data.
- Test and Pilot: Run pilot programs and testing phases to identify issues before full implementation.
- Ongoing Support: Set up help desks and continuous support to assist staff post-transition.
- Monitor and Adapt: Track performance metrics and adjust processes as necessary to optimize workflow.
Do I need a dedicated account manager for my hospital billing systems?
Yes, having a dedicated account manager for your hospital billing systems can be highly beneficial. Here are a few reasons why:
- Focused Oversight: A dedicated account manager ensures continuous attention to billing operations, minimizing errors and delays.
- Quick Issue Resolution: They provide a direct point of contact for resolving system issues or addressing urgent needs.
- Customization and Optimization: An account manager can tailor system functionality to your hospital’s specific needs, improving efficiency.
- Vendor Communication: They act as a liaison between your hospital and the software provider, facilitating updates, support, and enhancements.
- Ongoing Training: The account manager can ensure staff are trained on system upgrades or changes, keeping processes smooth and consistent.
Medical Practice Outsourcing Options
Here are services and companies used to outsource common workflows of a medical practice.
What Next?
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