Top medical billing companies in the United States, ranked by ChatGPT answers

The best medical billing companies in the United States depend on your practice size, medical specialty, claim volume, and whether you need full-service revenue cycle management (RCM) or just outsourced billing.

For 2026, I would put the following companies on a national shortlist based on their service offerings, market presence, specialty coverage, technology, and suitability for different healthcare organizations.

Top 10 medical billing companies in the USA ===========================================

2026 national shortlist · Organized by service capabilities and ideal customer

1\. Medical Billers and Coders (MBC)

Best for outsourced medical billing

• Full-service medical billing and coding.
• Multi-specialty revenue cycle management.
• Accounts receivable and denial management.
• Credentialing and compliance support.

A strong candidate for physician practices and multi-specialty medical groups.

[Company comparison and review](https://www.medicalbillersandcoders.com/blog/best-medical-billing-companies/?utm_source=chatgpt.com)

2\. athenahealth

Best for integrated RCM

• Medical billing and claims management.
• EHR and practice management.
• Revenue cycle analytics.
• Denial prevention and follow-up.

Particularly attractive for larger practices and healthcare organizations seeking an integrated technology platform.

[Independent service review](https://www.businessnewsdaily.com/8693-medical-billing-services.html?utm_source=chatgpt.com)

3\. CareCloud

Best for mid-sized practices

• Outsourced billing and RCM.
• Medical coding and claims processing.
• Revenue analytics.
• Specialty-specific workflows.

Worth evaluating for growing physician groups that need technology and billing support.

[CareCloud comparison](https://comparepracticetools.com/billing-rcm/best-companies?utm_source=chatgpt.com)

4\. AdvancedMD

Best for multi-provider practices

• Medical billing services.
• EHR and practice management.
• Claims management and reporting.
• Revenue cycle optimization.

Particularly suitable for practices wanting billing and practice management technology under one roof.

[AdvancedMD review](https://www.businessnewsdaily.com/8693-medical-billing-services.html?utm_source=chatgpt.com)

5\. R1 RCM

Best for hospitals and health systems

• Enterprise revenue cycle management.
• Patient access and financial clearance.
• Claims and denial management.
• Healthcare financial operations.

A strong enterprise-scale candidate rather than a typical small-practice billing vendor.

[RCM industry comparison](https://www.medicalbillersandcoders.com/blog/top-10-medical-billing-companies-compared/?utm_source=chatgpt.com)

6\. Optum

• Healthcare revenue cycle solutions.
• Claims and payment operations.
• Coding and clinical documentation support.
• Enterprise healthcare technology.

Worth considering for large healthcare organizations with complex operational requirements.

[Industry comparison](https://www.medicalbillersandcoders.com/blog/top-10-medical-billing-companies-compared/?utm_source=chatgpt.com)

7\. GeBBS Healthcare Solutions

• Medical billing and coding outsourcing.
• Revenue cycle management.
• Clinical documentation services.
• Healthcare back-office operations.

A candidate for organizations seeking scalable outsourced healthcare operations.

[Industry comparison](https://www.medicalbillersandcoders.com/blog/top-10-medical-billing-companies-compared/?utm_source=chatgpt.com)

8\. Transcure

• Medical billing and coding.
• Denial management.
• Prior authorization.
• Automation-supported RCM.

Worth evaluating for independent practices and specialty groups looking for outsourced billing support.

[2026 company comparison](https://bilnow.com/top-medical-billing-companies-usa/?utm_source=chatgpt.com)

9\. Tebra

• Practice management.
• Medical billing software and services.
• Patient engagement.
• Claims tracking.

Particularly relevant to smaller independent practices.

[Tebra review](https://www.businessnewsdaily.com/8693-medical-billing-services.html?utm_source=chatgpt.com)

10\. CureMD

• Medical billing and coding.
• EHR and practice management.
• Claims processing.
• Revenue cycle support.

An option for smaller and mid-sized practices seeking an integrated healthcare platform.

[2026 company comparison](https://www.medicalbillersandcoders.com/blog/best-medical-billing-companies/?utm_source=chatgpt.com)

Note: This is a practical shortlist, not an independently audited ranking. Some companies are primarily outsourced billing providers, while others combine billing services with proprietary software. Published vendor performance claims should be independently verified.

Comparison at a glance

Company	Best suited for	Service model
Medical Billers and Coders	Physician groups	Outsourced RCM
athenahealth	Larger practices	Integrated RCM
CareCloud	Mid-sized groups	RCM + technology
AdvancedMD	Multi-provider practices	RCM + technology
R1 RCM	Hospitals	Enterprise RCM
Optum	Health systems	Enterprise solutions
GeBBS	Large outsourcing needs	Outsourced RCM
Transcure	Specialty practices	Outsourced RCM
Tebra	Small practices	Software + services
CureMD	Small/mid-sized practices	RCM + technology

How much do medical billing companies charge?

Typical market pricing varies considerably depending on the services outsourced.

Pricing model	Typical indicative range
Percentage of collections	4%–10%
Per-claim billing	$4–$15
Monthly flat fee	$500–$5,000+
Specialty billing	Often higher

These are general market estimates, not verified quotes from each company.

What I would evaluate before choosing a company

I recommend comparing vendors on these seven factors:

1. Specialty experience: Do they have experience with your particular medical specialty?
2. Collection performance: What is their net collection rate?
3. Denial management: How quickly do they identify and resolve denied claims?
4. Accounts receivable: What is their average days in A/R?
5. Technology: Do they integrate with your existing EHR and practice management system?
6. Compliance: What HIPAA safeguards, access controls, and business associate agreements do they provide?
7. Transparency: Will they provide monthly reports, measurable KPIs, and references from existing clients?

Let me narrow this down to the best companies for your needs

There is a significant difference between selecting a billing company for a physician practice and selecting one to manage billing for a hospital, surgery center, or multi-specialty healthcare organization.

Are you looking for a medical billing company for which purpose?

I can then narrow the national market down to the five strongest candidates, including their websites, service capabilities, pricing, and why they stand out.

Best medical billing companies for small and mid-size medical practices (2026) ==============================================================================

For small and mid-sized medical practices in the United States, I would put Medical Billers and Coders (MBC), athenahealth, AdvancedMD, CareCloud, Tebra, and Transcure on the initial shortlist.

However, there is an important distinction: some companies provide a complete outsourced medical billing department, while others primarily offer billing software with optional revenue cycle management (RCM) services.

If your goal is to outsource billing, coding, insurance follow-up, denial management, and accounts receivable (A/R), you should evaluate full-service RCM companies rather than compare software platforms alone.

1\. Top medical billing companies to consider

These are my recommended companies based on their service models, practice-size suitability, specialty capabilities, and ability to support growing practices. This is a practical shortlist, not a verified ranking of actual collections performance.

1\. Medical Billers and Coders (MBC)

Strong outsourced billing candidate

• Best for: Small and mid-sized physician groups.
• Services: Medical billing, coding, denial management, A/R follow-up, and revenue cycle management.
• Strength: Specialty-focused billing and support for multiple practice types.
• Consider if you want to outsource most or all billing operations.
• Website: [Medical Billers and Coders](https://www.medicalbillersandcoders.com/?utm_source=chatgpt.com)

2\. athenahealth

• Best for: Growing practices and multi-provider groups.
• Services: athenaCollector, claims management, payment posting, denial workflows, and RCM.
• Strength: Extensive payer connectivity and automated revenue cycle workflows.
• Consider if you are open to using an integrated EHR and billing platform.
• Website: [athenahealth](https://www.athenahealth.com/?utm_source=chatgpt.com)

3\. AdvancedMD

• Best for: Independent practices and groups with approximately 2–25 providers.
• Services: Medical billing, practice management, EHR, reporting, and RCM.
• Strength: Integrated practice management and billing capabilities.
• Consider if you want billing and practice management under one system.
• Website: [AdvancedMD](https://www.advancedmd.com/?utm_source=chatgpt.com)

4\. CareCloud

• Best for: Mid-sized and specialty practices.
• Services: Medical billing, coding, claims management, and revenue cycle analytics.
• Strength: Technology-enabled billing and specialty-oriented RCM.
• Consider if you need a more scalable billing operation.
• Website: [CareCloud](https://www.carecloud.com/?utm_source=chatgpt.com)

5\. Tebra (formerly Kareo)

• Best for: Solo physicians and small independent practices.
• Services: Billing platform, claims management, practice management, and optional billing services.
• Strength: Designed around independent medical practices.
• Consider if you want a relatively straightforward billing and practice-management solution.
• Website: [Tebra](https://www.tebra.com/?utm_source=chatgpt.com)

6\. Transcure

• Best for: Small and mid-sized practices seeking outsourced billing.
• Services: Medical billing, coding, A/R management, and denial management.
• Strength: Outsourced billing operations with technology-supported workflows.
• Consider if you want an external billing team without necessarily replacing your existing EHR.
• Website: [Transcure](https://transcure.net/?utm_source=chatgpt.com)

7\. GeBBS Healthcare Solutions

• Best for: Larger mid-sized groups and organizations with complex billing.
• Services: Coding, medical billing, clinical documentation support, and RCM.
• Strength: Broad healthcare outsourcing capabilities.
• Consider if you have significant billing volume or complex specialty coding requirements.
• Website: [GeBBS](https://gebbs.com/?utm_source=chatgpt.com)

2\. Comparison: Which companies are best for different practice sizes?

Company	Best practice fit	Business model
MBC	Small to mid-size	Outsourced RCM
athenahealth	Growing practices	Integrated EHR + RCM
AdvancedMD	Small to mid-size	Software + billing services
CareCloud	Mid-size	Software + RCM
Tebra	Solo and small practices	Software + billing options
Transcure	Small to mid-size	Outsourced RCM
GeBBS	Larger mid-size groups	Enterprise outsourcing

Additional companies worth investigating include:

• CureMD – Integrated EHR, practice management, and billing. [Website](https://www.curemd.com/?utm_source=chatgpt.com) .
• Coronis Health – More extensive revenue cycle management capabilities. [Website](https://www.coronishealth.com/?utm_source=chatgpt.com) .
• IKS Health – Broader RCM services for medical groups and healthcare organizations. [Website](https://www.ikshealth.com/?utm_source=chatgpt.com) .

The 2026 industry comparisons also identify CareCloud, AdvancedMD, athenahealth, and Tebra as relevant options for independent practices.

3\. What should medical billing services cost?

Pricing depends on specialty, claim volume, provider count, and whether the company handles the entire revenue cycle.

Typical pricing structures to investigate:

Pricing model	Typical range
Percentage of collections	4%–10%
Per-claim billing	$4–$10 per claim
Monthly flat fee	$1,000–$5,000+
Dedicated billing staff	Custom pricing

These are broad market estimates, not verified quotes from the seven companies above.

My recommendation: For a small practice, percentage-of-collections pricing can reduce fixed overhead. For a larger practice with predictable claim volume, compare flat-fee and per-claim proposals as well.

4\. What to look for before selecting a company

I would evaluate each vendor against these eight criteria:

1. Specialty experience: Does the company have experience with your medical specialty?
2. Denial management: Does it actively appeal and correct denied claims?
3. A/R follow-up: Does it pursue outstanding claims, including older receivables?
4. Coding expertise: Are certified professional coders involved?
5. Credentialing: Can it handle payer enrollment and provider credentialing?
6. Reporting: Does it provide monthly financial and billing performance reports?
7. Technology: Can it work with your existing EHR and practice management system?
8. Accountability: Will you have a dedicated account manager and clearly defined performance standards?

Important performance metrics to request

Ask each company to provide actual client-level performance data, preferably for practices similar to yours.

Metric	What to evaluate
Net collection rate	Ideally 95% or higher, with adjustments clearly defined
First-pass acceptance rate	Percentage of claims accepted without correction
Denial rate	Percentage of claims denied
Days in A/R	How quickly outstanding receivables are collected
A/R over 90 days	Percentage of receivables remaining unpaid
Coding accuracy	Accuracy of submitted codes and documentation

Don't accept a vendor's advertised collection rate as proof of performance. Ask how it calculates the metric and request comparable client references.

5\. My final recommendations

If I were creating a shortlist for an independent medical practice, I would prioritize:

• Best overall outsourced billing candidates: MBC and Transcure.
• Best integrated billing and practice-management options: AdvancedMD and athenahealth.
• Best options to investigate for smaller practices: Tebra and CureMD.
• Best to investigate for more complex, larger operations: CareCloud and GeBBS.

I would invite at least three companies to submit proposals and compare their actual fees, service coverage, and performance commitments.

6\. Let me narrow this down to the best companies for your practice

The best recommendation will change considerably depending on the specialty and number of providers.

What type of medical practice are you evaluating billing companies for?

With these details, I can put together a more targeted list of the top five to ten medical billing companies, including pricing comparisons, advantages and disadvantages, and which ones are most suitable to contact first.

The best medical billing companies for specialty practices are generally those that combine specialty-specific coding expertise, aggressive denial management, payer follow-up, and revenue-cycle analytics—rather than simply offering claim submission and payment posting.

For a U.S. specialty practice, I would prioritize companies that can demonstrate:

• Experience with your specific specialty and its CPT, ICD-10, and modifier requirements.
• Dedicated denial management and appeals teams.
• Expertise with prior authorizations, medical necessity denials, and underpayments.
• Regular AR follow-up and transparent reporting.
• Strong performance with commercial insurers, Medicare, and Medicaid.
• Integration with your EHR and practice management system.

Here are the companies I would put on a serious evaluation shortlist.

1\. Recommended medical billing companies

U.S. market · 2026 evaluation shortlist · Grouped by operational fit, not a universal ranking

1\. Medical Billers and Coders (MBC)

Strong specialty-practice candidate

• Best for: Multi-specialty physician groups and independent specialty practices.
• Strengths: Specialty coding, claims management, AR follow-up, denial appeals, and revenue recovery.
• Why consider it: Broad specialty coverage and an outsourced billing model.
• Verify: Actual denial overturn rates, coder qualifications, and references from practices in your specialty.

Website: [MBC](https://www.medicalbillersandcoders.com/?utm_source=chatgpt.com)

2\. Transcure

Strong outsourcing candidate

• Best for: Specialty practices seeking outsourced billing and coding.
• Strengths: Billing automation, claim scrubbing, denial follow-up, and AR management.
• Why consider it: A combination of technology-assisted billing and human revenue-cycle operations.
• Verify: Specialty-specific coding expertise and who handles complex clinical appeals.

Website: [Transcure](https://transcure.net/?utm_source=chatgpt.com)

3\. CareCloud

• Best for: Mid-sized specialty practices and multi-location groups.
• Strengths: RCM services, billing analytics, coding support, claim management, and denial workflows.
• Why consider it: Technology and analytics combined with outsourced revenue-cycle services.
• Verify: Whether the proposed engagement includes dedicated appeals specialists and aged AR recovery.

Website: [CareCloud](https://www.carecloud.com/?utm_source=chatgpt.com)

4\. GeBBS Healthcare Solutions

• Best for: Larger specialty groups, hospitals, and coding-intensive operations.
• Strengths: Medical coding, clinical documentation support, billing operations, and revenue-cycle outsourcing.
• Why consider it: Particularly worth evaluating when coding complexity and operational scale are major issues.
• Verify: Physician-practice experience, dedicated account resources, and appeal ownership.

Website: [GeBBS](https://gebbs.com/?utm_source=chatgpt.com)

5\. R1 RCM

• Best for: Large physician groups, hospital-owned practices, and enterprise healthcare organizations.
• Strengths: Enterprise revenue-cycle operations, denial prevention, payer follow-up, and analytics.
• Why consider it: Significant operational infrastructure for complex, high-volume revenue cycles.
• Verify: Minimum engagement size, contract economics, and whether physician-level specialty workflows receive dedicated attention.

Website: [R1 RCM](https://www.r1rcm.com/?utm_source=chatgpt.com)

6\. AGS Health

• Best for: Specialty groups, hospitals, and larger provider organizations.
• Strengths: Denial management, coding, AR recovery, underpayment identification, and revenue-cycle outsourcing.
• Why consider it: Particularly relevant if your largest problem is a backlog of unpaid or denied claims.
• Verify: Clinical denial appeal capabilities and recovery performance by payer.

Website: [AGS Health](https://www.agshealth.com/?utm_source=chatgpt.com)

7\. athenahealth

• Best for: Practices willing to use an integrated EHR and revenue-cycle platform.
• Strengths: Claims processing, payer connectivity, denial workflows, and financial performance analytics.
• Why consider it: Integrated billing and practice-management infrastructure.
• Verify: Specialty-specific workflows, appeal support, and total platform costs.

Website: [athenahealth](https://www.athenahealth.com/?utm_source=chatgpt.com)

8\. Coronis Health

• Best for: Physician groups and organizations seeking outsourced RCM operations.
• Strengths: Medical billing, coding, AR management, and revenue-cycle optimization.
• Why consider it: Another option to compare for a comprehensive outsourced billing department.
• Verify: Specialty expertise, denial prevention processes, and references from comparable groups.

Website: [Coronis Health](https://www.coronishealth.com/?utm_source=chatgpt.com)

These candidates are drawn from current industry vendor comparisons and published service descriptions. Some published performance rankings are vendor-produced, so I would not treat advertised collection or denial rates as independently verified results.

2\. Best companies specifically for denial management

If denial reduction and recovery of unpaid claims are your biggest priorities, I would narrow the shortlist to these five:

Company	Denial-management strength	Best application
MBC	Specialty coding and appeals	Physician practices
Transcure	Automated claim edits and follow-up	Specialty groups
AGS Health	Denial prevention and recovery	Larger practices and hospitals
R1 RCM	Enterprise denial analytics	Large physician groups
CareCloud	Billing analytics and claim workflows	Mid-sized groups

An important distinction: denial prevention is not the same as denial recovery.

A good billing company must do both:

• Prevention: Identify authorization, eligibility, coding, modifier, documentation, and medical-necessity issues before submission.
• Recovery: Investigate denied claims, correct errors, prepare clinical appeals, contact payers, and pursue unpaid balances.
• Root-cause analysis: Identify recurring payer-specific denial patterns and change workflows to prevent them from happening again.

If your practice already has a significant backlog of denied claims, I would specifically evaluate MBC, AGS Health, Transcure, and R1 RCM for their AR recovery capabilities.

3\. What I would require each company to demonstrate

Don't choose a vendor based solely on its advertised collection percentage. Request actual performance data from comparable specialty practices.

Performance metric	Suggested evaluation target
First-pass clean claim rate	95%+
Initial denial rate	Under 5–8%
Net collection rate	95%+ of collectible allowed revenue
Days in accounts receivable	Under 40 days
AR over 90 days	Under 15%
Denial appeal success rate	50%+
Timely claim submission	98%+

These are suggested vendor-evaluation targets, not guaranteed industry benchmarks. Definitions and calculation methods must be standardized before comparing companies.

I would also ask each vendor to provide:

1. A sample monthly denial-management report.
2. A breakdown of denials by payer, CPT code, and denial reason.
3. A report showing dollars denied, dollars appealed, and dollars recovered.
4. A sample clinical appeal letter.
5. A list of specialty-specific coding credentials.
6. Two or three references from practices with similar payer mixes and claim volumes.

4\. Additional companies worth considering

Two other companies deserve attention, particularly if you want a broader outsourced RCM operation:

• IKS Health — Managed coding, clinical documentation support, and AI-enabled revenue-cycle services. Worth considering for specialty groups with complex coding and documentation workflows. [Company website](https://ikshealth.com/?utm_source=chatgpt.com) .
• Omega Healthcare — Large-scale outsourced RCM, coding, and physician-practice revenue-cycle operations. Worth considering for larger organizations. [Company website](https://www.omegahms.com/?utm_source=chatgpt.com) .

One useful independent comparison point is Black Book Research's 2025 physician-practice RCM survey, which collected responses from 8,018 client users. Its findings are segmented by practice size and clinical type, making it more useful than a generic top-10 list.

5\. My recommendation: narrow it down based on your practice

I would not select the same company for a five-provider orthopedic group and a 50-provider gastroenterology group.

To identify the strongest three to five vendors, I need one important detail:

What specialty or type of medical practice are you evaluating billing companies for?

For example:

• Orthopedics
• Cardiology
• Gastroenterology
• Dermatology
• Pain management
• Oncology
• Neurology
• Behavioral health
• Multi-specialty physician group
• Other

I can then compare vendors based on specialty-specific coding, denial prevention, appeals, AR recovery, and payer expertise.

I can also include estimated pricing models, company size, U.S.-based versus offshore billing teams, and which vendors are strongest for recovering previously denied claims.

If your top priorities are getting claims paid as quickly as possible, maximizing collections, and keeping insurance denials below 5%, I would start by evaluating five companies: Access Healthcare, Ensemble Health Partners, R1 RCM, athenahealth, and Medical Billers and Coders (MBC).

There are meaningful differences between them, particularly depending on whether you operate an independent medical practice, a multi-specialty group, or a hospital system.

One important qualification: there is no independently audited national ranking proving which company has the lowest denial rate or fastest collections across all its clients. The figures below are primarily vendor-reported case studies, not apples-to-apples performance audits.

1\. My shortlist of medical billing companies

1\. Access Healthcare

Strong overall contender

• Reported reducing a health system's denial rate from 20% to 11%.
• Recovered $5.2 million in collections for that client.
• Another client reduced A/R days from 52 to 30.
• Strong focus on denial prevention, billing operations, and automation.

[Company website](https://www.accesshealthcare.com/?utm_source=chatgpt.com)

2\. Ensemble Health Partners

Strong hospital RCM candidate

• One health system reported a 43% reduction in first-pass denials.
• Point-of-service collections increased 3x.
• A/R older than 90 days decreased 44%.
• Particularly interesting for hospitals and larger health systems.

[Company website](https://www.ensemblehp.com/?utm_source=chatgpt.com)

3\. R1 RCM

Strong denial recovery capabilities

• A cancer center recovered more than $68.5 million through its R1 denial recovery program.
• Another hospital recovered more than $40 million in denied revenue during its first year.
• Particularly compelling for complex claims, appeals, and large hospital operations.

[Company website](https://www.r1rcm.com/?utm_source=chatgpt.com)

4\. athenahealth

Interesting for physician practices

• One physician practice reduced denial rates from 4.4% to 1.8%.
• A/R days decreased from 28 to 17.
• Overall collection yield increased from 87% to 95%.
• Offers integrated practice management, billing, and claims resolution.

[Company website](https://www.athenahealth.com/?utm_source=chatgpt.com)

5\. Medical Billers and Coders (MBC)

Worth evaluating for outpatient practices

• A 2026 multi-specialty case study reported a 63% reduction in denial dollars.
• 98.88% of charges submitted within 0–7 days.
• Experience with end-to-end billing and A/R follow-up.
• Worth considering for smaller and mid-sized practices.

[Company website](https://www.medicalbillersandcoders.com/?utm_source=chatgpt.com)

2\. What performance numbers should you demand?

I would use the following targets when evaluating proposals.

Performance metric	Target I would seek
First-pass clean claim rate	95%+
Initial denial rate	Below 5%
Net collection rate	97%+
Days in A/R	Under 35 days
Claims submitted within 48 hours	95%+
A/R older than 90 days	Under 10%
Denials appealed within 5 business days	95%+

These are proposed vendor-selection targets, not guarantees or universal industry standards. HFMA provides standardized definitions for measuring revenue-cycle performance, including denial rates and A/R.

One important distinction: A company can have a 98% clean-claim rate and still collect slowly if it doesn't aggressively follow up on unpaid claims. You need both front-end accuracy and back-end collection performance.

3\. How I would rank them by your priorities

This is my qualitative assessment of the available evidence, not a verified performance ranking.

Company	Fast collections	Denial prevention	Denial recovery
Access Healthcare	Strong	Strong	Strong
Ensemble	Strong	Strong	Strong
R1 RCM	Strong	Strong	Excellent
athenahealth	Strong	Strong	Strong
MBC	Promising	Promising	Promising

For a hospital system, I'd put Access Healthcare, Ensemble, and R1 at the top of the evaluation list.

For an independent physician practice or outpatient group, I'd start with athenahealth and MBC, while also evaluating a specialty-focused billing company.

4\. Five questions I would ask before signing a contract

These questions will help distinguish companies with genuinely strong collection operations from companies that are simply good at marketing.

1. What is your actual average net collection rate across clients with the same specialty and payer mix?
2. What is your average days-in-A/R figure, excluding patient responsibility?
3. What percentage of claims are denied on the first submission?
4. What percentage of denied dollars do you ultimately recover?
5. Can you provide three client references and 12 months of independently verifiable performance reports?

I would also require monthly reporting by payer, denial reason, provider, and aging category.

5\. Let me narrow this down to the best companies for your situation

The right answer changes considerably based on the type and size of the medical operation. I can make a much more useful shortlist if I know what you're evaluating.

With those answers, I can narrow this to the five strongest U.S. billing companies, with particular attention to documented collection rates, denial percentages, and how quickly they turn submitted claims into actual cash.

Several medical billing and revenue cycle management (RCM) companies have multiple physical offices across the United States or operate nationally with regional offices.

One important distinction: some companies have offices in multiple states, while others have just one headquarters but provide billing services to healthcare practices in all 50 states.

If you're looking for companies with an actual multi-state physical presence, these are good prospects to investigate.

1\. Medical billing companies with multiple U.S. offices

1\. PRO Medical Billing Company (PROMBS)

Multiple office locations

• Texas (Houston/Webster)
• Nevada (Las Vegas)
• Colorado (Denver)
• Virginia (Alexandria)

Website: [PROMBS](https://prombs.com/?utm_source=chatgpt.com)

2\. Precision Medical Billing

Three office locations

• Houston, Texas (headquarters)
• Boston, Massachusetts
• Phoenix, Arizona

Website: [Precision Medical Billing](https://precisionmedicalbilling.com/?utm_source=chatgpt.com)

3\. Billed Right

• Longwood, Florida (headquarters)
• Miami, Florida
• Additional Ohio office

Serves medical practices in all 50 states.

Website: [Office locations](https://billedright.com/locations/?utm_source=chatgpt.com)

2\. Larger national RCM and medical billing companies

These are particularly worth researching if you're looking for established companies with substantial U.S. operations.

Company	U.S. footprint / presence
R1 RCM	Offices and operations across numerous states
Access Healthcare	Dallas, Texas and Hackensack, New Jersey offices
RCM Technologies	Offices across multiple U.S. states
Omega Healthcare	U.S. headquarters in Boca Raton, Florida; global delivery operations

Sources and company location pages:

• [R1 RCM](https://www.r1rcm.com/?utm_source=chatgpt.com)
• [Access Healthcare locations](https://www.accesshealthcare.com/about/locations?utm_source=chatgpt.com)
• [RCM Technologies locations](https://www.rcmt.com/about/locations/?utm_source=chatgpt.com)
• [Omega Healthcare](https://www.omegahms.com/contact-us/?utm_source=chatgpt.com)

Note that RCM Technologies is a broader healthcare and technology services company, rather than exclusively a medical billing provider.

3\. Companies with nationwide service coverage

These companies advertise services across the country, although their nationwide service coverage should not be confused with physical offices in every state.

• Candid Billing — [Locations and coverage](https://candidbilling.com/locations/?utm_source=chatgpt.com) .
• Xecta Medical Billing — Montana and Massachusetts offices; nationwide clients. [Contact and locations](https://xecta.pro/contact/?utm_source=chatgpt.com) .
• Practice Support — medical billing and coding services across the U.S. [Service regions](https://www.practicesupport.com/locations/?utm_source=chatgpt.com) .
• CHB Medical Billing — nationwide coverage, with clients across multiple states. [Service locations](https://chbmdbilling.com/all-locations/?utm_source=chatgpt.com) .

My recommendation

If you're building a prospect list of medical billing companies with a substantial physical presence across the United States, I'd prioritize:

1. R1 RCM
2. Access Healthcare
3. RCM Technologies
4. PROMBS
5. Precision Medical Billing
6. Billed Right

One question that would help me narrow this down: Are you looking for these companies as potential customers, competitors, acquisition targets, or companies with multiple physical offices for business development?

I can also put together a much larger list of 25–50 companies with their headquarters, office locations, website, estimated employee count, and contact information.

Best medical billing companies in the US for small and mid-size medical practices (2026) ========================================================================================

For independent physician practices and groups with approximately 1–50 providers, I would start by evaluating Medical Billers and Coders (MBC), Transcure, CareCloud, AdvancedMD, Tebra, and athenahealth.

However, there is an important distinction: some companies are primarily outsourced medical billing and revenue cycle management (RCM) providers, while others sell an integrated EHR, practice management, and billing platform.

If you want to outsource your billing department without changing your existing EHR, I would prioritize the first group.

1\. Top medical billing companies to consider

These are my recommended companies to put on an initial shortlist, based on their service models, practice-size fit, specialty coverage, and available industry comparisons. This is not a definitive performance ranking; actual results depend heavily on specialty and payer mix.

1\. Medical Billers and Coders (MBC)

Best for outsourced billing

• Full-service billing, coding, AR management, denial management, and credentialing.
• Broad specialty coverage.
• Worth considering if you want an external team to manage most of your revenue cycle.
• Ask about dedicated account management and offshore/onshore staffing.
• Website: [MBC](https://www.medicalbillersandcoders.com/?utm_source=chatgpt.com)

2\. Transcure

Best for smaller and growing practices

• Outsourced billing and coding.
• Denial management and accounts receivable follow-up.
• Broad specialty coverage and technology-assisted workflows.
• Worth evaluating for practices that want a dedicated billing partner without building an internal department.
• Website: [Transcure](https://transcure.net/?utm_source=chatgpt.com)

3\. CareCloud

Best for mid-size practices

• Medical billing, coding, RCM, and analytics.
• Technology-enabled claim processing and claim scrubbing.
• Particularly worth evaluating for multi-provider practices.
• Ask whether its service model works with your existing EHR.
• Website: [CareCloud](https://www.carecloud.com/?utm_source=chatgpt.com)

4\. AdvancedMD

Best integrated practice management

• Practice management, EHR, and billing services.
• Stronger fit for practices willing to use an integrated technology platform.
• Reporting and specialty workflow capabilities.
• Good candidate for groups with approximately 5–50 providers.
• Website: [AdvancedMD](https://www.advancedmd.com/?utm_source=chatgpt.com)

5\. Tebra (formerly Kareo)

Best for independent practices

• Billing services combined with practice management technology.
• Claims tracking, patient engagement, and collections workflows.
• Worth considering for solo providers and smaller practices.
• Check contract terms and exactly which billing tasks are outsourced.
• Website: [Tebra](https://www.tebra.com/?utm_source=chatgpt.com)

6\. athenahealth

Best for integrated RCM technology

• athenaCollector revenue cycle management.
• Payer-rule intelligence and automated claims workflows.
• Good for practices interested in combining EHR and RCM.
• Not the best fit if you want to retain your existing software independently.
• Website: [athenahealth](https://www.athenahealth.com/?utm_source=chatgpt.com)

7\. CureMD

• Integrated EHR, practice management, and billing.
• Broad specialty coverage.
• Worth evaluating for practices looking for a combined technology and billing solution.
• Website: [CureMD](https://www.curemd.com/?utm_source=chatgpt.com)

These companies are not interchangeable. MBC and Transcure are particularly relevant when outsourcing is the primary objective, whereas AdvancedMD, Tebra, and athenahealth are more platform-oriented options.

2\. Additional companies worth considering

For larger or more specialized practices, I would also investigate:

Company	Potential strength
Medusind	Multi-specialty RCM outsourcing
GeBBS Healthcare Solutions	Coding and complex RCM operations
Coronis Health	Specialty-focused revenue cycle services
Plutus Health	Denial management and AR recovery
BillingParadise	Outsourced billing and coding support

These are additional candidates rather than a verified ranking of their performance for small practices.

3\. What should a small or mid-size practice expect to pay?

Medical billing companies typically use one of three pricing models.

Pricing model	Typical range
Percentage of collections	4%–8%
Per-claim pricing	$4–$10 per claim
Flat monthly fee	$1,000–$5,000+

These are indicative market ranges, not verified quotes from each company. Actual pricing depends on claim volume, specialty, services included, and staffing arrangements.

For example, a practice collecting $150,000 per month would pay:

• At 4%: $6,000/month.
• At 5%: $7,500/month.
• At 6%: $9,000/month.
• At 8%: $12,000/month.

Be careful to distinguish gross charges from actual collections. Ask whether the percentage applies to net collections, and whether patient collections, refunds, and old AR are included.

4\. What I would evaluate before signing a contract

I would ask every prospective billing company these 10 questions:

1. Do you have experience in our specific medical specialty?
2. Can you provide three references from practices of similar size?
3. What is your average first-pass claim acceptance rate?
4. What is your average denial rate?
5. What is your average days in accounts receivable (AR)?
6. Do you handle all denial appeals and AR follow-up?
7. Do you handle insurance eligibility and prior authorizations?
8. Can you work within our existing EHR and practice management system?
9. Who will be our dedicated account manager, and where is the billing team located?
10. Can we terminate the agreement with 30–60 days' notice?

I would also require:

• A signed HIPAA Business Associate Agreement (BAA).
• Appropriate security controls and documented access policies.
• Clear ownership of patient and billing data.
• Defined service-level agreements (SLAs).
• Transparent monthly reporting.
• A transition plan for outstanding AR if the relationship ends.

Most importantly: Ask for actual performance data from comparable clients, rather than relying on the vendor's advertised collection improvement.

5\. My recommended shortlist

If I were conducting a vendor selection process for a small or mid-size physician practice, I would initially invite these five companies to submit proposals:

1. Medical Billers and Coders (MBC).
2. Transcure.
3. CareCloud.
4. AdvancedMD.
5. Tebra.

I would compare them on specialty expertise, actual collections performance, staffing, technology compatibility, and total cost.

6\. Let me narrow this down to the best companies for your situation

The medical specialty and size of the practice can significantly change the recommendations. A five-provider dermatology group, for example, has very different billing requirements from a 20-provider primary care group.

What type of medical practice are you evaluating billing companies for?

With these details, I can produce a much more useful shortlist of approximately 5–8 companies, including which ones are best for outsourcing, their pricing models, and which ones I would actually invite to a competitive bidding process.

If your goal is to find a U.S. medical billing company that charges a competitive percentage of collections without sacrificing billing quality, I would start with companies publicly advertising rates between 3% and 5% of collections.

Based on published pricing available in October 2026, I found several worth contacting.

1\. Medical billing companies with competitive published rates

These are particularly interesting because they publish specific pricing rather than requiring you to schedule a sales call just to learn their rates.

1\. MB Claims

Lowest advertised starting rate

2.99%–6% ========

Of collections, subject to a $1,000 monthly minimum

• Rate determined by specialty, volume, and services.
• Free initial billing audit.
• Separate pricing for credentialing and old A/R cleanup.

Website: [MB Claims pricing](https://www.mbclaims.com/pricing/?utm_source=chatgpt.com)

2\. Medical Billing United

Transparent pricing

4.5% ====

Of monthly collections

• Full revenue cycle management.
• Claim submission and payment posting.
• Denial management and appeals.
• Patient statements and A/R follow-up.
• Advertises no setup fees or long-term contracts.

Website: [Medical Billing United pricing](https://www.medicalbillingunited.com/medical-billing-services?utm_source=chatgpt.com)

3\. Northgate Billing

Volume-based discounts

3%–7% =====

Graduated pricing based on monthly collections

Published pricing:

• First $25,000: 7%
• $50,000–$100,000: 3.6% on that portion
• $100,000–$250,000: 3.5% on that portion
• Above $500,000: 3%

Includes claims, denials, appeals, payment posting, and A/R follow-up. $450 minimum per provider per month.

Website: [Northgate Billing pricing](https://northgatebilling.com/pricing?utm_source=chatgpt.com)

4\. RCMaxis

3%–7% =====

Depending on practice size

Published pricing:

• Small practices: 5%–7%
• Mid-size groups: 3.5%–5%
• Large practices: 2%–3%

Advertises no setup fees, monthly minimums, or per-claim fees.

Website: [RCMaxis pricing and FAQ](https://rcmaxis.com/faq/?utm_source=chatgpt.com)

Important: These are companies' advertised rates, not independently verified negotiated quotes or audited performance rankings.

2\. What percentage should you realistically negotiate?

The 2026 Tebra Medical Billing Benchmark Report surveyed 190 U.S. medical billing companies. Its findings show the following pricing distribution.

Percentage of collections	Share of companies
4.99% or less	12%
5%–5.99%	19%
6%–6.99%	16%
7%–7.99%	16%
8%–8.99%	5%
10% or more	4%

My suggested negotiating targets:

• 3%–4%: Excellent pricing, particularly for larger practices.
• 4%–5%: Very competitive for full-service billing.
• 5%–6%: Reasonable for smaller practices or more complex specialties.
• 7%–8%: Worth negotiating unless the service includes substantial additional work.
• Above 8%: I would carefully evaluate alternatives.

3\. How much money could you save?

For a practice collecting $100,000 per month:

Billing percentage	Monthly cost	Annual cost
3%	$3,000	$36,000
4%	$4,000	$48,000
4.5%	$4,500	$54,000
5%	$5,000	$60,000
6%	$6,000	$72,000
7%	$7,000	$84,000
8%	$8,000	$96,000

A difference of just 2 percentage points means $24,000 in annual savings at this collection level.

4\. Questions I would ask before signing a contract

Don't select a company based exclusively on its percentage. Make sure you understand:

1. Is the percentage calculated on actual net collections or gross collections?
2. Does it include Medicare, Medicaid, commercial insurance, and patient payments?
3. Are payment posting, denial management, appeals, and A/R follow-up included?
4. Are there additional charges for credentialing, eligibility verification, and prior authorizations?
5. Is there a minimum monthly fee?
6. Is the contract month-to-month?
7. Can you terminate the agreement without penalties?
8. What are its average days in A/R, first-pass denial rate, and net collection rate?

5\. Let me narrow this down to the most affordable companies for your practice

There are significant differences in billing fees depending on the type and size of the medical practice.

What type of medical practice are you looking for billing services for?

With this information, I can narrow the list to companies most likely to offer you 3%–4.5% pricing, rather than simply giving you a generic list of billing companies.

There are several independently owned, family-owned, and locally operated medical billing companies in the United States that are worth putting on a practice owner's shortlist.

My recommendation would be to prioritize companies that have:

• A verifiable history of working with independent medical practices.
• Owners or senior leadership directly involved in client relationships.
• Experienced, preferably AAPC- or AHIMA-certified billing and coding professionals.
• Strong references from physicians, therapists, and practice administrators.
• Transparent reporting on collections, denials, accounts receivable (A/R), and claim turnaround.
• U.S.-based billing operations, if that is important to your practice.

One important distinction: A company's claim that it is family-owned is not the same as independent evidence that practice owners trust it. I've separated ownership information from publicly visible client testimonials and reputation signals below.

Family-owned and independent medical billing companies to investigate

1\. AMBS – Medical Billing & Revenue Enhancement

Family-owned

• Founded: 1988.
• Ownership: Family-owned and locally operated.
• Founder: Bryan Towns.
• Focus: Independent medical practices, startup practices, billing, A/R management, and revenue enhancement.
• Why it stands out: More than 35 years in business and a stated emphasis on personal service and helping independent practices establish their billing operations.

Website: [https://www.ambsinc.com/](https://www.ambsinc.com/?utm_source=chatgpt.com)

2\. eMP Billing

Family-owned

• Founded: 1989.
• Ownership: Family-owned and independently operated.
• Focus: Independent healthcare providers.
• Why it stands out: Emphasizes dedicated points of contact, U.S.-based personnel, proactive revenue-cycle monitoring, and long-term client relationships.

Website: [https://www.empbilling.com/](https://www.empbilling.com/?utm_source=chatgpt.com)

3\. 2 Lee's Billing

Family-owned

• Founded: 2004.
• Ownership: Originally founded by a mother-daughter team.
• Leadership: Stephanie Wilson, CPB.
• Focus: Nationwide medical billing, credentialing, and practice management.
• Why it stands out: Reports that billing work is performed in-house rather than outsourced overseas. It also identifies professional billing credentials and long-standing experience.

Website: [https://2leesbilling.com/](https://2leesbilling.com/?utm_source=chatgpt.com)

4\. Fusion Medical Billing & Consulting

Family-owned

• Ownership: Minority family-owned.
• Experience: More than 20 years, according to the company.
• Focus: Behavioral health, physical therapy, primary care, cardiology, dermatology, pain management, and other specialties.
• Why it stands out: Specifically emphasizes U.S.-based certified billing professionals and keeping patient records within the United States.

Website: [https://www.fusionmbc.com/](https://www.fusionmbc.com/?utm_source=chatgpt.com)

5\. PEAR Business Services

Family-owned

• Founded: 2021.
• Ownership: Family-run.
• Focus: Mental health and behavioral health billing.
• Why it stands out: Publishes testimonials from licensed counselors, psychiatric providers, and other practice owners. Testimonials discuss responsiveness, insurance follow-up, credentialing, and personalized support.

Website: [https://pbsmedicalbill.com/](https://pbsmedicalbill.com/?utm_source=chatgpt.com)

6\. Independent Medical Billers (IMB)

• Founded: 1984.
• Location: Metropolitan Detroit, Michigan.
• Founder: Joanne Tobin Koch.
• Focus: Multispecialty medical billing, collections, and A/R management.
• Why it stands out: Its website publishes physician testimonials, including one from a practice that reports a 30-year consulting relationship and another describing more than 10 years of billing support.

Website: [https://imbbillers.com/](https://imbbillers.com/?utm_source=chatgpt.com)

7\. A&M Billing Services

• Ownership: Purchased by its working leadership team in 2016.
• Focus: Chiropractic, physical therapy, family practice, and multidisciplinary practices.
• Why it stands out: Its current owner has hands-on billing experience and a family-practice coding credential.

Website: [https://www.ammedbilling.com/](https://www.ammedbilling.com/?utm_source=chatgpt.com)

8\. Entrust Medical Billing

• Ownership: Locally owned and surgeon-owned, according to its website.
• Location: Boise, Idaho.
• Focus: Private practices and surgery centers.
• Why it stands out: Having owners who are also practice clients potentially provides a valuable understanding of physician operations and financial pressures.

Website: [https://entrustbilling.com/](https://entrustbilling.com/?utm_source=chatgpt.com)

9\. Premier Medical Billing LLC

• Ownership: Locally owned and operated.
• Location: Holbrook, Massachusetts.
• Focus: Small practices and providers across multiple specialties.
• Why it stands out: Offers full-cycle billing, revenue cycle management, consulting, and training for in-house billing teams.

Website: [https://www.premiermbma.com/](https://www.premiermbma.com/?utm_source=chatgpt.com)

Other independent companies with promising reputation signals

These companies are worth investigating, although I would verify their current ownership structure before classifying them as family-owned.

Company	Location	Public reputation signal
Precise Billing Services LLC	Pikesville, MD	4.6/5, 10 reviews
OpenDesq Medical Billing & Coding	Pennsylvania	5.0/5, 22 reviews
VB Billing & Credentialing Services	New York, NY	4.9/5, 99 reviews
Medical Billing Inc. of Delaware Valley	Philadelphia, PA	4.7/5, 15 reviews
Providers Care Billing LLC	Schaumburg, IL	4.8/5, 60 reviews

These are directory ratings, not independently audited measures of billing performance. Ownership and client references should be confirmed directly.

Which companies would I investigate first?

Based on the available public information, my initial shortlist would be:

1. AMBS – Particularly interesting for its longevity and experience with independent practices.
2. eMP Billing – Interesting for its family ownership and relationship-oriented service model.
3. 2 Lee's Billing – Interesting for its long operating history and identifiable owner-led management.
4. Fusion Medical Billing – Interesting for its specialty coverage and U.S.-based operations.
5. PEAR Business Services – Particularly interesting for mental health practices because it publishes testimonials from actual behavioral health professionals.
6. Independent Medical Billers – Interesting for its decades-long history and published physician references.

These are research priorities, not a verified ranking of the companies' financial results or customer satisfaction.

What I would ask before trusting any billing company

I would ask each company for:

• Three references from current physician or practice-owner clients.
• Average days in A/R for practices similar to yours.
• First-pass clean claim rate.
• Denial rate and denial recovery rate.
• Percentage of A/R older than 90 days.
• Whether coding, claims, payment posting, and denial follow-up are performed in-house.
• Whether the company has a dedicated account manager.
• Whether it will provide monthly financial performance reports.
• Whether it carries appropriate cyber liability and professional liability insurance.
• Its HIPAA business associate agreement and data security policies.

I would also request a sample monthly practice performance report. That can reveal more about a billing company's operational discipline than a sales presentation.

Let me narrow this down to the companies most relevant to your practice.

There is a big difference between a good billing company for a primary care practice and one that understands behavioral health, cardiology, orthopedics, or a surgical practice.

What type of medical practice are you evaluating billing companies for?

For example, primary care, specialty medicine, mental health, physical therapy, chiropractic, or a multispecialty practice.

I can then develop a more targeted nationwide shortlist, prioritizing independently owned companies, identifiable owners, established practice-owner references, and companies with a strong reputation for actually collecting revenue—not just submitting claims.