In today’s rapidly evolving healthcare landscape, marked by increasingly complex regulations, choosing the right partner is critical to your financial success. Understanding how to choose a medical billing outsourcing company is key, whether you are delegating for the first time or reevaluating your current provider.
The right partner reduces overhead, minimizes claim denials, lowers audit risk and accelerates your revenue cycle. They can significantly improve your cash flow by maximizing reimbursements and streamlining billing, so this is a high-impact decision. What are the best medical billing outsourcing companies, and which one is right for you?
What to Look for in a Medical Billing Outsourcing Partner
There are several important considerations when selecting the best medical billing company to work with. Here are seven criteria to use when narrowing down your options.
| Company expertise | Look for a proven track record, ideally in your specific specialty. Ensure the company employs certified coders and experienced billing professionals. Understand their approach to regulations and other compliance requirements. |
| Service offerings | Look for a full suite of services that cover the revenue cycle from end to end. Find out if services can be customized to your specific needs and workflows. Confirm that they can integrate with your existing EHR and practice management systems. |
| Technology and security | The company should utilize up-to-date billing software and technology to streamline processes and improve efficiency. Robust data security methods, including encryption and access controls, are essential. The partner must be fully HIPAA compliant with a strong commitment to data privacy. |
| Financial performance | Look for a track record of improving collection rates and reducing denials. Check for a clear and transparent pricing structure with no hidden fees. See if there are detailed reports and analytics to track KPIs. |
| Communication and support | Look for a dedicated account manager and timely support processes. |
| Reputation | Check client testimonials and case studies. Research the company’s reputation. |
| Scalability | Ensure the partner company can scale to meet your needs as your practice grows. |
What Are the Best Medical Billing Outsourcing Companies?
Bearing all of this in mind, which outsourcing partner should you choose for your medical billing needs? Here are five that are at the top of their game.
1. Global Healthcare Resource
Global Healthcare Resource has 25 years of industry experience with over 7,000 HIPAA-compliant coders and billing professionals. It offers end-to-end revenue cycle management, from benefits eligibility verification and patient demographic entry through fast, accurate medical coding — within 24-hour turnaround times — and payment posting. Efficient denial management and AR processes reduce lost revenue, while an increased claim rate allows a higher return on investment.
Global’s team operates as an extension of your office, with rapid onboarding and teams trained to your specific KPIs and workflows. It can integrate with any EHR and is SOC 2 Type 2 compliant, ensuring robust data security and confidentiality.
Key features:
| Proven ability to improve productivity, reduce attrition and increase ROI | Supports a wide range of settings, from small practices to large hospitals |
| Strong compliance and security protocols | Flexible, scalable solutions customized to client needs |
2. Coronis Health
Coronis Health has a nationwide client base and 20 years of experience in the RCM industry. It offers medical billing and coding, account management, collections, AR follow-up, denial management and credentialing, as well as consulting and coding analysis. Its services are designed to help improve profitability and work as part of your organization, with robust reporting and data-driven insights.
Coronis Health’s technology integrates with your EHR platform by using AI and automation to deliver efficiencies. Its experts can identify gaps and roadblocks in your processes to achieve improved claims submissions, fewer denials and decreased administrative costs.
Key features:
| Known for optimizing emergency medicine billing | Streamlines existing systems |
| Consulting services | Data-driven intelligence |
3. GeBBS Healthcare Solutions
GeBBS Healthcare Solutions is a leading tech-first provider of medical billing and revenue cycle management services. The company harnesses AI to optimize the process, minimizing denials and improving cash flow. It has over 3,000 certified coders, most with multispecialty capabilities, and proprietary technology to identify errors and compliance risks. It’s also noted for its rapid response time to client inquiries.
From billing and coding to AR follow-up, cash application, credit balance resolution, denial management and claims recovery, GeBBS codes over 200,000 patient charts per month. Clients are mostly hospital chains and larger physician groups.
Key features:
| Tech-driven AI and automation for streamlining processes | Agile customer service |
| Committed to industry compliance and audit standards | Scalable workforce |
4. OutsourceRCM
OutsourceRCM provides offshore services using ITeS technology and specialized processes. The company operates via eight global delivery centers and aims to minimize revenue leakages and improve patient satisfaction. Services include ICD-10/CPT/HCPCS coding, claim scrubbing, AR follow-up and denial management.
OutsourceRCM’s technology integrates with a wide range of EHR systems. It’s fully HIPAA-compliant and offers advanced data analytics and reporting tools. Key metrics, such as claims resolution rate and total collection rate, are monitored, and processes are designed to reduce audit risks while maintaining operational transparency.
Key features:
| 24/7 support and a dedicated account manager | Proactive approach to the regulatory environment |
| Offshore services | Specialized physician billing |
5. MediCD
MediCD provides billing solutions across the revenue cycle, from eligibility verification to comprehensive AR to denial management. Working as an extension of your staff, the company is known for competitive billing rates and precise claims processing. MediCD’s software integrates with existing EHR systems and uses machine learning algorithms to predict and prevent claim denials.
Clients range from specialized solo practices to large healthcare centers, and the company’s coders have expertise in CPT, ICD-10, HCPCS and NCCI edits. Other services include medical credentialing and pharmacy billing.
Key features:
| Competitive billing rates | Flexible plans |
| Integration with existing EHR | Supports solo physicians as well as larger clients |
How to Choose the Best Medical Billing Outsourcing Company
Use these criteria to review a range of outsourcing partners that might be right for you. This is a key decision for your hospital, clinic or medical practice, so take the necessary time to research thoroughly before making your decision.