As the heart of Silicon Valley, San Jose is one of the most expensive cities in the United States. Here, the administrative wages average $63,490 a year for medical personnel, according to the U.S. Bureau of Labor Statistics. The city’s population of roughly one million is supported by 1,855 healthcare practices as reported by Rentech Digital.
This makes efficient billing vital to keep revenue flowing. Rising overhead costs and complex insurance rules push many clinics to outsource medical billing. It helps them a lot in reducing payroll and administrative burdens.
Companies like Transcure and MBS Select offer end-to-end revenue cycle solutions tailored for California providers. Explore our curated list of the 10 best medical billing companies in San Jose to find the right partner for your practice.
- Transcure
- MBS Select
- Alliance Practice Management
- San Jose MedBill
- Horizon Revenue Solutions
- Claim Care
- 3D Solutions LLC
- PACT RCM LLC
- Zen Medical Services
- JBills
Curious to know which San Jose medical billing company best fits your practice’s needs? Let’s dive deeper into each of these leading billing providers and see what sets them apart.
1. Transcure
Transcure is a standout in the world of medical billing services providers San Jose clients seek. We deliver a 98% clean claim rate, meaning fewer rejections and quicker reimbursements. That level of precision helps practices maintain steady cash flow and reduce costly rework.
We also deploy dedicated AI agents for each core step in the RCM cycle: from patient eligibility, coding, claim scrubbing, to denial appeals. These smart agents cut manual effort and speed processing, freeing your staff to focus on patient care and reducing turnaround delays.
This mix of human expertise and AI gives a measurable edge. We’ve cut denial rates by up to 35%, helping practices recoup revenue that would otherwise be lost. Partnering with us means smoother billing, fewer errors, and more predictable income for your practice.
| Category | Details |
|---|---|
| Services Offered | End-to-end billing and coding, claim scrubbing, denial management, A/R follow-up, credentialing, and audits |
| Specialties Served | 40+ specialties (e.g. internal medicine, orthopedics, dermatology, lab billing) |
| Experience | Since 2002 (20+ years) |
| Pricing Model | Percentage of collections (5%) |
2. MBS Select
MBS Select is a trusted medical billing firm in San Jose that helps practices across California and beyond. They’ve handled over $500 million in client revenue, proving deep expertise. Their tiered pricing model makes it easy to pick services that scale with practice size.
The strength of MBS Select lies in consulting and HL7 interfaces. These help practices a lot in streamlining operations and boosting net collections. They also provide MIPS and APM compliance, security risk analysis, and so much more.
| Category | Details |
|---|---|
| Services Offered | Full RCM, consulting, HL7 interfaces, system migration, credentialing |
| Specialties Served | 30+ specialties (cardiology, orthopedics, GI, mental health) |
| Experience | Since 1993 (30+ years) |
| Pricing Model | Tiered levels: fixed plus percentage of collections (2% to 8%) |
3. Alliance Practice Management
Alliance Practice Management is a medical billing company in San Jose serving small, medium, and large practices and surgery centers. They offer cloud-based billing and consulting services to make revenue collection easier. To help the physicians, APM provided dedicated voice software like Nuance Dragon Speech Solutions.
The company focuses on turning your outstanding receivables into cash quickly and tailoring reports to your goals. Their approach helps practices reduce administrative burden and boost profitability via custom billing programs. San Jose practices can use their Volp Phone Systems to manage patient reminders.
| Category | Details |
|---|---|
| Services Offered | Medical billing and charge entry, claim scrubbing/verification, third-party claims follow-up, EDI / clearinghouse setup, denial tracking and patient collections, compliance audits |
| Specialties Served | Most specialty physicians and surgery centers (various specialties; focus on private insurance and Workers’ Compensation) |
| Experience | Since 1990, over 30 years |
| Pricing Model | Percentage of collections |
4. San Jose MedBill
San Jose MedBill is a reliable medical billing agency that San Jose healthcare providers depend on for efficient claims management. The company focuses on small and mid-sized practices, offering both insurance billing and patient collections. They claim that by serving only the San Jose clinics, they become experts in the local healthcare market.
Its consistent claim tracking and quick response to denials help practices maintain healthy cash flow. Moreover, this helps reduce administrative stress and improve overall revenue performance through accurate and transparent billing processes.
| Category | Details |
|---|---|
| Services Offered | Insurance billing, insurance follow-up, patient billing, credentialing assistance |
| Specialties Served | General physicians and small specialty practices |
| Experience | 10+ years (founded August 2016) |
| Pricing Model | Custom pricing per practice (percentage + fixed components) |
5. Horizon Revenue Solutions
Horizon Revenue Solutions is a leading medical billing provider in San Jose, praised for its 98% first-pass claim success rate. The company also claims to do payment turnaround in just 7 to 14 days. In that regard, Horizon promises to assign a personal billing manager to each interested practice.
It offers full revenue cycle services and aggressive denial follow-up to ensure maximum claims are collected. Practices benefit by getting paid faster and avoiding costly rejections. Moreover, Horizon also works with all EHRs, meaning you do not have to change your current setup.
| Category | Details |
|---|---|
| Services Offered | Complete RCM: charge entry, claim scrubbing and denials, insurance verification, patient statements, A/R follow-up and recovery, credentialing, reporting & analysis |
| Specialties Served | Serves private practices of all sizes (e.g. family medicine, dermatology, cardiology, etc.) |
| Experience | 7 years in business |
| Pricing Model | From 7.9% to 3.9% of monthly collections |
6. Claim Care
ClaimCare is a respected medical billing firm with a San Jose office known for boosting collections by up to 25%. They also promise to recover claims quickly and keep days in A/R typically under 38. Its US-based team takes over data entry and corrects claims before submission.
The team also handles patient billing, so practices have less clerical burden. Clean-claim rates above 95% help reduce denials and delays. Providers gain clearer financial visibility, more timely payments, and less staff overhead.
| Category | Details |
|---|---|
| Services Offered | End-to-end billing and coding, claim scrubbing, patient billing, A/R follow-up, credentialing, custom reporting |
| Specialties Served | Many specialties: cardiology, orthopedics, OB/GYN, ophthalmology, pain management, urology, general surgery, etc. |
| Experience | Over 17 years |
| Pricing Model | Percentage of collections |
7. 3D Solutions LLC
3D Solutions LLC is a growing medical billing company in San Jose, known for processing over 3 million claims annually across all 50 states. It provides full RCM and practice management services and promises to increase your revenue by up to 20%. To keep any San Jose clinic in the loop, the company offers detailed reports for each step.
Small and mid-sized practices benefit from strong transparency, ranging from account status and metrix reports to denial and aging A/R summaries. Similarly, the company shows its performance via HCC coding and CDI services in medical coding.
| Category | Details |
|---|---|
| Services Offered | Medical billing, coding, credentialing, practice management, EMA/EHR-friendly systems, file submission and reporting |
| Specialties Served | Family medicine, OB/GYN, internal medicine, dermatology, behavioral health, non-emergency transport, labs, ambulatory surgical centers |
| Experience | Over 15 years in industry |
| Pricing Model | Percentage of collections |
8. PACT RCM LLC
PACT RCM LLC is a medical billing company in San Jose that uses AI-enhanced workflows. They promise to streamline revenue cycle operations to minimize errors and increase your profits. To do that, the company claims the recovery of up to 80% of your A/R in less than 40 days and an 85% recovery of aging A/R.
A San Jose practice will find a merger of transparent billing, patient engagement, and analytics from PACT RCM. This approach helps cut billing errors and recover overlooked revenue. PACT also excels in providing fast pre-authorization confirmation and accurate out-of-pocket estimates.
| Category | Details |
|---|---|
| Services Offered | Medical billing, coding, denial management, practice management, financial management, patient engagement, analytics |
| Specialties Served | Supports physician groups, hospitals, digital health providers, and multi-specialty practices |
| Experience | Founded in 2023 |
| Pricing Model | Percentage of collections |
9. Zen Medical Services
Zen Medical Services is a dependable San Jose medical billing company that healthcare providers trust for complete revenue cycle management. With a 98% claim recovery rate and proactive denial management, it helps practices reduce revenue leakage and speed up payments by up to 15%.
The company also trains front-office teams on payer rules to reduce claim errors to less than 2%. Moreover, its smoother workflows, like dedicated reports at each claim stage, ensure better financial stability for small and mid-sized medical practices.
| Category | Details |
|---|---|
| Services Offered | Revenue cycle management, billing and coding, denial appeal, staff training, consulting |
| Specialties Served | Supports many specialties across outpatient and physician practices |
| Experience / Years in Business | 10+ years (since 2012) |
| Pricing Model | Percentage of collections |
10. JBills
JBills is a niche medical billing company in San Jose specializing in mental health and substance abuse facility billing. They manage everything from insurance benefit verification, utilization review, to final claim collections. As a San Jose practice, you will get complete claim status reports twice a week.
Their focused expertise helps such facilities reduce denials and speed reimbursements. The practices can offload billing complexity, allowing them to focus on patient care rather than billing headaches. Moreover, JBills promise to recover your old denied claims for free.
| Category | Details |
|---|---|
| Services Offered | Facility billing and collections, insurance verification, utilization review, claims handling, aging, and collections |
| Specialties Served | Mental health, substance abuse treatment centers |
| Experience | Since 2000 (20+ years) |
| Pricing Model | Percentage of collections |
How Our Editors Selected the Top Medical Billing Companies in San Jose, CA
To create this list, our editorial team conducted extensive research using trusted local and online sources. These include Google Search results, Google Business Profiles (GMB), Yelp, Clutch, and company websites. We evaluated each provider based on key factors.
They include service quality, client reviews, industry experience, transparency, and pricing flexibility. Only the most reputable and high-performing medical billing companies in San Jose, CA, were selected to ensure accuracy and value for healthcare practices.
What Are Top Medical Billing Companies in California?
Some of the best medical billing companies in California include Transcure, known for its AI-driven RCM solutions. There is also California Medical Billing, offering statewide multi-specialty services, and My RCM Group.
They are recognized for customized billing support. One option is CA Billing LLC, which provides transparent pricing and fast claim turnaround for healthcare practices across the state.
What Are the Benefits of Outsourcing Medical Billing in San Jose, CA?
Outsourcing medical billing in San Jose, CA, offers several key advantages for healthcare providers. It reduces administrative workload to allow doctors and staff to focus on patient care. Professional billing teams minimize claim errors and speed up reimbursements to improve cash flow.
Moreover, outsourcing ensures compliance with ever-changing insurance and HIPAA regulations. A trusted partner like Transcure also provides access to advanced billing technology and data analytics, boosting overall revenue performance.
How To Choose a Medical Billing Company in San Jose, CA?
When selecting a medical billing company in San Jose, CA, start by assessing each provider’s experience in your specialty. Another important factor is their track record with claim accuracy and denial rates. Look for transparency in pricing, strong data security, and compliance with HIPAA standards.
It’s also smart to review client testimonials and request performance metrics. Also, learning about EHR compatibility is recommended for effortless integration. Finally, choose a partner offering clear reporting and responsive support.
What Percentage Do Medical Billers Take in San Jose, CA?
Most medical billing companies in San Jose, CA, charge between 4% and 10% of the total collections. The actual rate depends a lot on the size of the practice, specialty, and scope of services provided.
Smaller clinics often pay slightly higher rates due to lower claim volumes. Transcure, one of the leading providers, offers competitive pricing starting at around 5% for comprehensive RCM services.
Which Is the Best Medical Billing Company in San Jose, CA?
Based on reliability, technology, and client satisfaction, Transcure stands out as the best medical billing company in San Jose, CA. The company combines expert human oversight with advanced AI-driven automation. This allows us to ensure a 98% clean claim rate and faster reimbursements.
With transparent pricing starting at just 5% of collections, Transcure helps medical practices maximize revenue. When getting the full medical billing services, we also offer practices complementary old A/R recovery and credentialing..
What Are the 5 Best Medical Billing Companies in San Jose, CA?
The five best medical billing companies in San Jose, CA are recognized for their reliability, accuracy, and client satisfaction:
- Transcure: Known for AI-powered RCM automation and 98% clean claim accuracy.
- MBS Select: Offers customizable billing and consulting services with transparent pricing.
- Alliance Practice Management: Experienced provider specializing in claim recovery and compliance.
- Horizon Revenue Solutions: Delivers quick reimbursements with a 98% first-pass success rate.
- San Jose MedBill: Trusted local firm providing personalized billing support for small to mid-sized practices.
What Factors Should I Consider Before Hiring a Medical Billing Company in San Jose, CA?
Before hiring a medical billing company in San Jose, CA, consider several important factors. Check the company’s experience in your medical specialty and its claim success rate. Evaluate pricing transparency, data security, and HIPAA compliance to protect patient information.
Moreover, review client testimonials, ask about EHR integration, and ensure they provide customized reporting. Finally, choose a partner offering responsive support and measurable results that align with your practice’s financial goals.
