Top 10 Medical Billing Companies in Hawaii

Healthcare providers across Hawaii are navigating an increasingly complex reimbursement environment driven by payer scrutiny and administrative burdens. Recent data shows Hawaii’s insurance claim denial rate rose from 23.7% in 2023 to 26.9% in 2024, reflecting a 3.2% year-over-year increase.

This trend means more than one in four claims may be denied on first submission, delaying payments and impacting practice revenue. Common denial causes include coding inaccuracies, missing documentation, and prior authorization gaps that overwhelm in-house billing teams.

To manage these challenges, many Hawaii practices turn to professional medical billing companies. This listicle highlights trusted medical billing companies in Hawaii that help providers improve claim acceptance and accelerate reimbursements.

1. Transcure
2. Ike Pono Medical Billing Hawaii
3. Providers Priority Billing
4. Access Revenue Hawaii, LLC
5. Lotus Medical Billing, LLC
6. ProMantra
7. Medical Healthcare Solutions, Inc
8. AKAMAIMD, LLC
9. Medheave Medical Billing Services
10. Physicians Billing Solutions, LLC

Here’s a list of the top 10 medical billing companies in Hawaii. We’ll explain what each one does, highlight its expertise, and show why it’s a smart choice for the healthcare practices in Hawaii.

1. Transcure

Transcure is the best medical billing company in Hawaii, because it combines AI-powered billing technology with the expertise of 1,100+ AAPC-certified coders and billers. We have specialized AI agents that automate every step of the billing process, from pre-authorization to coding and AR recovery. This helps in achieving 99.99% first-pass clean claim rates and reduces claim denials to 1%.

Our billing specialists also work seamlessly with more than 32+ EHR systems, including EPIC, Athenahealth, and AdvancedMD, so providers can continue using their preferred software. Plus, we are fully familiar with Hawaii medical billing laws, including state-specific Medicaid rules, timely-filing limits, and payer documentation requirements.

Best For	Small Practices Hospitals and Health Systems Medical Group Practices Physicians from Every Specialty Urgent Care Centers Surgical Centers
Key Highlights	Complimentary Credentialing & Old AR Recovery 24/7 Support & Full Revenue Cycle Services Up to 20% Revenue Boost 30% Reduction in AR Denial Management and Appeals Nationwide coverage across 40+ healthcare specialties Dedicated account manager Free Medical Billing Audit MIPS Reporting Services
Experience	23 Years

2. Ike Pono Medical Billing Hawaii

IKE PONO distinguishes itself with end-to-end revenue-cycle services for behavioral-health and multi-disciplinary practices. Its team verifies eligibility, submits mostly electronic claims, posts payments, and attacks denials. Beyond standard office visits, they navigate complex codes for Intensive Outpatient Programs, Day Treatment, CCS encounter reporting, and psychosocial rehabilitation.

The company also handles methadone and opioid addiction services, workers’ compensation, and auto-insurance cases. Their expertise also spans family medicine, PT/OT, ABA, neurology, and other specialties.

Best For	Behavioral Health Providers and Facilities
Key Highlights	Patient statements and clear monthly reports Automatically Patient Billing Certified Medical Billing & Reimbursement Professionals Experienced in handling major payers like HMSA, Kaiser, Medicaid
Experience	9 Years

3. Providers Priority Billing

Providers Priority Billing Services (PPB) is a Hawaii-based medical billing company founded by technology experts and certified healthcare administrators with extensive experience in billing. The company is dedicated to helping healthcare providers focus on patient care by managing complex back-office administrative tasks.

PPB offers a comprehensive range of services, including claims submission, accounts receivable management, prior authorization, patient statements, and eligibility verification. Their team ensures claims are submitted promptly and follow-ups are conducted proactively.

Best For	Small to mid-sized practices
Key Highlights	Patient responsibility follow-up Claims submitted within 24 hours of receipt Confirms patient coverage 2 days before appointments Online payment option for patients
Experience	2 Years

4. Access Revenue Hawaii, LLC

Access Revenue Hawaii, LLC is a Hawaii medical billing company specializing in behavioral health. The company acts as a comprehensive practice management partner, helping providers streamline credentialing, claims processing, coding, and patient billing while maximizing revenue.

They offer flexible service agreements and leverage advanced technology to maintain a 99% clean claims rate, making them a trusted local partner for Hawaii healthcare providers. Access Revenue Hawaii services also include contracting and credentialing with health plans.

Best For	Behavioral health providers of all sizes, from solo practitioners to residential and outpatient treatment programs
Key Highlights	Denial and Appeal Management Detailed Financial Reporting Medical Record Audits Patient Responsibility Management
Experience	3 Years

5. Lotus Medical Billing, LLC

Lotus Medical Billing is a Kauai-based company providing comprehensive billing services to Hawaii physicians and healthcare professionals. The company offers HIPAA-compliant services, including accounts receivable management, coding, and secure electronic claim submission through systems like Hawaii Pacific Health’s EPIC HealthAdvantage Connect EMR.

Their experienced team, which includes certified professional coders, registered health information technicians, and billing specialists, focuses on maximizing reimbursements while maintaining high standards of integrity and compliance.

Best For	Independent healthcare practices and physicians
Key Highlights	Patient payment processing Accounts receivable management Denial resolution Strong local payer knowledge
Experience	25 Years

6. ProMantra

ProMantra delivers AI and RPA-driven revenue cycle management solutions that help healthcare providers increase revenue by up to 30 percent. Their end-to-end RCM services include medical billing, coding, eligibility verification, accounts receivable management, and denial management.

With a large workforce of 350+ billing and coding professionals, ProMantra ensures high accuracy, compliance, and consistent performance. Their standout strength is HIPAA-compliant operations, reinforced by ISO 9001 and ISO/IEC 27001 certifications.

Best For	Hospitals, clinics, and practices needing scalable, end-to-end RCM support
Key Highlights	Real-time claim tracking Specialty-focused RCM services 98 percent Denial reduction rate Average AR days reduced to around 30–36 days
Experience	22 Years

7. Medical Healthcare Solutions, Inc

Medical Healthcare Solutions is a trusted Hawaii medical billing provider, delivering comprehensive revenue cycle management, medical billing, and credentialing services. The company has extensive expertise across major EHR and billing systems, including Allscripts, EPIC, Athenahealth, and Cerner.

They maintain an average accounts receivable of approximately 21.5 days. In addition, MHS provides detailed reporting and analytics to optimize revenue cycle performance and support informed decision-making for healthcare practices.

Best For	Physicians ASCs Urgent care centers Academic medical centers
Key Highlights	Provider credentialing services 98 percent clean claim rate Denial Management and Appeals Real-time insurance verification
Experience	34 Years

8. AKAMAIMD, LLC

AKAMAIMD LLC is a locally owned and operated Hawaii medical billing firm based in Hilo, founded in 2014. The company offers comprehensive medical billing services to local healthcare practices, including claims processing, monitoring, denial management, coding assistance, and patient billing.

AKAMAIMD also supports electronic data interchange (EDI) and electronic fund transfer (EFT) enrollment to ensure timely and accurate payments. With a team of experienced medical billing specialists and certified coders, the company focuses on maximizing reimbursements.

Best For	Healthcare providers and practices in Hawaii seeking reliable, locally managed medical billing services.
Key Highlights	Submit claims (paper and electronic claims) within 24 hours Denial Review and Management EDI and EFT Enrollment Monthly AR reports
Experience	11 Years

9. Medheave Medical Billing Services

Medheave Medical Billing Services is a leading medical billing and revenue cycle management company with over a decade of experience. The company provides end-to-end billing, coding, credentialing, prior authorization, denial management, ER billing, and virtual medical assistant services to healthcare providers across the United States.

They serve more than 25 medical specialties, including mental health, internal medicine, podiatry, pediatrics, urgent care, and surgery. Medheave helps practices reduce claim denials by up to 75% and increase reimbursements.

Best For	Multi-speciality practices nationwide
Key Highlights	150+ Certified Billing and Coding Experts AI-Driven Performance Metrics Compliance with HIPAA and CMS regulations 97.35% First Pass Claim Approval
Experience	10+ Years

10. Physicians Billing Solutions, LLC

Physicians Billing Solutions, LLC, is a Hawaii medical billing company with over 100 years of combined experience in billing. The company offers comprehensive services, including claims processing, electronic and paper claim submission, coding, insurance follow-ups and appeals, patient billing, and accounts receivable management.

They provide personalized account management and ensure compliance with HIPAA regulations. Physicians Billing Solutions also supports partial and emergency billing services, staff training, and implementation of copayment matrices for local insurers.

Best For	Practices requiring assistance with accounts receivable management, insurance credentialing, and partial or emergency billing.
Key Highlights	100% HIPAA compliant Provider insurance enrollment Local Hawaii insurance providers’ expertise, including HMSA, Medicare, UHA, HMA, and HMAA Support for electronic and paper claims
Experience	11 Years

How Our Editors Selected the Top Medical Billing Companies in Hawaii?

Our editors analyzed Yelp and Google Business reviews, local presence, and specialty coverage of each company. We prioritized consistent client satisfaction, transparent pricing, technology adoption, and compliance with HIPAA standards.

What are the best medical billing companies in the U.S.?

The best medical billing companies in the U.S. include Transcure, CBS Medical Billing, and Med USA. These providers offer complete billing, AR recovery, and denial management solutions for practices across multiple medical specialties.

What are the benefits of outsourcing medical billing in Hawaii?

Outsourcing medical billing in Hawaii helps practices save time and reduce administrative burden, allowing providers to focus on patient care. It can also save 15–30% of operational costs while improving revenue through accurate claims, faster reimbursements, and fewer denied or delayed payments.

How to choose a medical billing company in Hawaii?

To choose a medical billing company in Hawaii, check the GMP ratings, client testimonials, and performance metrics. Moreover, ensure that the company provides billing across your medical specialty and is well-versed with the Hawaii billing and local payer rules.

What percentage do medical billers take in Hawaii?

Medical billers in Hawaii usually charge between 4 % to 10 % of net collections, depending on the practice size and specialty. Transcure offers competitive pricing, starting at only 5% and that too is negotiable for high-volume practices or long-term contracts.

Which is the best medical billing company in Hawaii?

Transcure is the best medical billing company in Hawaii. It provides comprehensive AI-powered billing and revenue management services customized to each practice’s specialty. Its advanced AI agentic billing, 24/7 reporting dashboard, and 99.99% clean claim rate make it a preferred choice among Hawaii practices.

What are the five best medical billing companies in Hawaii?

The five best medical billing companies in Hawaii are Transcure, Ike Pono Medical Billing Hawaii, Providers Priority Billing, Access Revenue Hawaii, LLC, and Lotus Medical Billing, LLC. These medical billing providers in Hawaii offer complete billing support while maintaining HIPAA compliance and billing rules.

What factors should I consider before hiring a medical billing company in Hawaii?

Before hiring a medical billing company in Hawaii, consider experience, state-specific knowledge, and specialty expertise. Plus, look at their client feedback, claim accuracy rates, and compliance certifications. Transcure excels in all these areas with proven results, transparent reporting, and affordable pricing, which makes it ideal for Hawaii-based healthcare practices.