Top 10 Medical Billing Companies in North Carolina

Out of North Carolina’s 11.05 million residents, approximately 28% are covered by Medicaid and 21% by Medicare, according to USAFacts. Moreover, nearly 9% are uninsured, while the remaining are on plans with commercial payers. This creates a highly complex payer mix for healthcare practices across the state.

As per the North Carolina Healthcare Association, the state suffers from a severe workforce shortage across the field. This makes maintaining full medical billing teams in-house nearly impossible for most practices.

So, outsourcing medical billing to dedicated RCM agencies becomes the only viable solution to stay afloat for providers. The following are the top 10 medical billing companies in North Carolina that stand out:

1. Transcure
2. Digital Medical Billing Inc
3. Complete Medical Billing & Advocacy
4. Applied Medical Systems
5. SensiBill Services
6. Vision Medical Billing Services
7. Swagpro Medical Billing Services
8. Regal Billing, LLC
9. DoctorsBackOffice
10. CIMS Group LLC

Let’s start by taking a closer look at the first medical billing company on our list, Transcure, a provider known for its expertise and strong presence in North Carolina’s healthcare market.

1. Transcure

Transcure is a medical billing company in North Carolina that builds and runs dedicated AI agents to handle the core steps of the revenue management cycle. We offer AI-powered medical billing, supervised by 1,100+ certified billers and coders, with a guaranteed collection rate of over 96%.

Our automation targets a 99% first-pass clean-claim rate, and we routinely see 10% to 15% revenue lift for practices after full implementation. This means steadier cash flow and fewer days in A/R for North Carolina clinics. Backed by a large RCM team, we offer specialty workflows for 40+ areas.

For providers focused on Medicaid, we also offer MIPS consulting and compliance services. Transcure helps achieve a high MIPS score, so you can get up to 9% more reimbursements. Requesting a demo lets practices measure the impact on collections and workflow quickly.

Best For	Practices wanting AI-first RCM with strong specialty support
Key Highlights	EHR integrations across major systems Predictive analytics and denial alerts Nationwide coverage, state-level support Practice-Fusion RCM implementation experts Free credentialing and old A/R recovery AAPC-trained MIPS consultants Manage larger practice sizes, Hospitals, and Surgery Centers
Founded In	2002

2. Digital Medical Billing Inc

Digital Medical Billing Inc. (DMBI) is a full‑service medical billing company that North Carolina providers employ to keep money flowing and reduce revenue loss. They use a two‑tier billing system powered by their own DigiDMS platform, which improves the process a lot.

It ensures accuracy by verifying eligibility, submitting claims within 12 hours, and tracking each submission to confirm receipt by insurers. This step can help practices reduce common claim rejections and expedite reimbursements. Many clients report smoother billing operations and a 12% to 15% increase in monthly collections.

Best For	Practices wanting an integrated billing and management solution
Key Highlights	Rapid eligibility checks Proactive denial management Batch payment accuracy posting Detailed financial reporting Management consulting services
Founded In	2004

3. Complete Medical Billing & Advocacy

Complete Medical Billing & Advocacy is a Raleigh‑based medical billing firm that North Carolina practices hire to help practices improve revenue cycle management. They handle the full spectrum of billing tasks so providers spend less time on paperwork and more on care.

Their personalized service is tailored to each practice’s needs, which builds long‑term relationships and can reduce administrative burden. By focusing on timely follow‑up and reducing errors in billing and coding, providers can expect a smoother RCM process and better financial health.

Best For	Practices needing personalized RCM and consulting support
Key Highlights	Credentialing and enrollment help AR recovery focus Tailored consulting services Long‑term relationship focus Administrative staff training
Founded In	2011

4. Applied Medical Systems

Applied Medical Systems (AMS) is a long‑standing medical billing agency in North Carolina that has worked with local practices for over 40 years. Serving providers across many 10+ specialties, AMS combines experienced professionals with technology‑driven workflows.

They claim to expedite claims submissions, reduce denials, and maximize cash flow. Their team stays current on changing regulations and coding updates to help practices avoid costly mistakes. This hands‑on, local expertise helps you reduce administrative burden and improve reimbursement outcomes overall.

Best For	Practices seeking experienced, personalized RCM support
Key Highlights	95%+ clean claim submission rate No outsourced billing teams HIPAA and compliance focus Certified coding specialists Staff education programs
Founded In	1979

5. SensiBill Services

SensiBill Services is a revenue‑cycle management and medical billing provider that North Carolina clinics employ for customizable billing support. They specialize in handling core RCM tasks from Medicaid and Medicare billing, a focus much needed in this mountain state.

Their personalized account management means practices get a dedicated team. These learn your workflows and can adapt billing strategies to fit unique specialty needs. This tailored approach helps practices avoid common pitfalls, decrease denials, and focus more on patient care.

Best For	Practices wanting tailored and hands‑on RCM support
Key Highlights	WBENC-certified billing firm Customizable workflow options Detailed benefits verification Credentialing and auditing help Personalized account managers
Founded In	2020

6. Vision Medical Billing Services

Vision Medical Billing Services is a North Carolina medical billing firm with over 25 years of experience. They help simplify billing and improve financial clarity, helping maintain stable cash flow. Their team of seasoned specialists manages claims, follow‑ups, and payment posting.

By providing clear communication and personalized guidance, they help optimize revenue performance across different specialties. Their focus on staff education ensures that in‑office teams understand reimbursement strategies. So, practices can avoid common errors that slow payments.

Best For	Practices seeking experienced and trusted billing partners
Key Highlights	Credentialing support services Staff billing education Personalized client partnerships Local NC and MI focus Patient collection services
Founded In	1998

7. Swagpro Medical Billing Services

Swagpro Medical Billing Services provides full revenue cycle management to help practices cut denials and improve reimbursements. With more than 20 years of industry experience, the company supports providers nationwide, including a dedicated North Carolina office in Cary.

Their team works with your existing EMR/EHR system, which helps practices avoid costly tech transitions and maintain continuity in workflows. By focusing on tailored billing strategies and consistent follow‑up, they help practices increase claim accuracy and speed up cash flow.

Best For	Practices needing full, tailored RCM across specialties
Key Highlights	Complete denial management Transparent reporting MACRA and MIPS services Aging A/R recovery services 30+ specialities covered
Founded In	2001

8. Regal Billing, LLC

Regal Billing, LLC is a medical billing firm with nearly two decades of experience helping practices manage insurance claims and improve cash flow. They specialize in end-to-end RCM services, especially for mental health providers. Hence, clinics spend less time on billing headaches and more on care.

Local expertise and long‑term service help practices cut administrative burden and maintain steady reimbursement cycles. According to industry listings, Regal has helped practices boost their first‑pass claim acceptance rates up to around 98% and increase average revenue by about 30%.

Best For	Small to mid‑size practices seeking tailored billing support
Key Highlights	High first‑pass claim acceptance Credentialing specialists Financial reporting support 500+ satisfied clients Patient statements and reminders
Founded In	2003

9. DoctorsBackOffice

DoctorsBackOffice is a full‑spectrum medical billing provider based in Cary, North Carolina, serving practices with end-to-end billing. Their team works across many specialties with tailored workflows designed to reduce claim errors and speed reimbursements.

This North Carolina medical billing agency reports an average collection rate of over 96%, meaning most claims are successfully processed. Their services also include patient pre‑registration and detailed performance reporting so providers can track claims status and financial health in real time.

Best For	Practices seeking custom RCM and back‑office services
Key Highlights	Multi‑specialty billing support EMR/EHR data management Insurance eligibility verification Transparent performance‑based pricing Save up to 40% on your billing operations
Founded In	2000

10. CIMS Group LLC

CIMS Group LLC is a North Carolina medical billing firm that helps practices manage core billing functions with flexibility and detail. They work with any EHR platform a practice prefers, making onboarding smoother and minimizing tech disruption.

By verifying insurance benefits early and following up on denials and unpaid claims, CIMS helps reduce errors and speed reimbursements. This can improve cash flow and reduce administrative burden for practices. Testimonials highlight their friendly approach and responsiveness, helping practices stay focused on patients instead of billing issues.

Best For	Practices wanting flexible EHR billing and hands‑on support
Key Highlights	Insurance verification services AR reconciliation expertise SOP creation support Personalized client focus Account reconciliation services
Founded In	2000

How Our Editors Selected the Top Medical Billing Companies in North Carolina?

Our editors curated this list by analyzing companies featured on Google Business Profile, Yelp, and top Google search results. We evaluated their online presence, client reviews, and service offerings to ensure practices in North Carolina can choose high-performing medical billing partners.

What Are the Best Companies For Outsourcing Medical Billing in the USA?

Some of the best companies for outsourcing medical billing in the USA include Transcure, known for its AI-powered revenue cycle management that boosts claim accuracy and speeds reimbursements. Other top providers are Med USA, Practolytics, and Provider Care Billing, each offering specialized solutions to streamline billing and improve practice revenue nationwide.

What Are the Benefits of Outsourcing Medical Billing in North Carolina?

Outsourcing medical billing in North Carolina helps practices reduce administrative workload, minimize claim errors, and accelerate reimbursements, allowing staff to focus on patient care. It also provides access to specialized expertise, advanced technology, and detailed financial reporting, improving revenue cycles and overall practice efficiency.

How To Choose a Medical Billing Company in North Carolina?

To choose a medical billing company in North Carolina, evaluate their experience, specialty expertise, technology integration, and client reviews. Ensure they offer transparent pricing, reliable support, and proven results in reducing denials and improving revenue, so your practice can maintain smooth, efficient financial operations.

What Percentage Do Medical Billers Take in North Carolina?

In North Carolina, medical billers typically charge 8% to 10% of monthly collections for the complete billing process. Lower rates of around 4% often exclude parts of the RCM or come with hidden conditions. Transcure stands out, charging just 5% of monthly payer collections for their full end-to-end revenue cycle management.

Which Is the Best Medical Billing Company in North Carolina?

The best medical billing company in North Carolina is Transcure, thanks to its AI-powered revenue cycle management, high first-pass claim accuracy, and specialty-specific workflows. They offer full end-to-end RCM for just 5% of monthly collections, helping practices maximize revenue and streamline billing efficiently.

What Are the 5 Best Medical Billing Companies in North Carolina?

The 5 best medical billing companies in North Carolina are:

1. Transcure: AI-powered RCM with high claim accuracy and full-service billing for 5% of collections.
2. Digital Medical Billing Inc. (DMBI): Integrated DigiDMS platform with rapid claims and reporting.
3. Complete Medical Billing & Advocacy: Personalized, specialty-focused billing and consulting services.
4. Applied Medical Systems (AMS): Experienced team with compliance focus and multi-specialty support.
5. SensiBill Services: Customizable workflows, credentialing, and hands-on account management for diverse practices.

What Factors Should I Consider Before Hiring a Medical Billing Company in North Carolina?

Before hiring a medical billing company in North Carolina, consider experience, specialty expertise, technology integration, and transparency in pricing. Also, evaluate their claims accuracy, denial management, reporting capabilities, and client support, ensuring they can streamline your revenue cycle and improve overall financial performance for your practice.