“The best medical billing companies in Birmingham, AL, include Transcure, which helps practices streamline revenue cycle management with dedicated AI agents for each step of billing. Other top Birmingham medical billing companies are Aristo RCM, Merem Healthcare Solutions, The Valletta Group, and Direct Billing Services.”
Birmingham practices operate inside a complex and public-payer-heavy market. UAB Medicine alone treats millions locally, and Alabama’s Medicaid/Medicare population is large, according to the Association of Healthcare Journalists.
Those facts, plus rising claim-denial rates and local workforce shortages, make outsourcing medical billing an attractive and revenue-protecting strategy. Letting experts handle revenue cycle management allows practices to focus on patients without worrying about denials and collections.
As healthcare practices work within really tight margins, choosing the best partner is vital. The following are the top 10 medical billing companies in Birmingham, AL, that you can trust:
- Transcure
- Aristo RCM
- Merem Healthcare Solutions
- A & O Medical Billing, LLC
- The Valletta Group
- Medical Business Management Professional Service, Inc.
- Kassouf Healthcare Solutions, LLC
- Cypress Medical Management Group
- Renal Billing/National Billing Associates
- Direct Billing Services

Let’s start with Transcure, the first medical billing company in our list that has fully revolutionized the medical billing in Birmingham:
Table of Contents
Toggle- 1. Transcure
- 2. Aristo RCM
- 3. Merem Healthcare Solutions
- 4. A & O Medical Billing, LLC
- 5. The Valletta Group
- 6. Medical Business Management Professional Service, Inc.
- 7. Kassouf Healthcare Solutions, LLC
- 8. Cypress Medical Management Group
- 9. Renal Billing/National Billing Associates
- 10. Direct Billing Services
- How Our Editors Selected the Top Medical Billing Companies in Birmingham, AL?
- What Are the Best Medical Billing Companies in Alabama?
- What Factors Should I Consider Before Hiring a Medical Billing Company in Birmingham, AL?
1. Transcure

Transcure is a medical billing company in Birmingham, AL, that combines human expertise with advanced automation. We deliver end-to-end medical billing and revenue cycle management (RCM) services using 7 dedicated AI agents working under 1100+ billers and coders.
This allows us to automate core steps of the RCM process, from eligibility checks and prior authorization to claim scrubbing, denial resolution, and payment posting. We support 40+ specialties with personalized workflows, achieving a near 99% clean claim rate.
For practices in Birmingham, AL, this translates into fewer denials, faster reimbursements, and better financial predictability. Furthermore, we work with all major EHRs, charge no onboarding fee, and offer free credentialing if you subscribe to complete RCM services.
| Best For | Practices seeking advanced AI-assisted billing automation |
|---|---|
| Key Highlights |
|
| Founded In | 2002 |
2. Aristo RCM

Aristo RCM is a Birmingham-based revenue cycle management and medical billing firm with nearly 25 years of experience. They help healthcare providers, especially emergency departments, improve their financial performance.
The company uses a proprietary coding platform (AristoCode) and automated workflows starting with registration and chart retrieval. It is a setup that supports faster, more accurate billing and fewer denials for practices. Aristo also offers dashboard reporting, operational optimization assessments, and ongoing provider education.
| Best For | Emergency departments and practices seeking hands-on RCM expertise |
|---|---|
| Key Highlights |
|
| Founded In | 2000 |
3. Merem Healthcare Solutions

Merem Healthcare Solutions is a medical billing agency that Birmingham practices employ to improve revenue collections and reduce denials. They bring certified billers and coders into your workflow, ensuring accurate charge entry, claim scrubbing, and timely submissions.
This Birmingham medical billing company brings certified billers and coders into your workflow, ensuring accurate charge entry, claim scrubbing, and timely submissions. Operating on a contingency model, where Merem only gets paid when you do, aligns their incentives with your financial outcomes.
| Best For | Small to mid‑sized practices seeking comprehensive RCM support |
|---|---|
| Key Highlights |
|
| Founded In | 2008 |
4. A & O Medical Billing, LLC

A & O Medical Billing, LLC is a local Birmingham, AL medical billing provider focused on simplifying revenue cycle management. With over 30 years of billing and coding experience, they deliver personalized service tailored to the unique needs of independent practices and small clinics.
This Birmingham medical billing provider emphasizes accurate coding and claim submission, which helps practices reduce billing errors and improve reimbursement speed. They offer month‑to‑month contracts, giving practices flexibility without long‑term commitments.
| Best For | Small practices wanting personalized and flexible billing support |
|---|---|
| Key Highlights |
|
| Founded In | 1995 |
5. The Valletta Group

The Valletta Group is a full‑service medical billing and revenue cycle management company based in Birmingham, AL. Their average net collection rate of 97% means practices often collect more of what they’re owed compared with industry norms.
Valletta also offers transparent reporting and analytics, helping practices identify inefficiencies and make informed decisions. At the same time, their software‑flexible approach lets clinics keep their preferred systems without costly transitions.
| Best For | Practices seeking comprehensive, physician‑centric RCM services |
|---|---|
| Key Highlights |
|
| Founded In | 2004 |
6. Medical Business Management Professional Service, Inc.

Medical Business Management Professional Service, Inc. (MBMPS) is a full‑service medical billing company based in the Birmingham metro area. They specialize in anesthesia billing services for hospitals, anesthesiologists, and CRNA groups.
With over 30 years of experience in the field, MBMPS has processed hundreds of thousands of anesthesia claims using anesthesia‑specific billing software. Serving 1,100+ providers across 17 states and the Virgin Islands, MBMPS’s focused niche allows it to uncover revenue opportunities often missed by general billing services.
| Best For | Anesthesia groups and hospitals needing specialized RCM expertise |
|---|---|
| Key Highlights |
|
| Founded In | 1990 |
7. Kassouf Healthcare Solutions, LLC

Kassouf Healthcare Solutions, LLC is a Birmingham‑based medical practice management and RCM provider. Their team emphasizes transparent monthly reporting and accurate claims workflows, which help practices maintain clean claims rates above industry norms.
As part of the broader Kassouf Family of Companies, they bring deep experience in accounting, consulting, and IT, allowing them to align RCM with overall financial operations. Kassouf has also received recognition as a Top RCM provider, which reflects their commitment to quality service and client outcomes.
| Best For | Practices needing comprehensive RCM with operational support |
|---|---|
| Key Highlights |
|
| Founded In | 1999 |
8. Cypress Medical Management Group

Cypress Medical Management Group is a specialized medical billing provider headquartered in Vestavia Hills, AL. They have been serving healthcare practices with focused billing support for over a decade. They offer financial and executive management services designed to streamline billing workflows.
With a compact team of 10 to 50 professionals, Cypress brings personalized attention and nimble service to clients. This helps maintain accurate claims and efficient follow‑ups, which supports healthier cash flow and fewer revenue delays.
| Best For | Practices seeking small‑team RCM and billing support |
|---|---|
| Key Highlights |
|
| Founded In | 2014 |
9. Renal Billing/National Billing Associates

Renal Billing, also known as National Billing Associates, is a specialized billing provider focused primarily on dialysis and nephrology billing solutions. The firm has served kidney care clinics and practices with expertise in complex reimbursement rules for more than 20 years.
Their services are all designed to help practices maintain an average A/R of 30 to 45 days. This is a key indicator of faster payment cycles and stronger cash flow. The staff averages 10+ years of specialized nephrology billing experience, which boosts coding accuracy and reduces denials tied to renal‑specific claims.
| Best For | Dialysis and nephrology practices needing focused RCM expertise |
|---|---|
| Key Highlights |
|
| Founded In | 2003 |
10. Direct Billing Services

Direct Billing Services (DBS) is a Birmingham medical billing and RCM company that has been helping practices for 30+ years. As an independently owned partner, DBS combines deep industry experience with a web‑based billing and practice management platform.
DBS works with a wide range of specialties from urgent care to behavioral health and ophthalmology, offering end-to-end medical billing. Their tailored platform helps practices submit cleaner claims and boost collection rates, which results in more reliable cash flow.
| Best For | Practices seeking full‑service and tech‑enabled billing and RCM |
|---|---|
| Key Highlights |
|
| Founded In | 1999 |
How Our Editors Selected the Top Medical Billing Companies in Birmingham, AL?
Our editors curated the top medical billing companies in Birmingham, AL, by analyzing listings from Google Business Profile, Yelp, Google SERPs, and other trusted local directories. We focused on reputation, services offered, client reviews, and industry expertise to ensure only reliable, high-performing companies made the list.
What Are the Best Medical Billing Companies in Alabama?
The best medical billing companies in Alabama include Transcure, known for its AI‑driven billing and fast, clean‑claim processing. Others are Murphy’s Medical Billing Solutions, NS Healthcare, and PureMD Group, all offering expert coding, streamlined RCM, and improved reimbursements for practices of all sizes.
What Are the Benefits of Outsourcing Medical Billing in Birmingham, AL?
Outsourcing medical billing in Birmingham, AL, reduces administrative workload and ensures claims are processed accurately and on time. It also improves cash flow, minimizes denials, and allows practices to focus on patient care while experts handle coding, collections, and revenue optimization efficiently.
How To Choose a Medical Billing Company in Birmingham, AL?
To choose a medical billing company in Birmingham, AL, evaluate experience, specialty expertise, and clean‑claim performance to match your practice’s needs. Also consider technology, reporting transparency, pricing structure, and client support responsiveness to ensure a partner that boosts revenue efficiency and reduces administrative burden.
What Percentage Do Medical Billers Take in Birmingham, AL?
In Birmingham, AL, medical billing companies typically charge 8% to 10% of monthly collections for the complete RCM process. Lower rates of 2% to 4% often exclude key services or have hidden conditions. Transcure, however, charges just 5% of monthly payer collections for the entire RCM process, offering full-service billing without compromises.
Which Is the Best Medical Billing Company in Birmingham, AL?
The best medical billing company in Birmingham, AL, is Transcure, thanks to its AI‑driven automation, 98% first‑pass clean‑claim rate, and full-service RCM approach. Practices benefit from faster reimbursements, reduced administrative workload, and a reliable partner that handles the entire billing cycle efficiently and transparently.
What Are the 5 Best Medical Billing Companies in Birmingham, AL?
The 5 best medical billing companies in Birmingham, AL, are Transcure, Aristo RCM, Merem Healthcare Solutions, The Valletta Group, and Direct Billing Services. They offer expert RCM, streamlined claims, and tailored services that help practices improve cash flow, reduce denials, and focus on patient care.
What Factors Should I Consider Before Hiring a Medical Billing Company in Birmingham, AL?
Before hiring a medical billing company in Birmingham, AL, consider experience, specialty expertise, clean-claim rates, and technology integration. Also evaluate pricing structure, transparency, reporting capabilities, and client support to ensure the partner can efficiently manage your revenue cycle while improving cash flow and reducing administrative burden.



