Top 10 Medical Billing Companies in Raleigh, NC: 2026 List

Raleigh, North Carolina, is a key healthcare destination, where 212 health organizations, including hospitals and outpatient facilities, generate more than $5 billion in annual revenue. Meanwhile, North Carolina’s healthcare system faces claim denials with an estimated 11 to 19% of medical claims being denied due to documentation or payer issues.

To address these challenges, many practices in Raleigh are transitioning to specialized billing services to enhance accuracy and streamline revenue cycles. This listicle provides an overview of the top 10 medical billing companies in Raleigh, NC, to help healthcare providers find trusted partners for their billing and claims needs.

1. Transcure
2. Complete Medical Billing & Advocacy
3. Applied Medical Systems
4. Swagpro Medical Billing Services
5. CIMS Group LLC
6. eMed Partners
7. 24/7 Medical Billing Services
8. TriMed Billing Solutions
9. Medwave Medical Billing, LLC
10. MedHelp Incorporated

1. Transcure

Transcure is a medical billing company based in Raleigh, NC, with a dedicated team of experts focused on improving the entire billing process. To make billing faster and more accurate, we use advanced AI agents that automate every stage of the workflow, from pre-authorization to coding and AR follow-ups. As a result, we achieve a 99.99% claim accuracy while reducing claim denials by up to 80%.

We provide billing and coding support for over 40 medical specialties, including Pain Management, Dental, and Endocrinology. Our experience with over 40 EHR systems enables us to manage billing efficiently, regardless of the software your practice uses.

Behind this, we have a skilled team of 1,100+ AAPC-certified coders and billers who stay up to date with all coding and regulatory changes. To further support, Transcure is HIPAA and ISO 27001 certified, ensuring that all data remains secure and fully protected.

Best For	Small Practices Hospitals and Health Systems Medical Group Practices Physicians from Every Specialty Urgent Care Centers Surgical Centers
Key Highlights	Revenue growth of around 20% 1% denial rate $500M+ claims processed 20% direct increase in revenue Dedicated account dashboards Complimentary Credentialing and Old AR Recovery MIPS Reporting Services Free Practice Audit Average AR Days-24
Founded In	2002

2. Complete Medical Billing & Advocacy

Complete Medical Billing and Advocacy is a medical billing provider in Raleigh with over 15 years of experience in medical billing. They provide credentialing and RCM services for healthcare providers, helping them reduce denials and ensure a steady cash flow.

Moreover, they help practices increase collections by ensuring accurate coding and A/R follow-ups. Their expert AR management team follows up on unpaid claims and regains trapped funds for better cash flow.

Best For	Small to Mid-sized Dental practices
Key Highlights	Initial Practice Setup Certified Medical Billers Administrative Staff Training AAPC-Approved Medical Billing Instructor
Founded In	2011

3. Applied Medical Systems

Applied Medical Systems is a reliable medical billing firm in Raleigh, with over decades of coding expertise. It manages the entire RCM process, from eligibility verification to final payment collection. Moreover, their credentialing services ensure providers are connected with the major insurance companies.

In addition, this company employs highly trained coding experts who are certified by the American Academy of Professional Coders. The company also follows HIPAA regulations to ensure patient data security.

Best For	Optometry and other specialty practices
Key Highlights	File Secondary & Tertiary Claims Up-to-date Expertise File Secondary & Tertiary Claims Billing across 30+ Specialties
Founded In	1979

4. Swagpro Medical Billing Services

Swagpro is a full-service medical billing company in Raleigh, North Carolina, with two years of experience in the RCM domain. The company’s services include medical billing, medical coding, and provider credentialing services.

Additionally, they provide support for 5 medical specialties, including Optometry and Rural Health. Their healthcare provider team is available 24/7 to answer client queries. Plus, they have certified coders who offer personalized ICD, CPT, and HCPCS coding solutions.

Best For	Multi-speciality practices, including cardiology, gastroenterology, and otolaryngology
Key Highlights	Aging AR Recovery Transparent reporting Commercial Insurance Credentialing MACRA/MIPS Reporting
Founded In	2001

5. CIMS Group LLC

Client Information Management Services is one of the leading medical billing companies in Raleigh, North Carolina, which handles diverse clients’ billing needs. They have worked with hundreds of clients in Raleigh throughout the year, and have shared positive reviews about it.

Moreover, the company offers a free 15-minute initial consultation that helps clients to understand their services. CIMS also offers integration with multiple EHR platforms, so practices do not need to switch their existing software.

Best For	Behavioral health and mental health clinics
Key Highlights	Initial Consulting Insurance Verification Administrative Support Account Reconciliation
Founded In	2014

6. eMed Partners

eMed Partners is a well-known billing and RCM company that provides services to clinic-based physicians and hospital-based physician groups across the USA. The company has partnered with 300 physicians to date across multiple states, including North Carolina.

The company ensures the correct use of modifiers for CPT, ICD, and HCPCS codes, which helps them maintain high clean claim accuracy. eMed Partners also provides financial reporting to the providers.

Best For	Private practice physicians and hospital-based physician groups across the USA
Key Highlights	24/7 visibility into billing software Detailed financial reporting Flexible hourly services Targeted Service Hourly Billing for larger practices
Founded In	2005

7. 24/7 Medical Billing Services

24/7 medical billing services provide end-to-end medical billing services in Raleigh, which has years of experience in the billing field. According to company policy, HIPAA guidelines are followed to ensure patient information stays secure.

Their billing team is familiar with EHR/EMRs, which allows seamless patient data transfer for accurate billing. Additionally, the company’s clean claim rate is 97.65%, with 98.26% provider and payer satisfaction.

Best For	Hospitals Group and individual practices Community medical facilities
Key Highlights	Increase practice revenue by 30% Reduce 50% Operations cost Real-time KPI dashboards Timely & accurate Claims filing (within 24 – 48 hours)
Founded In	2005

8. TriMed Billing Solutions

TriMed Billing Solutions offers dedicated billing services, practice management, and credentialing support across Raleigh. They have certified coders and experienced billers who make sure claims are accurate and reduce audit risk.

Additionally, they handle all data entry, claims, and tracking for providers, ensuring that claims are paid within 15 days. TriMed Billing Solutions provides AR recovery services utilizing the latest CMS, AAPC, ACA, and AMA billing guidelines.

Best For	Dental Practices DME Practcies
Key Highlights	Full Practice management services Advanced Claims Review System Claim Adjudication Eliminate clearing house fees
Founded In	2009

9. Medwave Medical Billing, LLC

Medwave Billing and its experienced team have worked with multiple commercial and government insurances, including Aetna, CHIP, and Cigna, in Raleigh. With over 25 years of experience in medical billing, they bring expertise and reliability to their services.

Additionally, they have credentialing specialists who manage the CAQH profile, allowing providers to focus on patients instead of paperwork. Additionally, they cater to 36 specialties, including Oncology, Pathology, and Physical Therapy, and provide support to hundreds of healthcare professionals.

Best For	Speciality Practices, including Oncology and Physical Therapy Centers.
Key Highlights	Genetic testing lab billing services Reduced reimbursement rates Clean claim rate is 95% Telehealth billing services
Founded In	2009

10. MedHelp Incorporated

MedHelp Incorporated is a medical billing company that provides 24/7 medical billing services with the help of specialized coders who use the latest ICD-10 codes. This company has a claim rejection rate of less than 2% on all claims.

Also, the company’s clearinghouse has processed 40 billion dollars in claims without loss, and they charge no fees for its use. Plus, the average time a company gets paid by all insurance companies is within about 28 days.

Best For	Physician/Facility Billing Urgent Care Center Billing FQHC/Community Health Center Billing Mental Health & Substance Abuse Billing Medicaid/MCO Appeals & Recovery
Key Highlights	Analysis of coding and modifier use Insurance credentialing for physicians Prompt billing follow-up with third-party payers or patients Fee schedule analysis and development guidance
Founded In	1992

How Our Editors Selected the Top Medical Billing Companies in Raleigh, NC?

Our editors selected the top medical billing companies in Raleigh by examining the Yelp and Google reviews, area coverage, and offerings of each company. We looked at client satisfaction, simple cost structure, use of technology, and HIPAA compliance.

What are the Best Medical Billing Companies in North Carolina?

The best medical billing companies in North Carolina are Transcure, Digital Medical Billing Inc, and Complete Medical Billing & Advocacy. They provide full billing services, follow up on unpaid claims, and manage denials for practices in multiple healthcare specialties.

What are the Benefits of Outsourcing Medical Billing in Raleigh?

Outsourcing medical billing services in Raleigh saves valuable time and reduces billing-related work, allowing providers to focus on patient care. It enhances overall workflow by organizing claim submissions, tracking unpaid claims,and maintaining accurate records. On average, outsourcing billing saves 30% of the operational costs for practices.

How to Choose a Medical Billing Company in Raleigh?

To choose a medical billing company in Raleigh, evaluate its GMP ratings, client reviews, and track records. Also, ensure the company has experience with your medical specialty and understands NC billing rules and insurance requirements.

What Percentage do Medical Billers Take in Raleigh?

Medical billers in Raleigh usually charge 4–10% of net collections, depending on the size of the practice and specialty. Transcure provides affordable rates starting at 5%, which can be adjusted for larger practices or long-term plans.

Which is the Best Medical Billing Company in Raleigh?

Transcure is a top medical billing company in Raleigh known for its 99.99% clean claim accuracy, advanced billing system, and customized revenue management for medical organizations. It uses modern AI agents for insurance verification, claim review, and denial management, and supports over 40 specialties with certified coders.

What are the Five Best Medical Billing Companies in Raleigh?

The five best medical billing companies in Raleigh are Transcure, Complete Medical Billing & Advocacy, Applied Medical Systems, Swagpro, and CIMS Group LLC. These companies provide end-to-end billing services while following HIPAA rules and proper billing guidelines.

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

Before hiring a medical billing company in Raleigh, consider their experience, knowledge of state regulations, and specialty experience. Also, review client feedback, claim accuracy, and official compliance approvals. Moreover, have a look at their performance metrics, including clean claim rates, denial rates, and average AR days.