Medical billing plays a critical role in ensuring healthcare practices remain financially stable. In Colorado, there are several companies that stand out for their ability to manage claims and streamline revenue cycles.
From national firms like Transcure to regional providers like RPM Medical Billing, these companies represent some of the strongest choices for providers. Here’s a closer look at the top medical billing companies in Colorado:
Overview: Top Colorado Medical Billing Companies
Before jumping to their detailed profiles, let’s list the top medical billing partners in Colorado:
| Company | Top Services | Best For |
|---|---|---|
| Transcure |
|
Overall all practice types |
| Human Medical Billing |
|
Long-standing local practices |
| Pro Medical Billing Solutions LLC |
|
High-volume practices |
| RPM Medical Billing |
|
Practices needing flexible systems |
| Physician Reimbursement Systems |
|
Specialty practices (esp. Urology) |
| Practice Support |
|
Behavioral & medical health specialties |
| Business Options Medical Billing Services |
|
Multi-specialty compliance-focused groups |
| Priority Medical Billing |
|
Small to mid-sized practices |
| Springs Medical Billing LLC |
|
Physical therapy & local clinics |
| Medical Bill Gurus |
|
Practices handling OON claims |
1. Transcure
Ranking among the best medical billing companies, Transcure offers billing and RCM across 40+ specialties, including Pulmonology, Radiology, and Family Practice. Our services include charge entry, claims submission, denial management, patient statements, and AR follow-up. We also offer a comprehensive medical billing audit across 21 KPIs to uncover revenue leakage.
As a GoodFirms-recommended medical billing partner with 22 years of experience, Transcure has its presence in all 50 states. Even when our reach is national, our processes are structured to adapt to state-level billing rules. Our strength lies in our 1,100+ AAPC-certified billers and coders, which helps reduce your denial rate to near zero.
Why You Should Choose Transcure?
- Analytics dashboards and trend reporting
- Complimentary Credentialing for new practices
- 98%+ first-pass clean claim rate
- HIPAA-compliant secure services
- Integration with 30+ EHR/EMR programs
2. Human Medical Billing
As a billing firm that has been providing its services to local practices for over 20 years, Human Medical Billing handles the entire revenue cycle. Their service model includes advanced reporting, business intelligence, and tailored workflows to reduce denials and optimize collections.
Human Medical Billing boasts a 97.3% coding accuracy, which reduces the chances of payer denials and improves revenue. As a BBB-certified billing provider, they emphasize integrity, innovation, and accountability.
Key Characteristics
- Denial management and AR support
- Transparent, customizable workflows
- Client-centric orientation
- MIPS Reporting Support
3. Pro Medical Billing Solutions LLC
Pro Medical Billing Solutions ranks among the top medical billing companies in Colorado, employing over 400 billers for more than 1200 clients across the state. The medical billing company promises a revenue increase of up to 30% through its proactive denial management. So far, they boast a 97% first-pass clean claim rate and a reduced denial rate of 5-10%.
They list localized services for Colorado practices, including medical billing, audits, physician credentialing, and complete RCM. Apart from these, their unique services include ambulatory surgical center billing, contact center, patient scheduling, and old AR recovery. Their client testimonials also mention their responsiveness, communication with insurers, and revenue improvement.
Key Characteristics
- 24/7 help desk support
- Unlimited physician credentialing
- Integration with 30+ RCM software
- Short turnaround time of 24 hours
4. RPM Medical Billing
Founded in 2011, RPM Medical Billing LLC is headquartered in Greenwood Village, Colorado. It was created by medical practice insiders who understood billing frustrations firsthand. Their service package includes claims submission, payment posting, and denial management. They also provide credentialing, authorization, coding, adjustment services, and soft collections.
This medical billing company’s unique selling point is that it lets practices keep their existing billing/EHR systems. Additionally, they assign a single point of contact so clients always have someone who knows their account. RPM also mentions that they are ISO-certified and focus on keeping practices aligned with coding changes.
Key Characteristics
- HIPAA-compliant and ISO-certified processes.
- Up to 10% increases in collections.
- Work with complex specialties, such as anesthesiology.
- Access to top-level billing leadership.
5. Physicians Reimbursement Systems
Physician Reimbursement Systems was launched in 1989 by Dr. M. Ray Painter and Mark N. Painter to help physicians navigate complex insurance reimbursements. For decades, PRS curated a proprietary database for coding, payer policies, and reimbursement updates. Now, PRS delivers outsourced billing, AR clean-up, billing assistance, and prior authorization services.
One unique service from PRS is their fill-in coders, who fill in during staff shortages or when the workload is higher. Apart from billing, their consulting arm handles chart audits, coding hotlines, seminars, and toolkits for specialty practices. In this way, their USP lies in combining deep coding education with billing operations.
Key Characteristics
- Specialty-focused coding and reimbursement tools
- Prior Authorization and Pre-certification services
- Medical record abstraction
- Special focus and expertise in Urology billing
6. Practice Support
Practice Support is among the top medical billing companies in Colorado, providing medical billing, credentialing, and broader administrative support. They emphasize local knowledge and alignment with Colorado payer rules, which can reduce surprises in claims and denials. Since the company was started by clinicians themselves, they deeply understand the challenges faced by practices.
Beyond billing, they provide credentialing services, ensuring providers and locations are enrolled with payers as part of their integrated offering. Their approach also includes process optimization, workflow support, and administrative consulting to reduce drag on a practice’s operations.
Key Characteristics
- Expertise in behavioral and medical health specialties.
- Percentage-based revenue sharing model.
- An integrated EMR and PMS.
- 95% success rate in all the specialties.
7. Business Options Medical Billing Services
Business Options Medical Billing Services is a Colorado-based billing firm with over 20 years of experience. Their offerings include coding, compliance, operations consulting, auditor support, and full RCM. They emphasize billing specialization in more than 12 specialties, including Radiology, Pathology, and Rural Health Clinics.
Apart from their billing services, they also focus on regulatory and HIPAA compliance, analytics to detect revenue leakage, and staff augmentation. To ensure minimal denials, they have 30 medical billers and certified coders. Additionally, the billing company has also onboarded a certified professional medical auditor and a full-time compliance officer.
Key Characteristics
- Credentialing Coordinator on staff.
- Professionally affiliated with the HBMA
- Electronic Remittance Advice (ERA) for quick payments
- Bilingual customer service
8. Priority Medical Billing
Now rebranded as My Priority Billing, this service provider is based in Colorado Springs and has a long legacy of 27 years. They emphasize manual review of each claim, error detection beyond software, recovery of missed payments, and periodic 90-day review windows. Their family-owned style allows practices to receive direct support and attention.
As for their core services, they offer claim submission, appeals, AR follow-up, payment posting, credentialing, and reporting services. With these core services, they commit to 95% first-submission claim success and optimization cycles to recover overlooked revenue.
Key Characteristics
- Practice management software
- Identification of overlooked opportunities
- In-house billing software with a $99 setup fee
- Adaptable for all practice sizes
9. Springs Medical Billing LLC
Springs Medical Billing, LLC was founded in 2018 by Chris, a former billing manager for a physical therapy clinic. With 25 years of industry experience, she has helped practices achieve a 99% first-pass clean claim rate. Even with their local presence in Colorado, the medical billing company provides its billing services across all 50 states.
Springs Medical Billing supplies full-cycle revenue management, from eligibility verification and coding to payment posting and AR follow-up. Among their secondary services, Springs offers chart auditing, eligibility and referral management, payer recredentialing, and provider education.
Key Characteristics
- Supports many practice management systems
- No long-term contracts
- HIPAA-compliant staff
- Full-cycle RCM and AR follow-up
10. Medical Bill Gurus
Medical Bill Gurus was founded in 2018 and is headquartered in Denver, Colorado. Their team has over 20 years of combined experience in medical billing, patient advocacy, out-of-network claims, and RCM. They serve both patients and providers. MBG’s services include bill auditing, negotiating hospital bills, and assisting physician assistants with billing.
Their unique services include no upfront costs for many services, contingency-based payment, and a risk-free case evaluation. Additionally, Medical Bill Gurus work from Denver’s office at 3000 Lawrence Street, Suite 15, which makes them locally accessible.
Key Characteristics
- Guaranteed free initial evaluation.
- Only pay if you get paid.
- Persistent follow-ups with insurers.
- Bill auditing and error identification.
Conclusion
Colorado offers a wide range of medical billing companies, each with unique strengths suited for different practice needs. From localized firms with niche expertise to larger providers with nationwide reach, practices have solid choices.
However, for multi-specialty coverage and advanced compliance support, Transcure stands out as the more dependable option. Their 1100+ AAPC-certified coders and billers make them highly suitable for large practices and hospital systems.
