Philadelphia is considered the birthplace of American medicine, home to Penn, Jefferson, and Temple. Moreover, it’s also a city where thousands of private practices and community clinics serve a growing population. Yet, providing care is not the hardest part for many practices. The real challenge is managing complex medical billing.
With Independence Blue Cross, Aetna, Highmark, and multiple Medicaid MCOs dominating the market, providers must go through payer-specific rules. Failure to comply with these results in claim denials, which reached 14% in Pennsylvania in recent official reports.
The addition of high-deductible health plans and complex Medicaid eligibility leaves practices struggling with documentation and eligibility checks. These daily revenue cycle challenges force many to turn to outsourcing. Here are the 10 best medical billing companies in Philadelphia, PA, helping practices stay compliant and profitable.
10 Best Medical Billing Companies in Philadelphia, PA in 2025
With so many billing challenges in Philadelphia, providers look for trusted partners. Below are the 10 best medical billing companies leading in 2025.
- Transcure
- Medical Billing Inc. of Delaware Valley
- Nextus Billing Solutions
- Mediclaim Inc.
- Academy Billing
- Medical Billing and Coding Solutions
- Bell and Bell Medical Billing
- TJ Billing Company
- Coding & Billing Solutions, LLC
- MEDIShield Services
Each company profile below outlines their services, specialties, and advantages, helping Philadelphia practices choose the right billing partner:
1. Transcure
Transcure began operations in 2002 and has since built a large team of certified billers and coders. We have over 1,100 specialists who manage billing accuracy to ensure everything is in order. For healthcare practices in a complex region like Philadelphia, this means faster claim submissions and fewer costly rejections.
We also support 500+ physicians across 40+ specialties, from nephrology to psychiatry. By offering expertise across such a wide spectrum, practices get error-free claim submission and proper denial management.
Our dedicated teams for each speciality ensure up to 98% clean first claim success rate and keep A/R days near 30. This ensures that niche practices get the same tailored support as large hospitals.
Transcure improves claim scrubbing and denial management by using AI and robotic process automation in billing. Furthermore, its offer of complementary credentialing and old A/R recovery makes Transcure one of the top-rated medical billing companies in Philadelphia.
Core Services
- Medical billing and charge entry
- Medical coding (ICD-10, CPT, HCPCS)
- Denial management and appeals
- Accounts receivable follow-up and collections
- Credentialing and provider enrollment
Key Advantages
- HIPAA-compliant systems with strong data security measures
- Nationwide coverage across multiple healthcare specialties
- Competitive pricing through a percentage-based collections model
- Smooth integration with leading EHR platforms
2. Medical Billing Inc. of Delaware Valley
MBIDV is a privately held firm offering medical billing services for over 25 years. The company focuses on multi-specialty outpatient billing, credentialing, and denial management. For local practices, this long-term experience provides much-needed stability. Furthermore, MBIDV also provides a comprehensive approach to getting Medicare and Medicaid claims cleared.
The company has created a Merit-Based Incentive Payment System for practice that can increase revenue from Medicare and Medicaid up to 9%. MBIDV works mainly with regional physician groups and outpatient clinics across many specialties. Their support includes areas like cardiology, gastroenterology, OB/GYN, and physical therapy.
Core Services
- Medical billing and claims submission
- Medical coding and coding review
- Accounts receivable and denial management
- Provider credentialing and enrollment
- MIPS and quality reporting support
Key Strengths
- Regional focus with strong knowledge of local payers
- Multi-specialty experience across outpatient and physician practices
- Personalized client support from a smaller dedicated team
3. Nextus Billing Solutions
Founded in 2015, Nextus Billing Solutions focuses on behavioral health revenue cycle management. With offices in Philadelphia and Florida, they support treatment and recovery centers nationwide. For providers, this specialization means billing processes tailored to behavioral health’s unique payer rules.
The company highlights its proprietary Cereus platform, which tracks claims and forecasts payments. It allows practices to gain real-time visibility into their revenue cycle, helping them make smart choices. They also specialize in managing complex insurance authorizations from multiple providers, making them one of the top-rated medical billing companies in Philadelphia.
Core Services
- End-to-end revenue cycle management
- Claim preparation and submission
- Verification of benefits and eligibility checks
- Utilization review and authorizations
- Credentialing and network management
Key Strengths
- Proprietary Cereus platform for processing real-time data for revenue forecasts
- Specialization in helping practices negotiate contracts with payers
- Dedicated account managers for personalized client support
4. Mediclaim Inc.
Mediclaim Inc. has been serving the medical billing field in Philadelphia since 1990. As a privately held firm, it focuses on supporting small and mid-sized practices. For providers, this longevity means consistent service and trusted experience with regional payer requirements. Another benefit is that Mediclaim charges as low as 3% of revenue as its fee.
The company emphasizes local relationships, working with practices across specialties like pediatrics, neurology, and dermatology. Its regional approach helps physicians in Pennsylvania, New Jersey, and Delaware manage claims effectively. Moreover, this local focus is especially valuable for independent practices that want personalized support in person.
Core Services
- Charge entry and patient demographics
- Payment posting and reconciliation
- Denial correction and resubmission
- Patient billing and phone support
- Payer credentialing and contracting
Key Strengths
- Provide secondary and tertiary billing with no add-on costs
- Extensive regional knowledge of Philadelphia-area payer systems
- Client portal access built on a secure HIPAA-capable platform
5. Academy Billing
Academy Billing has been providing medical and dental billing services nationwide since 2018. The company offers services from patient registration to payment collections without any long-term contract, putting it in the list of medical billing companies in Philadelphia. For healthcare providers, this means simplified billing processes without complex contracts.
The firm focuses on helping small and mid-sized practices stay organized with claims and coding. Its web-based platform allows providers to track billing and access records anytime. This convenience gives practices more time to focus on patient care while reducing administrative stress.
Core Services
- Primary and secondary insurance billing
- CPT and ICD-10 coding support
- Denial follow-up and collections
- Patient statements and billing
- Digital archiving with 24/7 access
Key Strengths
- Provides a digital archive of all faxed correspondence
- Percentage-based pricing model with no setup fees
- Quick claim submission within 48 hours and status reports
6. Medical Billing and Coding Solutions
Medical Billing and Coding Solutions is a provider of revenue cycle management (RCM) and billing services. Founded in 2004, the company supports healthcare practices and facilities with claims, coding, and denial management. What makes it one of the top medical billing companies in Philadelphia is its focus on Medicare ADRs.
The company emphasizes a hands-on approach for local providers, offering detailed reporting through an online portal. Its services are positioned to help small practices and clinics manage administrative burdens and improve reimbursement. Furthermore, it offers temporary staffing services for providers dealing with high patient turnout.
Core Services
- Medical billing and claims submission
- Coding accuracy and charge entry
- Denial management and appeals
- Payment posting and reconciliation
- Reporting and invoicing with XML export options
Key Strengths
- Native healthcare software to create financial statements and RCM reports
- Expertise in regional payer requirements guarantees 99.9% accuracy
- Dedicated dashboard for managing billing and accounting documents
7. Bell and Bell Medical Billing
Bell & Bell Medical Billing is a privately owned firm based in Pennsylvania, with offices in both Philadelphia and Erie. Founded and led by Kevin Bell, the company emphasizes direct ownership and accountability for the services provided. For practices, this structure means closer communication and decisions tailored to individual client needs.
The company places strong emphasis on accounts receivable recovery, helping practices reduce aging claims and secure payments faster. This kind of follow-up directly improves cash flow and eases the financial pressure on providers. Local testimonials further highlight their personalized approach, showing that practices value their hands-on support.
Core Services
- Medical billing for commercial, Medicare, and Medicaid claims
- Medical coding for accurate reimbursement
- Denial management and appeals
- Accounts receivable recovery and collections
- Provider credentialing and payer enrollment
Key Strengths
- Real-time detailed reports and insights for each step in the RCM cycle
- Specialized AR recovery for claims up to 120 days past due
- Flexible support across diverse practice types
8. TJ Billing Company
TJ Billing Company has operated for more than 15 years with a clear niche in chiropractic, physical therapy, and podiatry billing. By focusing on these specialties, the firm has built custom processes and deep staff expertise. These help practices reduce errors and accelerate reimbursements in areas where coding is often complex.
Its ability to integrate with 12+ chiropractic practice management and EHR systems puts the company among the best medical billing companies in Philadelphia. This flexibility means providers don’t need to overhaul their existing software to outsource billing. Moreover, smaller practices even have the option of a complimentary PMS through TJ Billing.
Core Services
- Full claims billing and submission for chiropractic, PT, and podiatry
- Certified coding support tailored to specialty-specific needs
- Accounts receivable follow-up and collections
- Patient invoicing and financial reconciliation
- Practice onboarding with setup and data migration
Key Strengths
- 15+ years of operation builds confidence for providers seeking a long-term partner
- Provides access to all medical billing documents at a moment’s notice
- Offers dedicated software for podiatry practices tailored to their needs
9. Coding & Billing Solutions, LLC
Coding & Billing Solutions, LLC (CBS) operates from Pennsburg, PA, serving hospitals, physician groups, and home health providers. With a team of domestic coders, the company ensures accuracy and compliance from the moment a patient is registered. This focus on local employees gives practices confidence that sensitive data never leaves the U.S.CBS also stands out for its early adoption of AI in medical coding to automate the process. The company has partnered with Reasint to enhance speed and reduce errors. For healthcare organizations, this combination of technology and human oversight translates into faster reimbursements and fewer compliance risks.
Core Services
- Medical coding for inpatient and outpatient care
- Claims submission, payment posting, and AR follow-up
- Denial review, management, and appeals
- Health Information Management (HIM) and coding audits for compliance
- Clinical documentation improvement and coder training
Key Strengths
- Local teams mean no time zone or language issues when communicating
- Special focus on the medical billing needs of ambulance service providers
- Expert in Clinical Documentation Improvement (CDI) for increasing practice revenue
10. MEDIShield Services
MEDIShield Services is a local billing and practice management company that meets all of the insurance and patient billing needs. The firm focuses on supporting small medical and dental practices with billing and back-office needs. This helps them operate smoothly without adding extra administrative staff, reducing internal costs by up to 30%.
The company’s model emphasizes flexibility for smaller providers who often lack internal billing teams. By managing claims, payments, and patient collections, MEDIShield helps local practices improve cash flow and reduce stress. Moreover, this Philadelphia medical billing company offers two native practice management software, MedOffice and DentOffice.
Core Services
- Claims processing and medical billing
- Patient billing and collections
- Well care services and document management
- Electronic funds transfer and payment handling
- Remote data backup for secure record storage
Key Strengths
- Collections strategies reduce payment delays, improving collection by up to 50%
- Provides dedicated calculators on the site for you to learn how much you can save
- Offers free use of their native PMS software if you get their medical billing services
Conclusion
The Philadelphia region has no shortage of medical billing and RCM providers. Most of these companies deliver solid core services, from billing and collections to credentialing. Smaller firms often offer personalized service and flexibility, yet they may lack advanced automation and AI-powered denial management.
For healthcare organizations seeking reliable billing support, as well as enterprise-grade technology, automation, and compliance, Transcure stands out as the recommended choice. Unlike many smaller local vendors, Transcure combines nationwide reach and proven integrations with leading EHRs.
Moreover, its AI-driven denial reduction and HIPAA-certified processes make it unique among the best medical billing companies in Philadelphia, PA. This ensures faster reimbursements and fewer errors, which are critical advantages in today’s healthcare landscape.
