Top 10 Medical Billing Outsourcing Companies: Find The Best One

The best outsource medical billing companies, like Transcure and ChartLogic, are becoming the choice of most healthcare practices in the U.S. Why? A survey from MGMA finds that, on average, it costs a practice 13.7% of collections to do billing in-house compared to 5.4% when outsourcing. So, it is becoming a norm to outsource medical billing to specialized companies.

Another major reason behind the rise in in-house billing costs is the increasing number of denials. A 2024 MGMA poll found that over 60% of practices reported a higher denial rate compared to previous years. These numbers highlight why more providers are exploring medical billing outsourcing companies to reduce denials and increase net collections.

In this guide, we rank the top 10 medical billing outsourcing companies that stand out in the USA healthcare market. From a small practice struggling with staffing to a multi-specialty clinic aiming to reduce denials, this list will help you find the best option.

1. Transcure

Transcure delivers complete RCM solutions across specialties like pain management, ambulatory surgical centers, Radiology, and many others across the United States. We cover everything from eligibility checks to collections while offering complimentary credentialing. Practices benefit from effortless onboarding and less upfront expense, reducing administrative setup.

We also provide value-added old A/R recovery and in-depth RCM audits. These services help capture missed revenue and uncover inefficiencies without extra cost. Furthermore, our team of 1100 certified coders and billers makes us a top choice among medical billing outsourcing companies. 

Transcure integrates automation tools like RPA and AI-driven claim scrubbing with expert oversight. We implement dedicated AI agents to fast-track steps like pre-authorization, coding, and others. This approach reduces errors and accelerates the claim turnaround period to less than 48 hours to improve operational efficiency. 

Key Metrics

Factor	Details
Year Founded	2002
Core Services	End-to-end RCM Patient eligibility and benefits verification Credentialing (free with full service) Denial management and appeals Lab billing and MIPS reporting Medical transcription Collections support RCM audits
Specialties Served	40+, including OB/GYN, Neurology, Pediatrics, Orthopedics, Cardiology, Psychiatry, Primary Care, Surgery, and Radiology
Key KPIs	99% claim accuracy 26-day reimbursement speed 24 days A/R recovery 30% boost in collections 88% denial reduction
Core Tech	RPA automation tools Real-time dashboards & analytics Integration with 30+ EHRs (Epic, Athenahealth, etc.)
Compliances	HIPAA ISO 27001 AICPA SOC 2
Pricing Model	5% of collections

Verdict: Why Choose Transcure?

Transcure is a strong choice for practices needing advanced automation and broad specialty expertise. Moreover, extra perks like free credentialing and old A/R recovery strengthen revenue without additional costs.

Client Review: 

“After almost 18 months with Transcure, I’m thrilled with their service. They’ve made billing easier, sorted out payer issues, and improved our processes. Reimbursements are faster, and denials have dropped by more than 80%.” – Dr. Daniel L. Burkhead, Innovative Pain Care Center

2. ChartLogic

Founded in 1994, ChartLogic is the ambulatory EHR and RCM division of Medsphere Systems. They also provide end-to-end billing services, from eligibility checks to payer tracking, bundled with an EHR and practice management suite. For clinics, this means fewer factors to deal with and more transparency across billing and care.

ChartLogic adds value with free custom reporting, coding audits, and managed IT support. Practices also benefit from MIPS consulting and insurance credentialing included in their packages. This helps providers cut administrative costs by over 50% while improving compliance and payment speed.

Key Metrics

Factor	Details
Year Founded	1994
Core Services	End-to-end RCM Eligibility verification (eEligibility) AHIMA-credentialed coding support Patient statements & collections Old A/R recovery Claims tracking & payer timelines Credentialing Custom reporting Managed IT & MIPS consulting
Specialties Served	Allergy/Immunology Cardiology Orthopedics Surgery Pediatrics OB/GYN Ophthalmology Psychiatry Radiology Urgent Care Pain Management Dermatology
Key KPIs	200% collections increase (claimed) Claims rejections cut to <5% 50% lower admin costs
Core Tech	ChartLogic EHR + Practice Management Claims Center & Collections Center Specialty templates Voice dictation HL7/API integrations Lab, ePrescribe (DrFirst), Surescripts
Compliances	HIPAA ONC Health IT Module certified HITRUST via eFax partner SOC 2 via Medsphere
Pricing Model	% of collections (varies by scope)

Verdict: Why Choose Them?

ChartLogic is ideal for practices wanting one vendor for EHR, PM, and RCM, especially specialties like orthopedics or pediatrics. Their custom templates, voice dictation, and billing suite reduce errors and speed reimbursements.

3. Absolute Solutions

Based in San Diego, Absolute Solutions positions itself as an outsource medical billing company and consulting partner “created with the physician in mind.” With nearly 3 decades of combined expertise, the firm delivers end-to-end revenue cycle solutions. They claim to emphasize speed, accuracy, and hands-on client care to attract practices.

What sets Absolute Solutions apart is its fast turnaround and precision-driven approach. They are averaging payments in just 3 weeks while maintaining a near-perfect first-pass claim accuracy rate. Beyond billing, the firm also supports credentialing, payer contracting, and custom analytics to help practices improve collections and reduce administrative stress.

Key Metrics

Factor	Details
Year Founded	2004
Core Services	Charge capture and posting Electronic claim processing Denial/appeal management Payment posting Patient statements Customized analytics and reporting
Specialties Served	Works across multiple specialties and physician practices of varying sizes
Key KPIs	98% first-pass claim accuracy Payments in 15–18 days on average
Core Tech	Customized analytics reporting tools Multi-EHR compatibility (Athenahealth, etc.)
Compliances	HIPAA-compliant operations
Pricing Model	Not publicly disclosed on site

Verdict: Why Choose Them?

Absolute Solutions is ideal for small to mid-sized practices seeking a hands-on partner rather than a large corporate vendor. Their rapid payment turnaround and consulting support make them a reliable option for clinics struggling with uncollected A/R or inefficient billing processes.

4. Promantra

Promantra combines healthcare outsourcing with proprietary AI and RPA technology to make itself a top outsourced medical billing company. The company performs billing for hospitals, physician groups, and specialty practices. Their ISO 9001 and ISO 27001 certifications give practices confidence in data security while ensuring every claim is handled with precision.

With tools like RevvPro and GeroPro, Promantra helps clinics reduce denials and shorten AR cycles. This is claimed to boost revenue by up to 30%. Their case studies highlight measurable outcomes such as 90% collection increases and old A/R recovery, making them a strong choice for growth-focused providers.

Key Metrics

Factor	Details
Year Founded	2003
Core Services	Eligibility checks Coding & claim submission Denial management AR recovery Patient billing & collections Contract management Revenue cycle analytics
Specialties Served	Cardiology Orthopedics Nephrology ASC/LTC Plastic Surgery Radiology Dermatology
Key KPIs	Denial rate <5% Net collection rate 95%+ Claim accuracy 99% Payments within 30–35 days
Core Tech	RevvPro RCM platform GeroPro for LTC AcutePro EMR Custom analytics dashboards
Compliances	HIPAA ISO 9001 ISO 27001
Pricing Model	Custom quotes based on claim volume, specialty, and scope

Verdict: Why Choose Them?

Promantra is a strong option for practices that want both billing services and advanced automation. Their proprietary AI-driven platforms and proven track record in A/R recovery make them especially valuable for providers struggling with denials or legacy receivables.

5. Practolytics

Headquartered in Columbia, SC, Practolytics offers complete revenue cycle management with bundled technology and analytics support. What makes them the best outsource medical billing company is their Platinum partnership with AdvancedMD and integrations with Osmind and Inbox Health. This attracts clinics seeking effortless billing and engagement solutions.

With expertise in over 28 specialties, Practolytics offers depth across diverse practice needs in the U.S. They promise almost perfect first-pass claim acceptance, claiming to process millions of claims annually. This shows the efficiency potential practices can expect when partnering with them.

Key Metrics

Factor	Details
Year Founded	2000
Core Services	Billing & collections Eligibility verification Pre-authorizations Credentialing portal Medical coding (AAPC/AHIMA certified) Compliance audits Consulting & payer negotiations Transcription Virtual assistants & staffing
Specialties Served	Psychiatry and Spravato Urgent care Physical therapy Dermatology DME billing Oncology Gastroenterology Orthopedics Urology Fertility and Bariatric Surgery
Key KPIs	5M claims processed annually 98% first-pass claim acceptance 25% reduced office workload 1400+ active providers Coverage across 31 states
Core Tech	Osmind for psychiatry Inbox Health for patient billing Proprietary dashboards and claims scrubber
Compliances	100% HIPAA compliant AAPC/AHIMA certified coders
Pricing Model	Custom quotes; no fixed fee schedule published

Verdict: Why Choose Them?

Practolytics stands out for practices in specialized fields that need both billing expertise and integrated tech. Their bundled partnerships reduce software costs, while data-driven dashboards and compliance audits attract providers seeking long-term financial growth.

6. CareCloud

CareCloud delivers an all-in-one cloud platform that combines medical billing, practice management, and EHR. By uniting these tools, practices avoid juggling multiple vendors and systems, cutting down on errors. This streamlined setup enhances efficiency and enables teams to focus more on patients across 70+ specialties.

Its AI-powered billing engine catches claim errors before submission, reducing denials and accelerating reimbursements. CirrusAI Notes automates documentation, saving providers nearly 20% of their daily time. Together, these features maximize revenue and reduce staff burden, making it one of the top medical billing outsourcing companies.

Key Metrics

Factor	Details
Year Founded	1999
Core Services	End-to-end medical billing Full RCM Denial management Patient statements & collections Coding support Telehealth and patient engagement Credentialing support
Specialties Served	Dermatology Urology Primary care Cardiology Orthopedics Pediatrics Behavioral health
Key KPIs	+8% revenue realization (claimed) 20% provider time saved Claim acceptance improvements via AI scrubbing
Core Tech	cirrusAI Notes (AI documentation) CareCloud Central CareCloud Connector (interoperability) AI rule engine for billing
Compliances	HIPAA compliant ONC Certified (2022) 21st Century Cures Act compliance
Pricing Model	Custom pricing based on practice size, specialty, and scope

Verdict: Why Choose Them?

CareCloud is ideal for practices wanting both billing support and a strong technology backbone. With AI-driven claim scrubbing and automated clinical notes, the company helps reduce errors and speed reimbursements.

7. Access Healthcare

Access Healthcare provides full-spectrum revenue cycle management backed by its proprietary automation platform, echo. The company blends AI and RPA with expert billing specialists, helping practices accelerate claims and reduce denials. This means faster payments and less manual work for staff, a great quality when looking to outsource medical billing company.

Its enterprise-grade solutions cover everything from coding and A/R management to patient access services across specialties. By cutting A/R days and improving net collection rates, Access Healthcare empowers practices to stabilize cash flow. Clinics benefit from measurable revenue gains while ensuring compliance and operational transparency

Key Metrics

Factor	Details
Year Founded	2011
Core Services	Medical billing and RCM Eligibility and prior authorization Coding and audits A/R management Denial management Credentialing Patient engagement
Specialties Served	80+ specialties, including inpatient, outpatient, ED, home health, hospice
Key KPIs	29% denial reduction 26% increase in collections A/R of more than 90 days reduced from 28% to 15% 92% of collections within 120 days
Core Tech	echo automation platform (echobot, echopay, autonomous coding) arc.in workflow dashboard
Compliances	HIPAA HITRUST CSF ISO 9001 and 27001 SOC 1 Type 2 PCI DSS
Pricing Model	Custom / contract-based

Verdict: Why Choose Them?

Access Healthcare is a strong choice for large or growing practices needing automation at scale. Its blend of proprietary AI tools and global delivery teams delivers measurable KPI improvements, from fewer denials to faster collections. 

8. AdvancedMD

AdvancedMD combines powerful software with outsourced billing for independent practices. Its cloud-based RCM covers charge entry, claim scrubbing, denial management, and patient collections. For practices, this means fewer rejected claims and faster reimbursements to ensure stronger financial health.

The platform offers specialty-specific workflows, patient engagement tools, and dashboards that track A/R in real time. By unifying EHR, practice management, and billing, AdvancedMD stands out among medical billing outsourcing companies. Clinics benefit from smoother operations and more accurate reporting, letting them scale without extra complexity.

Key Metrics

Factor	Details
Year Founded	1999
Core Services	Medical billing and RCM Claim scrubbing and submissions Eligibility checks Denial management Patient billing and payments Reporting and analytics Account management
Specialties Served	Primary care Dermatology ENT Physical therapy Pathology Cardiology Urgent care Mental health
Key KPIs	Faster collections Days in A/R & GCR tracking Revenue per encounter Denial reduction 95% API traffic success target
Core Tech	AdvancedEHR and AdvancedPM AdvancedInsight dashboards AdvancedPatient Engagement Suite AdvancedMD Pay AdvancedTelemedicine
Compliances	HIPAA ISO 27001
Pricing Model	Near 8% of collections (custom quotes)

Verdict: Why Choose Them?

AdvancedMD is ideal for independent and mid-sized practices that want an all-in-one system. With integrated EHR, PM, and RCM, practices can reduce claim errors and track revenue in real time. 

9. Clinicast

Founded as a full-service billing partner, Clinicast delivers end-to-end RCM, coding, and credentialing. Their team promises claims submitted within 48 hours, making them a top choice among outsource medical billing companies. For practices, this speed means reduced backlogs, faster reimbursements, and fewer financial disruptions.

Covering over 40 specialties, Clinicast adapts workflows for everything from cardiology to mental health. Their weekly practice scorecards give clinics visibility into collections and denials. This helps providers make smarter financial decisions, optimize operations, and stay focused on delivering quality care to patients.

Key Metrics

Factor	Details
Year Founded	2015
Core Services	Revenue cycle management Medical coding Credentialing Claim scrubbing Denial management Medical transcription Telehealth billing
Specialties Served	40+ specialties including cardiology, dermatology, neurology, orthopedics, OB/GYN, pediatrics, mental health, dental, and more
Key KPIs	99% clean claims 98% claim accuracy within 24 hrs Claims processed in 48 hrs 40% collections increase
Core Tech	Billing software with automation Workflow optimization Integrates with existing EHR/PM systems
Compliances	100% HIPAA compliant
Pricing Model	Custom quotes (no public rates)

Verdict: Why Choose Them?

Clinicast is a strong fit for practices seeking fast claim turnaround and wide specialty support. With quick submissions and accuracy-driven workflows, they reduce denials and speed up collections.

10. Medical Billers and Coders

Medical Billers and Coders (MBC) has been supporting practices for 25+ years with complete medical billing services. Their services span coding, claims submission, AR cleanup, and denial management. For clinics, this means smoother workflows, fewer denials, and consistent revenue growth without switching EHR systems.

With 40+ specialties covered, MBC tailors workflows for cardiology, orthopedics, dermatology, behavioral health, and more. Their custom KPI dashboards provide transparency into collections and AR trends, making them the best outsource medical billing company for small practices.

Key Metrics

Factor	Details
Year Founded	1999
Core Services	End-to-end RCM Medical coding Denial management AR cleanup Eligibility verification Prior authorization Payment posting Consulting and practice management
Specialties Served	40+ specialties including cardiology, emergency medicine, anesthesiology, wound care, DME, hospital billing, and more
Key KPIs	10 to 15% revenue increase 20% denial reduction in 6 months Up to 70% denial reduction 30% reduction in AR days Faster collections and clean claims
Core Tech	System-agnostic EHR integration (Epic, Cerner, etc.) Custom KPI dashboards Financial reporting tools
Compliances	HIPAA-compliant across all workflows
Pricing Model	End-to-end RCM: up to 8% of collections Credentialing: $200 per provider AR Clean-up: $1,500 to $2,000 per FTE Data Services: $1,200 to $1,800 per FTE

Verdict: Why Choose Them?

MBC is ideal for practices needing a flexible, specialty-focused billing partner with proven denial management expertise. Their ability to integrate with any EHR, reduce AR days, and deliver transparent KPI dashboards makes them a strong fit for most providers.

Why Healthcare Providers Rely on Outsourced Medical Billing? 

Outsourcing medical billing is not all about saving money or avoiding errors. Providers choose it when vendors bring expertise, tools, and scale that they could never maintain in-house. Here are the key reasons practices make the switch to a medical billing outsourcing company:

1. Access to Advanced Automation and AI

RCM companies deploy AI and robotic process automation that instantly cut repetitive tasks like eligibility checks and claims submission. Practices gain the benefits of enterprise-grade technology without upfront investment, reducing delays and freeing staff to focus on patient care.

2. Payer Expertise and Strong Appeals Management

Billing companies maintain payer-specific playbooks and employ dedicated appeals specialists. This insider knowledge helps practices win more disputes, overturn denials faster, and secure payments they might otherwise lose. This transforms a common revenue drain into a steady source of recovered cash.

3. Old A/R Cleanup and Rapid Cash Recovery

Many outsourcers offer specialized teams that work only on aged receivables. They refile old claims, rebuild missing documentation, and recover balances that clinics usually write off. This service delivers a quick liquidity boost and cleans the books without distracting in-house staff from current work.

4. Scalable Operations During Staff Shortages

Outsourcing provides built-in continuity. When practices face sudden turnover, seasonal spikes, or surging patient volumes, vendors absorb the load with trained teams. Claims keep moving without costly overtime or long hiring cycles, ensuring steady revenue even in unpredictable times.

5. Specialty Coding and Compliance Safeguards

Outsourcers employ coders with deep specialty expertise and maintain strict compliance certifications like HIPAA, HITRUST, or SOC. This ensures high coding accuracy for complex services, lowers audit risk, and shields practices from revenue loss caused by undercoding or compliance gaps.

Final Thoughts

Medical billing outsourcing is a growth strategy that is vital for most practices. From advanced automation and payer expertise to scalable operations and specialty coding, it offers a lot.  Providers who opt for a medical billing outsourcing company position themselves for faster collections, fewer denials, and stronger compliance.

Among the available options, Transcure stands out for its balanced blend of technology, transparency, and hands-on support. Their complimentary credentialing, old A/R recovery, and detailed reporting give practices both immediate wins and long-term stability. For clinics seeking a reliable partner to manage revenue while they focus on patient care, Transcure is a highly recommended choice.