Top 10 Medical Billing Companies in Boston, MA

Transcure gives Boston practices the best billing team, built on seven AI agents and checked by AAPC-certified staff. ELIXA verifies eligibility before the visit, and PRIA handles prior authorization, so problems surface while the patient is still on the schedule. That front-end discipline keeps our denial rate under 1% and A/R at 24 days. You wait less for money you have already earned.

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You keep your current EHR, and a Master Command Dashboard shows first-pass rates, A/R days, and denial trends live. Your account manager responds within 2 hours. Credentialing through CAQH, PECOS, and payer enrollment runs about 60 days and is covered by the flat 5% of collections. Start with an audit of your last 90 days of claims. Billing runs end-to-end, including workers’ compensation and no-fault claims.

Credex Healthcare is a credentialing-first company with a billing arm, which makes it a fit when a Boston group is onboarding clinicians. It reports 7,000+ providers served, 120,000+ applications handled, and 12+ years in operation. Services span payer enrollment, state licensing, and RCM tasks such as coding, charge entry, and payment posting.

Licensing support includes DEA, controlled substance, and Interstate Medical Licensure Compact applications. Credex works with providers in all 50 states and lists Massachusetts credentialing and licensing pages. An account manager and real-time status updates keep you informed.

Medheave operates from Boston and backs its pitch with numbers: 100K+ claims processed monthly, a 97%+ net collection rate, and A/R under 40 days. It also lists a 90%+ first-pass rate and a denial rate under 10%. Claims go out within 24 hours of a signed encounter, and the team works across 50+ EHRs.

Medheave handles billing, coding, credentialing, prior authorization, and patient statements. Boston behavioral health and podiatry practices appear often in its client reviews. A free billing audit gives you a baseline before you commit.

Revenex RCM sits in Boston’s 02108 ZIP code and competes on terms rather than technology. Rates start at 3% of net collections or $16 per hour, with no setup fee, no termination fee, and no lock-in contract. It reports a 98% claim acceptance rate and submits claims within 48 hours.

Teams work around the clock, and days in A/R fall below 25, according to the company. A kickoff call can happen the day after signing. Most of its billers previously worked at insurance companies, and weekly reports track claim movement.

South Shore Billing Services serves Greater Boston from Braintree, south of the city. Founder Sheyla Aponte, CPB, has 20+ years in healthcare billing, and Certified Professional Coders support the team. Practices get one dedicated biller for claims, follow-up, A/R, eligibility checks, and patient billing.

Experience covers Epic, athenahealth, and eClinicalWorks. The company lists no performance benchmarks online, so ask for references and collection data before you sign. Pricing is tailored to practice size, and a cloud platform gives anytime access to billing data.

Certitude Healthcare Solutions works from Everett, just north of Boston. Its 13 listed services include iClaim for billing, EMRx for records, VirtualCare for telehealth, and ChoicePay for patient payments. Physicians keep control of patient records under iClaim.

Certitude calls itself part of the nation’s largest network of Medical Revenue Management offices and offers a free practice analysis. Practices can add tools one at a time instead of replacing their whole workflow. Choose it when you want billing and software supplied by one vendor.

Bradford Medical Associates has served Massachusetts physicians for 25+ years from North Andover, north of Boston. The team files claims within 48 hours, works the phones on unpaid claims, and reports on reimbursement and income. It is paid a percentage of collections and never handles your reimbursement dollars.

Staff is cross-trained on every task. Cardiology, internal medicine, mental health, neurology, podiatry, and psychiatry are among its listed specialties, and it also serves New Hampshire practices. Reports break down reimbursement and income so you can track results without chasing the billing office.

Alico Healthcare publishes some of the clearest numbers on this list: a 96.8% payer net collection rate, 98% first-pass clearinghouse acceptance, and 500K+ claims submitted in 2025. Founded in 2011, it manages patient access, provider enrollment, claims, denials, payments, and A/R.

Boston organizations can outsource everything or buy one function, such as recovery on aged accounts. Support is available in English and Spanish, a useful fit for Boston’s multilingual patient base. Work starts wherever revenue is stuck, whether that is a denial pattern, aged receivables, or a provider waiting on enrollment.

Streamline Health Care Solutions is a Boston firm built for mental health practices. Its leaders report 30+ years in mental health billing, from solo clinicians to groups with thousands of patients and many payers. Services include billing, health insurance credentialing, administrative guidance, and operational consulting.

The team tracks the telehealth billing rules Massachusetts adopted during COVID-19. A client at the Danielsen Institute credits Streamline with stronger billing policies. No performance metrics are published, so ask for them. Collection support runs from patient intake through final payment.

Medical Healthcare Solutions, based in Andover, brings 35+ years of billing and practice management experience. For surgical groups, it reports 35+ surgery centers served, 30+ certified coders, and 20 years of billing for ASCs. Clients stay an average of 14.5 years. Orthopedic coverage includes joint replacement and arthroscopy coding, implant reimbursement, global periods, and appeals.

Pain management, gastroenterology, and urology are also listed, alongside credentialing and revenue analytics. Its coders work joint replacements, scopes, implants, and 90-day globals daily. These are among the hardest claims to pay right the first time.