“The top medical billing companies in St. Louis include Transcure, which uses AI agents to automate every step of billing and achieves up to a 98% first-pass clean claim rate. Other leading medical billing companies, including Precision Medical Billing, Gateway Billing Solutions LLC, and Evalue Medical Billing, help providers reduce denials and improve overall revenue cycle performance.”
St. Louis, MO, has a population of about 279,695 and a growing healthcare network. Approximately 92.5% of residents have health insurance. Despite this, national trends shows 19% of claim denial rates, which highlights ongoing reimbursement challenges for healthcare providers.
To address these challenges, St. Louis medical practices turn to outsourced medical billing services to improve coding accuracy, reduce denials, and follow up on unpaid claims. This listicle of the top 10 medical billing companies in St. Louis, MO, is designed to help healthcare providers optimize their billing performance and financial results.
- Transcure
- Precision medical billing
- Gateway Billing Solutions LLC
- Evalue Medical Billing
- Total RCM Solutions
- Integrity Healthcare Solutions
- Beeline Medical LLC
- Medical Billing Solutions
- Resilient Medical Billing Services
- Quest National Services

Table of Contents
Toggle- 1. Transcure
- 2. Precision Medical Billing
- 3. Gateway Billing Solutions LLC
- 4. Evalue Medical Billing
- 5. Total RCM Solutions
- 6. Integrity Healthcare Solutions
- 7. Beeline Medical LLC
- 8. Medical Billing Solutions
- 9. Resilient Medical Billing Services
- 10. Quest National Services
- How Our Editors Selected the Top Medical Billing Companies in St. Louis, MO?
- What are the Best Medical Billing Companies in Missouri?
1. Transcure

Transcure is a leading medical billing company in St. Louis, MO, that uses advanced AI agents for coding accuracy and to increase revenue for healthcare providers. They offer end-to-end AI-powered medical billing services, including accurate ICD‑10, CPT, and HCPCS coding.
The company serves over 500 physicians and 40+ medical specialties, including Orthopedics, Neurology, and Cardiology. Moreover, they seamlessly integrate with 40+ EHR software, including eClinicalWorks, Athenahealth, and CareCloud, to ensure efficient billing.
Our dedicated billers help providers recover accounts receivable in just 24 days, reducing expenses by 25%. Through their 24/7 reporting dashboard, they keep providers updated with daily, weekly, and monthly claim reports to track revenue performance.
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| Founded In | 2002 |
2. Precision Medical Billing

Precision Medical Billing is a reliable billing company in St. Louis that offers billing solutions for multiple types of providers. Furthermore, the company works with providers’ existing EHR/EMR software to support accurate medical coding.
The company holds key memberships, including HBMA 2024, which helps to ensure accurate billing and reliable revenue cycle management. Also, the company offers round-the-clock billing services for the patient portal to ensure patients have access to information.
| Best For | Physicians, Home Health Agencies, And Hospitals. |
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| Founded In | 1995 |
3. Gateway Billing Solutions LLC

Gateway Billing Solutions LLC is a full-service medical billing company in St. Louis with over 12 years of industry experience. The company also receives positive feedback from clients, which shows that it is a trustworthy company.
The company has an updated software setup, including EDI/ERA system integration, which allows providers to track claims in real-time. Moreover, they offer free consultations for credentialing, which help speed up provider enrollment with insurance payers.
| Best For | Mental Health Practitioners. |
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| Founded In | 2020 |
4. Evalue Medical Billing

Evalue Medical Billing is a trusted St. Louis company, providing medical revenue cycle management services. Additionally, they are dedicated to delivering billing services to multiple specialties, including Mental Health, Psychiatry, and Orthopedics.
The company makes sure that Claims are submitted daily with a high first-pass acceptance rate of 98%, which helps in speeding up reimbursements. They actively follow up on past-due claims within 30 days to maximize collections and clear old accounts receivable.
| Best For | Hospitals / Large Medical Centers |
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| Founded In | 2022 |
5. Total RCM Solutions

Total RCM Solutions is a well-known medical billing company in St. Louis with decades of experience in healthcare billing. The company specializes in billing services for specialty physician practices and ambulatory surgical centers (ASCs).
They have a 97% net collection rate, indicating fewer claim denials and minimal revenue loss. The company also maintains accounts receivable (A/R) of 30 days or less, which reduces the risk of lost revenue from denied or forgotten claims.
| Best For | Hospitals & Healthcare Organizations |
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| Founded In | 2017 |
6. Integrity Healthcare Solutions

Integrity Healthcare Solutions is also one of the leading medical billing companies in St. Louis, MO, which offers a free practice review to assess your billing needs. They also follow HIPAA guidelines to ensure the privacy, security, and proper handling of medical data.
The company ensures that claims are paid within 14–28 days to help providers get timely reimbursements and maintain a healthy cash flow. Furthermore, they offer customized monthly financial reports to help track claims and collections.
| Best For | Independent Medical Practices |
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| Founded In | 2013 |
7. Beeline Medical LLC

Beeline Medical LLC, a medical billing company based in St. Louis, delivers RCM solutions to simplify financial operations and ensure maximum reimbursements. Their certified coders ensure accurate coding aligned with the latest CPT, ICD-10, and HCPCS standards.
They perform regular internal audits to maintain accuracy and ensure compliance with CMS, which helps to reduce the risk of penalties. The company also provides real-time reporting dashboards that track billing performance and offer transparent financial visibility.
| Best For | Multi-Speciality Practices, Including Dental And Wound Care. |
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| Founded In | 2020 |
8. Medical Billing Solutions

Medical Billing Solutions is a St. Louis medical billing firm with experienced staff working in medical offices and hospitals. Moreover, the company maintains 100% customer satisfaction, which makes it a trusted partner for healthcare providers.
They manage multiple specialties, including primary care, behavioral health, and cardiology. The company also offers a CCHIT-certified, cloud-based EMR solution that supports accurate and efficient clinical documentation.
| Best For | Small To Mid‑size Medical Practices |
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| Founded In | 1998 |
9. Resilient Medical Billing Services

Resilient Medical Billing Services is a billing company in St. Louis and is recognized by the Centers for Medicare & Medicaid Services (CMS). Moreover, they offer free EMR access, which helps providers to manage patient records efficiently.
They support multi-specialties, including Urology, Oncology, and Chiropractic. Additionally, their 95%+ collection ratio and an average revenue increase of 20–25% prove their efficiency and strong performance in revenue recovery.
| Best For | Solo Practitioners And Small Clinics |
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| Founded In | 2023 |
10. Quest National Services

Quest National Services is a medical-based company in St. Louis that provides complete revenue cycle optimization. Moreover, they have a U.S.-based dedicated account manager who helps providers improve communication and resolve billing issues quickly.
They are certified by Magnus Proud Sponsor and are a Kareo Connect Premier Partner, demonstrating their commitment to high-quality medical billing services. Additionally, they increase collections by 15%, helping practices improve cash flow and maximize revenue.
| Best For | Physician‑led Medical Practices |
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| Founded In | 2008 |
How Our Editors Selected the Top Medical Billing Companies in St. Louis, MO?
Our editors selected the top medical billing companies in St. Louis, Missouri, by analyzing Yelp and Google reviews and verifying client feedback and ratings. They considered both measurable performances and the overall quality of services they offered, rather than relying on a single metric.
What are the Best Medical Billing Companies in Missouri?
The best medical billing companies in Missouri include Transcure, Midwest Core Billing, and Gateway Billing Solutions LLC. They offer billing services, including accounts receivable management, follow-up on unpaid claims, and denial management solutions for practices in multiple medical specialties.
What are the Benefits of Outsourcing Medical Billing in St. Louis, MO?
Outsourcing medical billing in St. Louis, Missouri, helps practices save money by eliminating the need to manage an internal team. It can reduce billing costs by 20–30% or more. Professional billing providers employ trained coders to achieve an accuracy of around 99%, which lowers claim denials.
How to Choose a Medical Billing Company in St. Louis, MO?
To choose a medical billing company in St. Louis, Missouri, review the company’s online ratings and client feedback to evaluate its reputation. Make sure they have proven expertise in your medical specialty, use the latest billing technology, and comply with standards such as HIPAA.
What Percentage Do Medical Billers Take in St. Louis, MO?
Medical billing companies in St. Louis, Missouri, typically charge between 4% and 10% of the AR recovered. Local billing companies may charge around 5% to 12% of collected revenue, depending on the level of support the practice requires.
Which is the Best Medical Billing Company in St. Louis, MO?
Transcure is the best medical billing company in St. Louis, Missouri, which offers AI-powered billing and revenue management services. It’s 99.99% clean claim accuracy, claim denial rate of just 1%, and a 24/7 reporting dashboard make it a trusted choice for healthcare practices.
What are the Five Best Medical Billing Companies in St. Louis, MO?
The five best medical billing companies in St. Louis, Missouri, are Transcure, Precision Medical Billing, Gateway Billing Solutions LLC, Evalue Medical Billing, and Total RCM Solutions. These providers offer full billing support while ensuring HIPAA compliance and following all billing regulations.
What Factors Should I Consider Before Hiring a Medical Billing Company in St. Louis, MO?
Before hiring a medical billing company in St. Louis, Missouri, consider their experience, specialty expertise, and ability to integrate with your existing EHR/EMR system. Check their claims accuracy, denial management, client support, HIPAA compliance, and reviews to ensure they can boost your financial performance.



