Top 10 Medical Billing Companies in Rhode Island

Rhode Island’s health care environment is characterized by an aging population, with a significant portion enrolled in Medicare and Medicaid. Moreover, 96% of the state’s residents are insured through public or private plans, according to the Association of Health Care Journalists. 

This means practices must manage unusually complex billing workflows. At the same time, Rhode Island faces workforce shortages across primary and specialty care, as per EOHHS. That squeezes practice staff and slows revenue cycles.

Outsourcing medical billing to experienced firms offers many RI practices immediate access to specialized coding expertise and denial-management systems. The following are the top 10 medical billing companies in Rhode Island for small and large providers. 

1. Transcure
2. Accurate Billing Solutions, LLC
3. American Billing & Credentialing
4. Grey Ledge Medical Management
5. Prospect HealthCare Solutions
6. New England Medical Billing
7. Letendre Billing & Consulting, LLC
8. Coronis Health
9. Rhode Island Medical Billing Company
10. Cornerstone Billing Services

Let’s dive in and explore the first standout medical billing company in Rhode Island, Transcure, that is helping healthcare practices optimize their revenue cycles

1. Transcure

Transcure is a medical billing company in Rhode Island that offers modern revenue cycle management with advanced automation and dedicated AI agents. From eligibility verification to denial management and payment posting, our intelligent agents help practices reduce manual work and increase collections by up to 20%.

We support 500+ healthcare providers across 40+ specialties with expert medical billing and coding, and clean claim automation. Our workflows for denial management, credentialing, and tailored RCM support are designed for specialty clinics, surgery centers, and hospitals.

With 1,100+ certified billers and coders, we pair human expertise with technology to improve financial outcomes and help practices thrive. One standout stat is our 99% clean claim rate on first pass, which means fewer denials and faster payments for clinics. So, choosing Transcure means empowering your practice to operate with confidence and focus on quality care.

Best For	Practices seeking AI‑driven RCM automation that boosts revenue and reduces manual billing work.
Key Highlights	24‑day A/R recovery average Integration with 40+ EHR/EMR CCM and RPM billing experts MIPS reporting and practice consultation Analytics dashboards and weekly reporting $500M+ value of claims processed HIPAA and SOC-2 compliance
Founded In	2002

2. Accurate Billing Solutions, LLC

Accurate Billing Solutions, LLC is a Rhode Island–based medical billing company focused on helping healthcare practices get timely payments and clean claim submissions. They are primarily focused on rejected claims, allocating nearly 50% of their costs to recover denied revenue.

With 20+ years of billing experience, they pursue underpayments and timely filing to help practices receive full reimbursements. Their team also partners with providers to identify growth opportunities and workflow issues, helping practices optimize their revenue cycles. 

Best For	Practices seeking consistent reimbursements and respectful medical collections support.
Key Highlights	Aggressive underpayment pursuit Revenue optimization insights Compassionate collections approach 100% HIPAA-compliant practices Proven billing methodologies
Founded In	2004

3. American Billing & Credentialing

American Billing & Credentialing focuses on behavioral-health practices, offering end-to-end medical billing. Their team handles claims submission, follow-up, and denials while also providing practice-specific guidance to tighten workflows and improve collections. 

These services matter because faster credentialing and clean claim follow-up cut reimbursement lag and lower denial rates for small clinics. Practice owners in Rhode Island benefit from a partner who knows therapy billing rules and fights for every dollar owed.

Best For	Behavioral-health practices seeking combined billing and credentialing support
Key Highlights	Full billing and credentialing services  Practice workflow optimization Proactive payor advocacy Work with Psyquel, SimplePractice, Valant, and more USA-based, no outsourcing
Founded In	2023

4. Grey Ledge Medical Management

Grey Ledge Medical Management is a medical billing provider that Rhode Island practitioners employ as an RCM partner. They blend hands-on billing with practice consulting and EHR support. The firm claims to increase the payment per claim up to 25% and an increase of 10% to 30% in overall revenue.

This Rhode Island medical billing company has over two decades of experience and promises to lower A/R days to less than 60. That translates into steadier cash flow and less staff time chasing old claims. 

Best For	Practices wanting local RCM plus EHR support
Key Highlights	Customized RCM and consulting EHR implementation support Payer credentialing services Practice financial assessments 99%+ client approval claims (reported)
Founded In	1998

5. Prospect HealthCare Solutions

Prospect HealthCare Solutions is a medical billing agency that Rhode Island healthcare providers regularly hire for RCM services. They focus on fast reimbursements and compact pricing, with the firm advertising a competitive billing fee starting at about 2.49%.

The company also offers free eligibility checks before billing, which lowers up-front costs and cuts time spent on insurance verification for practices. Their tested workflows are designed to increase your clinic’s collections by 5% to 10% in the first three months. 

Best For	Small-to-midsize practices wanting full-service RCM
Key Highlights	End-to-end RCM suite DME and specialty billing Fast onboarding and quotes 96% claims paid at the first submission Medical scribe and virtual assistant services
Founded In	2021

6. New England Medical Billing Inc.

New England Medical Billing (NEMB) is an RCM partner serving Rhode Island and New England practices with end-to-end billing. The firm emphasizes school-based Medicaid claiming and ambulance/EMS billing, niches that require strict compliance and raise reimbursement when done right. 

NEMB offers a platform with client access and robust reporting tools that give practices clear financial visibility. This also helps reduce denials through better claim preparation and follow-up.

Best For	Practices needing school-based Medicaid or ambulance/EMS billing
Key Highlights	Specialty clinic billing services Promise to collect every available dollar Fee schedule development Interpretation and implementation of HIPAA regulations Aggregate reports on billing performance
Founded In	1990

7. Letendre Billing & Consulting, LLC

Letendre Billing & Consulting specializes in behavioral-health medical billing for therapists, psychiatrists, and nurse practitioners. This delivers focused claims work that reduces denials and speeds reimbursement for small practices. 

Their founder brings 10+ years of behavioral-health billing experience. So, clients get sector-specific coding and payer knowledge that matters for complex mental-health claims. The firm offers a free 30-minute introductory consultation to help practices assess before committing.

Best For	Behavioral-health practices needing niche billing expertise and close client support
Key Highlights	Hands-on collections support  Local Rhode Island presence Start at 6% of collected revenue $150 per payer for electronic transactions Credentialing fee of up to $200 per provider
Founded In	2024

8. Coronis Health

Coronis Health is a medical billing provider in Rhode Island that works across specialty and community practices. The company emphasizes data-driven RCM, combining AI/automation, analytics, and hands-on teams to lower denials and speed collections. 

This Rhode Island medical billing agency reports 11,000+ team members and 30+ years of experience. Coronis also offers specialty programs, including FQHCs, anesthesia, and behavioral health, that address complex local billing needs. 

Best For	Practices seeking specialty programs and local Rhode Island support
Key Highlights	31.2M+ claims processed annually  $20B+ in charges managed  Work with over 12 specialties Consulting and patient access services Weekly and monthly reports
Founded In	1981

9. Rhode Island Medical Billing Company

Rhode Island Medical Billing Company offers full-service RCM with a strong local footprint in Cranston, RI. They handle everything from billing and coding to AR and denial management, plus a 24-hour virtual patient helpdesk. 

The firm markets clear reporting tools and claims its processes can cut administrative costs and raise collections, with a 70% reduction in claim denials. They also highlight specialty coverage for cardiology, urgent care, behavioral health, hospital billing, and more.

Best For	Practices wanting an all-in-one RCM partner with a 24/7 patient helpdesk
Key Highlights	ISO-certified and HIPAA compliant 1,200 billing and coding specialists Competitive 5% billing fee Claims to boost revenue by 40% Monthly contracts with no long-term commitments
Founded In	2020

10. Cornerstone Billing Services

Cornerstone Billing Services (CBS) is a Charlestown–based medical billing firm in Rhode Island that specializes in mental-health and addiction practices. While also serving PTs, chiropractors, and other specialists, CBS offers timely electronic claims filing and a 24/7 HIPAA-compliant client portal.

CBS is locally run by owner Carol Sykes, a native of the state, making payer calls and in-state support easier for Rhode Island practices. Furthermore, they also offer practice management and credentialing services to healthcare providers. 

Best For	Mental-health and addiction practices seeking niche billing expertise
Key Highlights	Electronic claims filing services  Credentialing and re-credentialing support  Local RI payer contacts CAQH and NPI profile updates and maintenance Medicare revalidation and Medicaid renewal
Founded In	2011

How Our Editors Selected the Top Medical Billing Companies in Rhode Island?

To compile this list, our editors conducted a thorough review of GBP listings, Yelp reviews, local search results, and industry directories. We evaluated each company based on service offerings, specialty focus, client feedback, years of experience, and unique features such as AI integration or local support.

What Are the Best Medical Billing Companies in the United States?

Some of the top medical billing companies in the United States include Transcure, known for its AI-driven billing agents that streamline the RCM process and improve first-pass claim accuracy. Other leading providers are Med USA, Practolytics, and Provider Care Billing, offering full-service billing solutions.

What Are the Benefits of Outsourcing Medical Billing in Rhode Island?

Outsourcing medical billing in Rhode Island helps healthcare practices save time, reduce administrative burdens, and improve cash flow. Professional billing companies handle claims, follow-ups, denials, and payer credentialing, ensuring faster reimbursements and fewer errors.

How To Choose a Medical Billing Company in Rhode Island?

Selecting the right medical billing company in Rhode Island requires assessing experience and specialization. Check for technology and automation, like AI tools or client portals, and confirm compliance and security standards, including HIPAA adherence, to protect patient data. 

What Percentage Do Medical Billers Take in Rhode Island?

In Rhode Island, medical billers typically charge 8% to 10% of monthly collections for handling the complete billing process. Transcure, for example, charges only 5% of monthly payer collections while covering the entire RCM process.

Which Is the Best Medical Billing Company in Rhode Island?

When it comes to overall performance, Transcure stands out as the best medical billing company in Rhode Island. It is known for its AI‑driven billing agents, high first‑pass clean claim rates, deep specialty coverage, and strong revenue cycle expertise.

What Are the 5 Best Medical Billing Companies in Rhode Island?

Here are five of the top medical billing companies serving practices in Rhode Island, chosen for their expertise, services, and proven value:

1. Transcure: AI‑driven billing with strong revenue cycle results.
2. Accurate Billing Solutions, LLC: Longstanding, accurate billing experts.
3. American Billing & Credentialing: Behavioral‑health billing and credentialing.
4. Grey Ledge Medical Management: Local RCM plus EHR support.
5. Prospect HealthCare Solutions: Low‑fee, full‑service billing solutions.

What Factors Should I Consider Before Hiring a Medical Billing Company in Rhode Island?

Consider the company’s specialty expertise, pricing transparency, technology tools, denial management strength, credentialing support, compliance standards, and local payer knowledge. These factors ensure reliable reimbursements, fewer errors, and smoother revenue cycle performance.