Top 10 Medical Billing Companies in South Dakota

South Dakota’s healthcare billing landscape is shaped by a diverse insurance payer mix. 51.8% of residents rely on employer-sponsored insurance, while 14.7–15.4% are covered by Medicaid, 18.7–18.8% depend on Medicare, and nearly 8–8.5% remain uninsured. This mix of commercial, government, and self-pay patients creates added complexity in medical billing, as each payer follows different rules.

For healthcare providers across South Dakota, managing these variations efficiently has made outsourcing medical billing to specialized companies an increasingly practical solution. This listicle serves as a guide to the top medical billing companies in South Dakota, helping practices choose reliable partners.

1. Transcure
2. West River Medical Billing LLC
3. Maximum Medical Billing Services
4. DT-Trak Consulting
5. PrimeCare Medical Billing Services LLC
6. Resolve Medical Billing
7. CBS Medical Billing & Consulting LLC
8. Wesdak Medical Billing
9. Synergy HCLS
10. Partners Medical Consulting

1. Transcure

Transcure is the top-rated medical billing company in South Dakota, known for its AI-agentic billing services and an impressive 99.99% clean claim accuracy. Our 7 AI agents automate repetitive RCM tasks, resulting in a 15-20 % revenue boost. These agents handle eligibility verification, prior authorizations, coding, claim scrubbing, denial management, and payment posting.

Moreover, we provide end-to-end billing services for more than 40+ medical specialities, including OB/GYN, Neurology, Orthopedics, and Podiatry. Our team of 1100+ AAPC/AHMA certified coders & billers is well-versed in South Dakota–specific billing regulations, payer requirements, and compliance standards.

Best For	Small Practices Hospitals and Health Systems Medical Group Practices Physicians from Every Specialty Urgent Care Centers Surgical Centers
Key Strengths	HIPAA-compliant medical billing services MIPS Reporting Free Consultation & Demo Complimentary Credentialing & Old AR Recovery Reduce claim denials to 1% Dedicated Account Management Billing Across 32+ Major EHR Software Daily, weekly, and monthly analytics reporting 30% Reduction in AR 99% Customer Retention
Experience	23 years

2. West River Medical Billing LLC

West River Medical Billing, based in Rapid City, South Dakota, provides reliable medical billing, coding, and credentialing services for healthcare providers across the region. The company submits claims to Medicare, Medicaid, and all major insurance payers.

In addition to billing and coding, West River Medical Billing offers credentialing support using systems like CAQH and PECOS, helping providers join insurance networks. Their services support nine medical specialties, including Family Medicine, OB/GYN, Psychiatry, and Physical Therapy.

Best For	Small to mid-sized practices.
Key Strengths	Compliance with current ICD-10 coding guidelines Supports Major Insurance Companies Patient statements Electronic filing
Experience	7 Years

3. Maximum Medical Billing Services

Maximum Billing is a full-service medical billing, coding, and collections agency founded in 2008. The company specializes in services such as professional medical billing, coding optimization, electronic claim submission, accounts receivable follow-ups, and practice management support.

Staffed with CPC and ICD-10 certified professionals, Maximum Billing ensures compliance with industry standards and payer requirements. Additionally, they provide free practice management software with EHR access, reporting tools, and 24/7 availability.

Best For	Healthcare practices seeking comprehensive billing, coding, claims management, and 24/7 practice management support.
Key Strengths	Billing Fee Analysis AAPC, AHIMA, NCCT Certified Team Patient account follow-ups & unpaid claim collections Credentialing assistance
Experience	17 Years

4. DT-Trak Consulting

DT-Trak Consulting is a full-service South Dakota medical billing firm offering healthcare staffing, revenue cycle management (RCM), IT solutions, and office/facility supplies. This company has served numerous government agencies and departments, including the Department of Defense, the Marine Corps, and the Federal Aviation Administration.

DT-Trak is ISO and ISBEE certified, and has a 4.8-star rating on Google with several positive reviews. Furthermore, their team of highly qualified and certified coders ensures compliant medical coding.

Best For	Healthcare facilities, government agencies, and clinics looking for a full-service medical billing solution
Key Strengths	Keep your staff up-to-date on the latest regulations Highly qualified and certified coders Compliance auditing services Nationwide & Federal Experience
Experience	23 Years

5. PrimeCare Medical Billing Services LLC

South Dakota practices can take billing services from PrimeCare MBS, as they offer claim preparation, charge entry, and denial review. They also verify eligibility and benefits up front, so fewer claims are rejected due to insurance issues.

Beyond billing basics, PrimeCare offers coding services, provider credentialing, prior authorization assistance, and a flexible “FTE billing” model. Their pricing is competitive, and they prioritize customized workflows for the unique payer rules of 40+ specialties.

Best For	Full-spectrum billing and coding support
Key Strengths	FTE model option for practice support Specialties Billing and credentialing expertise Services in all 50 states HIPAA Compliant Billing
Experience	10+ Years

6. Resolve Medical Billing

Resolve Medical Billing is a South Dakota-based medical billing company dedicated to providing reliable revenue cycle management solutions. They specialize in outsourced insurance billing, including correct coding and adherence to state insurance, Medicare, and Medicaid guidelines.

Resolve Medical Billing also monitors fee schedule updates to maximize reimbursements for their clients. Their services include contracted medical billing, insurance credentialing with Medicare, Medicaid, and private insurers, and virtual IT support for practice management.

Best For	Small practices that need help with insurance credentialing and medical billing.
Key Highlights	Monthly aging reports and patient statements 4.9-star rating on Google Medical billing consultation to train in-house billers Accurate coding and compliance
Experience	10+ years

7. CBS Medical Billing & Consulting LLC

CBS Medical Billing & Consulting offers comprehensive billing and revenue cycle services for medical practices of various sizes. Their solutions cover every aspect of billing, from claims submission to denial management to accounts receivable follow-up.

What sets this company apart from other medical billing companies in Nevada is its prompt claim submission and follow-up. Once a claim is filed, CBS diligently tracks its progress every 15 days on behalf of the practice until payment is received.

Best For	Solo practitioners & small clinics Groups With Specialties (Chiropractic, Orthopedic, Dental, Mental Health, OBGYN, and more)
Key Strengths	Compliance consulting services. Medical claims scrubbing Weekly account review calls Handles Balance Billing
Experience	15+ Years

8. Wesdak Medical Billing

Wesdak Medical Billing, founded in 2003 and based in Rapid City, SD, provides modern, comprehensive medical billing services. The company specializes in managing accounts receivable, electronic claims processing for Medicare, Medicaid, Tricare, and commercial insurers, and accurate coding using CPT and ICD-10 standards.

Wesdak offers clients 24/7 access to their financial data through advanced billing software. Their team stays up-to-date with industry changes to maximize reimbursements, maintain compliance, and streamline practice operations.

Best For	Mental health offices, chiropractors, and physical therapists
Key Strengths	BBB-accredited Affiliated with AMBA Suitable for practices of all sizes Percentage Collection Model
Experience	22 Years

9. Synergy HCLS

Synergy Healthcare RCM is a leading provider of medical billing and revenue cycle management services in South Dakota, helping healthcare providers across the USA. The company offers end-to-end solutions, including medical coding, billing, accounts receivable management, payment posting, and physician credentialing.

Their certified coders and billing specialists ensure accurate claim submissions using ICD-10, CPT, HCPCS, and DRG standards. By outsourcing RCM services to Synergy, providers increase revenue by up to 30%.

Best For	Specialty Providers, including anesthesia, cardiology, orthopedics, behavioral health, and primary care
Key Highlights	Dedicated AR Teams Billing across 8 Medical Specialties Flexible Pricing Models HIPAA-Compliant Processes
Experience	25 years

10. Partners Medical Consulting

Partners Medical Consulting (PMC) provides comprehensive healthcare financial services, including Revenue Cycle Management (RCM), clinical consulting, bookkeeping, and finance support. Their focus is on partnering with clients to streamline billing operations and ensure compliance with evolving healthcare regulations.

PMC offers end-to-end revenue cycle solutions, including accurate charge capture, daily electronic claim submission, payment posting, and proactive denial management. They recommend annual reviews and periodic audits to prevent rejected claims and lost revenue.

Best For	Surgery centers and hospitals
Key Strengths	Offers daily electronic claim submission Manages co-pays, deductibles, and co-insurance Customized service agreements Keeps practices current with rapidly changing healthcare regulations and industry standards
Experience	15 Years

How Our Editors Selected the Top Medical Billing Companies in South Dakota?

To help you select the top medical billing companies in South Dakota, our editor evaluated Google ratings, client testimonials, and overall service performance. Each billing partner was assessed for accuracy, compliance, specialty expertise, and responsiveness. After that, only the most reliable and results-driven medical billing firms in South Dakota were selected.

What are the best medical billing companies in the United States?

Transcure is ranked among the top medical billing companies in the United States alongside industry leaders such as CBS Medical Billing, Med USA, Provider Care Billing, and Practolytics. These trusted billing partners deliver comprehensive revenue cycle management, insurance verification, and specialty-focused billing services.

What are the benefits of outsourcing medical billing in South Dakota?

In South Dakota, many healthcare providers are turning to professional medical billing companies to reduce claim errors and accelerate reimbursements. Outsourcing gives practices access to expert coders who ensure clean claim submission and help strengthen payer negotiations. It also eliminates the high cost of maintaining an in-house billing team, making it a more affordable and efficient option. As a result, South Dakota practices can improve revenue performance while focusing more on patient care.

What percentage do medical billers take in South Dakota?

Medical billing companies in South Dakota typically charge between 6% and 10% of a practice’s monthly collections, though some firms may use per-claim or hybrid pricing structures. Transcure remains an industry standout by offering a competitive 5% billing rate, along with free credentialing support, detailed performance audits, and fully transparent billing practices with no hidden fees.

Which is the best medical billing company in South Dakota?

Transcure is widely regarded as the best medical billing company in South Dakota, known for its accuracy, automation-driven workflows, and 23+ years of industry experience. The company delivers full-service revenue cycle management, including credentialing, charge entry, denial management, and claim submission. Its certified billing experts support more than 40 medical specialties and integrate seamlessly with 32+ major EMR platforms, making Transcure the top choice for practices across South Dakota.

What are the five best medical billing companies in South Dakota?

The five best medical billing companies in South Dakota are as follows:

1. Transcure: AI-powered billing services with a 99.99% clean claim rate, 24/7 reporting dashboard, and nearly 0 claim denials make it a preferred choice among South Dakota practices.
2. West River Medical Billing LLC: Provides billing, coding, and credentialing services for small to mid-sized practices across South Dakota with support for major insurance payers.
3. Maximum Medical Billing Services: Offers comprehensive medical billing, coding, claims management, and 24/7 practice management support for healthcare practices nationwide.
4. DT-Trak Consulting: Full-service medical billing and RCM firm serving healthcare facilities and government agencies, with certified coders and compliance auditing expertise.
5. PrimeCare Medical Billing Services LLC: Delivers end-to-end billing, coding, credentialing, and prior authorization support with flexible FTE models for practices across all 50 states.

What factors should I consider before hiring a medical billing company in South Dakota?

Before choosing a medical billing company in South Dakota, review their experience with your specialty and their ability to manage the full revenue cycle efficiently. Confirm they follow HIPAA regulations, use automation or advanced tools to reduce errors, and maintain strong payer follow-up. It’s also essential to look for transparent reporting, competitive pricing, and dedicated account support.