Summary: “Transcure leads the list of top medical billing companies in Tennessee, offering AI-driven RCM, credentialing, and specialty-focused billing services. Other leading firms like Coderite Billing Services, Healthcare Billing Solutions, and Advanced Medical Billing help practices reduce denials, ensure accurate claim submissions, optimize reimbursements, and maintain efficient revenue cycles across multiple specialties.”
Tennessee is home to about 7.3 million residents and 19,267 active physicians, whose claims run through TennCare and BlueCross BlueShield of Tennessee. Since April 1, 2026, BlueCross accepts appeals and reconsiderations only through Availity, not by fax, mail, or email.
TennCare members belong to BlueCare Tennessee, UnitedHealthcare Community Plan, or Wellpoint, and each plan sets its own fee schedule and prior authorization rules. January 2027 adds BlueCross electronic prior authorization inside EHRs and a 12-month limit on Medicare Advantage corrected claims.
The right TN medical billing company files BlueCross appeals through Availity, tracks each TennCare plan separately, and has January workflows ready. Every appeal sent by fax or filed late becomes rework, and January is weeks away.
Here are the 10 best providers of medical billing services in Tennessee, ranked by what sets each one apart.
| Company | Rating | Core Strengths |
|---|---|---|
Transcure
|
Core Strengths: TennCare-focused reimbursement desk, 1,100+ certified billers and coders, direct payer relations with BCBS, UHC, Cigna, and Aetna, real-time TN dashboards | |
Code Rite Billing Services
|
Core Strengths: Certified professional coders on staff, annual diagnosis and procedure code audit, HIPAA and OIG compliant | |
Healthcare Billing Solutions, Inc.
|
Core Strengths: Licensed CPA on staff, Medisoft with TriZetto clearinghouse, Code Correct coding intelligence | |
Advanced Medical Billing, LLC
|
Core Strengths: One-stop revenue cycle management, one exclusive team member per client, 98% claim acceptance rate | |
Exceptional Medical Billing & Consulting Group
|
Core Strengths: Data-driven revenue tracking, weekly calls with a familiar contact, works inside the practice’s EMR | |
Medical Billing Services of Tennessee
|
Core Strengths: Credentialing, medical billing, consulting, and A/R management under one roof, free consultation offer | |
Socius Medical Billing Services
|
Core Strengths: Real-time claim submission, one to two-week average EOB turnaround, on-site account checkups | |
P & P Medical Billing, LLC
|
Core Strengths: Electronic claim submission, review of rejected claims and denials, providers of every specialty | |
MillerMed Billing, LLC
|
Core Strengths: One-on-one support, TriZetto clearinghouse reporting, remote service for practices nationwide | |
Cordova Medical Claims Solutions
|
Core Strengths: Individual and small group practices, credentialing with weekly updates, CodeMAXX certified coders |
Each entry below covers what the company offers, who it serves, and what it publishes about results.
Transcure delivers medical billing services to Tennessee practices through a TennCare-focused reimbursement desk and 1,100+ certified billers and coders. Our team tracks TennCare policies and commercial payer updates to keep claims accurate and payments on schedule.
We use DEXA, our AI denial agent, to spot denial patterns and draft appeal letters that cut A/R by 30 percent. Our certified coders work with CODIN, our AI coding agent, to assign accurate codes and flag upcoding risks before claims go out.
Additionally, Transcure’s team works directly with major payers to resolve claim issues and hold A/R days at 24. For specialty claim types, we apply the correct fee schedules and appeal underpayments to protect reimbursement.
Our real-time dashboards show denial rates, authorization results, and A/R aging, giving owners clear numbers. When a payer runs late, we follow up and close billing gaps to lift revenue by approximately 20%.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services |
|
| Experience | Over 24 Years |
2. Code Rite Billing Services
Code Rite Billing Services is a reliable medical billing provider in Tennessee offering comprehensive coding support and electronic claims submission. Their certified coders validate CPT and ICD-10 codes, reduce common billing mistakes, and ensure every claim meets payer requirements.
Moreover, they accelerate reimbursement, helping practices minimize denials and maintain efficient financial operations across multiple specialties. They also manage patient statements, EOB postings, and inquiries, reducing administrative pressure.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Physician credentialing, electronic claims submission, CPT coding consultation, claims status and management reporting, annual code audit, patient statements, EOB and patient payment posting |
| Experience | 14 Years |
3. Healthcare Billing Solutions, Inc.
Healthcare Billing Solutions, Inc., as a TN medical billing firm, provides insurance and patient billing services. Additionally, they also provide monthly statements, CPT and ICD-10 coding, and electronic claims submission through TriZetto.
They manage secondary and tertiary insurance filing while offering monthly management reports to keep practices informed. Their team supports providers by efficiently handling billing tasks so clinicians can focus on patient care, using reliable systems like Medisoft for accurate, compliant claim processing.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Insurance and patient billing, secondary and tertiary claims filing, monthly patient statements, monthly management reports, credentialing and re-credentialing, CAQH monitoring |
| Experience | 20+ Years |
4. Advanced Medical Billing, LLC
Advanced Medical Billing, LLC runs complete revenue cycle management from Jackson, Tennessee, so practices can focus on patient care. Its coders handle medical billing and coding, paying close attention to small mistakes that delay payment. When errors persist, the team runs staff training sessions to fix them.
The company processes insurance claims and manages denials to keep records accurate. Its credentialing and contracting service lays the groundwork for payer relationships at new clinics. For every client, the company assigns one dedicated team member to answer questions and send reports on request.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Revenue cycle management, medical billing and coding, claim processing, denial management, credentialing and contracting, patient statements, revenue consulting, and office staff training |
| Experience | 20+ Years |
5. Exceptional Medical Billing & Consulting Group
Exceptional Medical Billing and Consulting Group is a data-driven medical billing agency that Tennessee providers rely on for precise RCM support. Their team manages claim submissions, denial reduction, telehealth billing, and collections using analytics-backed processes to ensure cleaner claims and transparent reporting.
The company also supports physicians with comprehensive credentialing and ongoing benefit verification. Their specialists stay involved at every stage of the revenue cycle, helping practices eliminate losses and maintain steady cash flow.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | RCM, claims processing, credentialing, contracting and rate negotiation, HIPAA compliance, collection agency services, healthcare consulting, EMR solutions, and virtual RN support |
| Experience | 21+ Years |
6. Medical Billing Services of Tennessee
Medical Billing of Tennessee supports practices with billing and compliance to cut administrative burden. Its team processes claims to ensure timely payments and maximize reimbursements. From its Cleveland office, the company handles insurance claims through patient billing, letting practices focus on patient care.
Under one roof, the company’s credentialing service keeps providers enrolled with payers. Its consulting service helps practices streamline operations and improve revenue cycle management.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Credentialing, medical coding, medical billing, consulting, accounts receivable management, claims processing, patient billing, and compliance support |
| Experience | 20+ Years |
7. Socius Medical Billing Services
Family-owned Socius Medical Billing Services submits claims in real time from Sparta, Tennessee, to shorten insurance payment cycles. Its Medisoft billing software supports an average EOB turnaround of one to two weeks.
On-site, the company’s account checkups review accounts and supporting records on a schedule that suits the practice. It also offers credentialing services to enroll providers with Medicare, TennCare, BCBS, and commercial plans.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Medical billing, real-time claim submission, provider credentialing, rejected claim management, account checkups, custom medical forms, and secure document storage |
| Experience | 16 Years |
8. P & P Medical Billing, LLC
P & P Medical Billing, LLC is a trusted medical billing outsourcing company in TN, offering specialized billing solutions for healthcare providers. They assist providers of every specialty nationwide, from Murfreesboro, to simplify billing.
Its team verifies eligibility and benefits before claims go out to prevent avoidable rejections. Once verified, the company submits primary and secondary claims electronically and on time. Beyond claims, its advisory services guide providers on billing operations to strengthen revenue.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Eligibility and benefits verification, primary and secondary claim submission, electronic and paper claim submission, rejected claim and denial resubmission, and advisory services |
| Experience | 9 Years |
9. MillerMed Billing, LLC
MillerMed Billing, LLC is led by AAPC-certified Jessica Miller to give practices one-on-one billing support. Its claim submission and management monitors claim status to resolve issues before they become costly delays.
Through the TriZetto clearinghouse, the company pulls special reports to cut payer rejections. It also investigates denials, corrects claim errors, and files appeals to recover outstanding reimbursements. For new practices, its billing consulting guides setup or a billing transition to strengthen finances.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Claim submission and management, denial management and appeals, revenue cycle optimization, accounts receivable management, patient billing support, and billing consulting |
| Experience | 2 Years |
10. Cordova Medical Claims Solutions
Cordova Medical Claims Solutions processes primary, secondary, and tertiary claims to protect cash flow. Its team sends Letters of Medical Necessity on unpaid claims to support payment. Behind each claim, the company posts payments to insurance and patient accounts.
The company’s physician credentialing team sends weekly progress updates and written reports until each application is complete. Its CodeMAXX service assigns certified professional coders to encounter notes to prevent claim denials. On request, the company runs workers’ compensation, rehab, and DME claims with attachments to avoid rejections.
| Category | Detail |
|---|---|
| Key Highlights |
|
| Major Services | Medical billing and practice management, claim processing, payment posting, unpaid claim follow-up, patient statements, physician credentialing, CodeMAXX coding, electronic fund transfer |
| Experience | 4 Years |
How Did Our Editors Select the Best Medical Billing Companies in Tennessee?
Our editors started with client reviews on Google, Yelp, and similar sites, plus named testimonials, to see how each company handles denials, communication, and payments. Next, we checked each company’s Tennessee footprint, from Memphis and Jackson in the west to Johnson City in the east.
Working knowledge of BlueCare Tennessee, UnitedHealthcare Community Plan, and Wellpoint carried heavy weight, since each TennCare plan sets its own fee schedule and rules. Readiness for the BlueCross BlueShield of Tennessee Availity appeals rule and its January 2027 changes decided close calls.
We confirmed each company provides medical billing services to TN practices, then ranked them by services, specialties, and contract terms. Companies in Murfreesboro, Cleveland, Sparta, and Lakeland made the list alongside firms in Memphis and Johnson City.
Which Factors to Consider Before Choosing a Medical Billing Company in TN?
Switching billers mid-year disrupts cash flow, so make sure the company you choose understands how Tennessee claims actually get paid. With payer rules changing in January, a company’s answers now show how it will handle the year ahead.
TennCare Plan Expertise
Ask how the company bills BlueCare Tennessee, UnitedHealthcare Community Plan, and Wellpoint, since each plan has its own fee schedule and prior authorization rules. A strong answer covers separate credentialing with each plan and plan-specific portals.
BlueCross Appeals and January 2027 Readiness
Ask who files BlueCross appeals in Availity now that fax, mail, and email are closed. Look for a company with a plan for January 2027, when electronic prior authorization in EHRs begins, and Medicare Advantage corrected claims carry a 12-month limit.
Specialty Depth and Software Fit
Choose a team that knows your specialty and works inside your EHR or practice management system. Ask for Tennessee client references and proof that coders hold current certification, as Transcure does. In fact, we handle over 40+ specialties and have working knowledge of 40+ EHR and EMR systems.
Pricing, Contract Terms, and Reporting
Compare fee models, such as a percentage of collections, a flat monthly rate, or per-claim pricing, and ask about contract length and exit terms. Request sample reports on collections, denials, and A/R aging before signing. At Transcure, we charge only 5% of collections per month, and only after we successfully collect money from insurance.
FAQs
What Is the Best Medical Billing Company in the U.S.?
Transcure is recognized as one of the top medical billing companies in the USA. It has a 98% first-pass claim rate, a proven track record of reducing AR by 30%, and has processed over $500 million in claims.
Other names include CBS Medical Billing, Med USA, Provider Care Billing, and Practolytics. These highly rated billing partners offer full revenue cycle management, insurance verification, and specialty-specific billing services.
What Percentage Do Medical Billers Take in Tennessee?
Medical billing companies in Tennessee typically charge 6% to 10% of monthly revenue collected, though some offer alternative per-claim pricing structures. In contrast, Transcure includes added services, such as credentialing, audit assistance, and ongoing compliance support, for 5%, helping practices improve revenue while keeping overall costs more predictable and manageable.
Is Outsourcing Medical Billing Worth It in Tennessee?
Outsourcing often pays off for Tennessee practices because in-house billing comes with salary, benefits, and software costs. ZipRecruiter lists the average Tennessee medical biller salary at $38,730 a year, and a three-person team costs $150,000 plus benefits, software, and training. At 5 percent, Transcure charges about $35,000 on $700,000 in collections.
Can a Medical Billing Company Handle TennCare Claims?
Yes, a Tennessee billing company with TennCare experience bills each claim to the patient’s plan, BlueCare Tennessee, UnitedHealthcare Community Plan, or Wellpoint. Transcure verifies eligibility and plan assignment before the visit, routes prior authorizations to the correct plan, and manages appeals. Ask any company how it tracks each plan’s filing limits.
Does a Medical Billing Company Handle Credentialing in Tennessee?
Yes, many medical billing companies handle credentialing and payer enrollment for Tennessee practices. Transcure manages CAQH profiles, TennCare enrollment, and payer credentialing, and it tracks revalidation dates. A new provider cannot bill a plan until enrollment is complete, so starting early protects cash flow.
Can a Medical Billing Company Work With Your Existing EHR?
Yes, most established medical billing companies work inside leading EHR systems such as eClinicalWorks, AdvancedMD, NextGen, and athenahealth. Transcure supports 40+ EHR systems, such as Epic and CareCloud. Confirm the company supports your current system before switching to avoid migration work.
How Does Onboarding Work With a Medical Billing Company?
Onboarding starts with a kickoff call and access to the practice’s EHR. Transcure then audits current claims and aging balances, confirms TennCare enrollment and revalidation status, and refreshes CAQH profiles. We set up each plan’s workflow in parallel, so billing keeps running during the switch.
