10 Trusted Medical Billing Companies in Vermont

Vermont is actively moving payment models toward statewide value-based care, from All-Payer ACO to the federal AHEAD model. Although the new model doesn’t take full legal effect until January 1, 2027, most healthcare providers are actively adopting it, as per VermontBiz. 

According to Becker’s Payer Issues, nearly 40% of the state’s population is enrolled in Medicaid and Medicare. So, an already complex in-house billing scenario becomes almost impossible for practices due to the new model requiring analytics, reconciliations, and new reporting.

All these pressures make outsourcing revenue cycle management an increasingly practical choice for providers in Vermont. To help clinics out, the following are the top 10 medical billing companies in Vermont that they can trust: 

1. Transcure
2. Mid Vermont Medical Billing
3. Northeast Medical Practice Management
4. Syndetic Inc
5. OpticXpress
6. Medical Business Services, LLC (MBS)
7. MBA HealthGroup
8. Capstone Medical Billing LLC
9. Bottom Line Consulting
10. Adirondack Billing & Credentialing

With those evaluation criteria in mind, let’s start with the first medical billing company, Transcure, that stands out for serving healthcare practices in Vermont.

1. Transcure

Transcure is a medical billing company in Vermont that blends experienced professionals with cutting‑edge technology for local practices. This includes our dedicated AI agents for key steps of the revenue cycle management (RCM) process. 

These agents automate tasks from insurance eligibility checks and claim scrubbing to denial analytics and A/R follow‑up. All this happens under the strict supervision of over 1,100 certified billers and coders, achieving less than 1% denial rate and over 99% clean claim pass rate. 

Practices that adopt our AI‑driven RCM tools see up to a 20% rise in their revenue within months, and more than 96% of their payments are collected. With real‑time dashboards and transparent reporting, your practice gains financial visibility while scaling with confidence.

Best For	Practices seeking AI‑enhanced revenue cycle automation with hands‑on support
Key Highlights	Serves 40+ specialties Credentialing (free with full service) MIPS reporting and consulting services 24 days A/R recovery Work with all major EHR/EMR Medical billing audit services Adhered to both SOC-1 and SOC-2
Founded In	2002

2. Mid Vermont Medical Billing

Mid Vermont Medical Billing is a Vermont medical billing company dedicated to helping local practices improve efficiency and get paid faster by insurance companies. Mid‑Vermont focuses on cost‑effective billing solutions to reduce administrative overhead.

They have supported practices for 20+ years, serving multiple specialties including internal medicine, OB/GYN, neurology, dermatology, and more. This means your practice benefits from deep and specialty‑relevant billing expertise tailored to local payer requirements. 

Best For	Practices wanting personalized medical billing support in Vermont
Key Highlights	Vermont‑based billing team Low‑cost billing solutions Handles denied claims follow‑up Monthly financial reports Patient billing services
Founded In	2005

3. Northeast Medical Practice Management

Northeast Medical Practice Management (NMPM) is a medical billing agency that Vermont practices hire for management and medical billing partnership. Founded by independent primary care physicians, the company was built to deliver high‑quality administrative services.

This means you get insider expertise from professionals who have walked in your shoes. NMPM helps practices reduce billing errors and speed up reimbursements, giving providers more time to care for patients.

Best For	Practices that value local billing and management support
Key Highlights	Personalized practice support Local payer communications Financial reporting focus Bookkeeping services and financial reporting Coding education and audits
Founded In	2009

4. Syndetic Inc.

Syndetic Inc. is a medical billing firm in Vermont that is focused on simplifying the administrative side of running a healthcare practice. With an A+ Better Business Bureau rating, the company manages claims processing, follows up with insurance carriers, and tracks payments. 

All of which help practices improve cash flow and reduce internal workload. Syndetic typically charges about 5% to 7% of monthly income, with no long‑term contracts or setup fees. This makes it a flexible and transparent option for practices looking to control costs. 

Best For	Practices seeking transparent, flexible, and local billing support
Key Highlights	Supports audit responses One-time $100 setup fee Compliance with HIPAA and NPI Patient collection services Credentialing and CAQH setup
Founded In	1998

5. OpticXpress

OpticXpress specializes in optometric medical billing and practice support, focusing on helping eye care practices in Vermont. With over 40 years of combined industry experience, the company serves by submitting claims, reconciling payments, and handling denied claims.

They also offer coding tools, like their EyeCOR software, to help ensure accurate and compliant coding. OpticXpress also acts as its own clearinghouse and offers free practice management software or preferred EMR pricing, giving practices tools that fit their needs without extra fees.

Best For	Eye care practices seeking optometry‑focused billing and coding expertise
Key Highlights	10% to 25% above industry collections Denied claims handling Promise to make an impact in 90 days Officemate integration Patient invoicing services
Founded In	1993

6. Medical Business Services, LLC (MBS)

Based in Essex Junction, VT, Medical Business Services, LLC (MBS), focuses on billing for Emergency Medical Service (EMS) providers across Northern New England. Their specialization means they deeply understand the unique payer rules and state‑specific billing requirements.

This helps maximize revenue from ambulance and emergency services claims with fewer denials and accurate reimbursements. MBS draws on decades of EMS consulting experience to offer customized billing workflows and analytic reporting that support financial planning. 

Best For	EMS practices needing specialized and region‑focused billing expertise
Key Highlights	Regional reimbursement knowledge Data analytics support Close client relationships Customizable processes and reports Regulatory training
Founded In	2011

7. MBA HealthGroup

MBA HealthGroup is a full‑service medical billing provider that Vermont healthcare practices employ to maximize financial performance. They work with thousands of providers nationwide and leverage deep expertise in systems like AdvancedMD, Allscripts, Cerner, Epic, and more.

This Vermont medical billing company allows effortless integration with your EHR and practice management software. MBA HealthGroup reports an average 99.7% adjusted collections rate and a 15% decrease in denials.

Best For	Practices needing integrated billing and RCM with tech optimization
Key Highlights	End‑to‑end RCM services Practice optimization support 15% long‑term increase in collections Practice consulting and optimization services Average 30 days in A/R
Founded In	2000

8. Capstone Medical Billing LLC

Capstone Medical Billing LLC is a Vermont medical billing firm that focuses on helping practices using eClinicalWorks software. They handle all core billing tasks from claims submission and clearinghouse rejection management to denied claim resolution.

This means your team can focus more on patient care while billing specialists optimize reimbursements. Capstone charges a transparent fee of 5% of collected revenue, with no minimum monthly fees or long‑term contracts. 

Best For	Practices using eClinicalWorks seeking tailored billing support
Key Highlights	Free billing workflow review Handles AR and denials Identify revenue leaks Fee schedule maintenance Month‑end reporting
Founded In	2023

9. Bottom Line Consulting

Bottom Line Consulting (BLC) is a medical billing provider that Vermont independent practices hire to improve profitability and reduce administrative burden. Their approach combines cloud‑based billing services with practice performance insights.

This means you get claims submitted and tracked from submission through payment posting, along with regular financial reports. BLC’s clients often achieve a remarkably low 2% claims denial rate, far below the industry average of around 30%. 

Best For	Practices seeking cloud‑based billing with financial performance insight
Key Highlights	24/7 billing data access Free practice analysis End‑to‑end RCM services Audit support and risk management Special focus on Medicaid and Medicare
Founded In	2013

10. Adirondack Billing & Credentialing

Adirondack Billing & Credentialing is a medical billing service provider specializing in comprehensive revenue cycle management. Their goal is to help practices reduce administrative burden and get reimbursed more reliably. 

With over 30 years of industry experience focused on Medicare and Medicaid services and outpatient billing, they bring deep expertise. Their percentage‑based pricing model means you pay only when you get paid, which can make billing more cost‑effective.

Best For	Practices seeking billing and credentialing services with Medicare/Medicaid focus
Key Highlights	Credentialing and eligibility support HIPAA‑compliant processes Electronic billing services Focus on mental health practices Ensure confidentiality and compliance
Founded In	2023

How Our Editors Selected the Top Medical Billing Companies in Vermont?

Our editors compiled this list by thoroughly reviewing Google Business Profile, Yelp, Google SERPs, and other reputable sources, evaluating companies based on service quality and local presence. Only firms consistently recognized for reliability, accuracy, and efficiency in Vermont’s medical billing industry were included.

What Are the Best Medical Billing Companies in the USA?

Some of the best medical billing companies in the USA include Transcure, known for its AI‑driven revenue cycle management that boosts claim accuracy and speeds reimbursements. Others are Med USA, Practolytics, and Provider Care Billing, recognized for reliable billing services and helping practices maximize revenue nationwide.

What Are the Benefits of Outsourcing Medical Billing in Vermont?

Outsourcing medical billing in Vermont helps practices save time, reduce administrative errors, and accelerate reimbursements, allowing staff to focus on patient care. It also provides expertise in local payer rules, compliance, and revenue optimization, boosting financial performance and overall operational efficiency.

How To Choose a Medical Billing Company in Vermont?

When choosing a medical billing company in Vermont, consider accuracy, experience with your specialty, and familiarity with local insurance regulations. Also evaluate technology integration, transparency in fees, and client support, ensuring the partner can streamline revenue cycles while enhancing your practice’s financial efficiency.

What Percentage Do Medical Billers Take in Vermont?

In Vermont, medical billers typically charge 8% to 10% for the complete billing process. Lower rates of 2% to 4% often exclude parts of the revenue cycle or have hidden conditions. Transcure, by contrast, charges only 5% of monthly collections for the entire RCM process, providing full transparency and comprehensive service.

Which Is the Best Medical Billing Company in Vermont?

The best medical billing company in Vermont is Transcure, thanks to its AI‑driven RCM solutions, dedicated certified billers, and transparent 5% fee for the complete billing process. Practices benefit from higher claim accuracy, faster reimbursements, and comprehensive support, making it ideal for streamlining revenue cycles efficiently.

What Are the 5 Best Medical Billing Companies in Vermont?

The five best medical billing companies in Vermont are:

1. Transcure: AI‑driven RCM with dedicated certified billers and full-service billing at a transparent 5% fee.
2. Mid Vermont Medical Billing: Local billing support with multi-specialty expertise.
3. Northeast Medical Practice Management (NMPM): Physician-founded team offering hands-on, customized billing solutions.
4. Syndetic Inc: Flexible and transparent billing with a strong BBB reputation and audit support.
5. OpticXpress: Optometry-focused billing, EyeCOR coding software, and above-average collection rates.

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

Before hiring a medical billing company in Vermont, consider accuracy, experience with your specialty, and knowledge of local payer rules. Also, evaluate technology integration, pricing transparency, customer support, and the ability to handle end-to-end RCM, ensuring your practice maximizes revenue while minimizing administrative burden.