Did you know North Carolina has consistently faced challenges in healthcare accessibility? It has been ranked the 10th-worst state in the U.S. for healthcare accessibility.
Undoubtedly, the ranking was a result of a bad healthcare system in major cities like Raleigh.
For healthcare providers, these challenges are compounded by the demanding and often intricate world of medical billing. They constantly struggle to split their time between patient care and billing-related activities.
The situation can ease up a bit by outsourcing to medical billing companies in Raleigh. Healthcare professionals can reclaim their time and focus on what truly matters: their patients.
Thus, our billing specialists hand-picked the top 10 billing providers. We employed a meticulous methodology. The result? This listicle.
So, without further ado, let’s get started!
Top 10 Medical Billing Companies in Raleigh
Discussed below are the 10 best medical billing companies in Raleigh, North Carolina:
1. MediBillMD
Is experiencing revenue transformation through precise billing on your list? If yes, you are in luck. Our first pick for the ‘Best Medical Billing Companies in Raleigh’ listicle is MediBillMD.
It has high ratings across major review websites, including Google Reviews, TrustPilot, and GoodFirms.
MediBillMD’s notable certifications and accreditations include International Organization for Standardization (ISO), Certified Revenue Cycle Representative (CRCR), American Association of Healthcare Administrative Management (AAHAM), and American Academy of Professional Coders (AAPC).
Beyond its 100% HIPAA-compliant medical billing services, its other offerings include credentialing, denial management, revenue cycle management, audit, and accounts receivable (AR) recovery.
It has been serving providers across 50+ specialties. It claims to boost the collection ratio to 96%, clean claim rate to 98%, and first-pass ratio to 97%. That’s not all, it can also help you limit AR days to less than 30, and boost revenue by 10-15%.
2. Vision Medical Billing Services
With over 25 years of industry expertise, Vision Medical Billing Services, or VMBS for short, is our next pick for the ‘Top 10 Raleigh Medical Billing Companies’ listicle.
It has been empowering healthcare providers and facilities by ensuring accurate, complete, and timely reimbursements from payers and patients.
VMBS mainly serves behavioral health practitioners. Besides medical billing, it assists in physician credentialing.
But that’s not all! It trains individuals on medical billing best practices via both online training sessions and physical classes for $230 only.
Like many other billing companies in Raleigh, pricing details for the billing solutions are unavailable on the website. However, you can easily acquire the details via a call or by visiting their physical office.
3. Complete Medical Billing & Advocacy
Complete Medical Billing & Advocacy, or Complete MBA, is another medical billing company in Raleigh that instantly captured our attention.
Essential, reliable, and efficient are the keywords it uses to describe its tailored solutions. Its offerings include revenue cycle management, credentialing, AR recovery, and consulting.
It is one of the established medical billing companies in Raleigh with over 14 years of industry experience.
The number of covered specialties is unclear, but they claim to offer customizable solutions as per each healthcare practitioner’s unique needs.
The best thing is, there is a ‘Book Online’ page on the website that lets you schedule a FREE 30-minute provider discovery call with their representative. Moreover, you can schedule a claim denial/review consulting call as well. However, for that, you will be charged on a per-hour basis.
4. Med Bill Ultra LLC
Do you want to stop denials and boost revenue? If yes, Med Bill Ultra has got you covered.
This medical billing company in Raleigh claims to have a 100% client satisfaction rate by helping providers enhance their revenue by 25% and ensure a 99% claim acceptance rate.
Beyond medical billing, its other 100% HIPAA-compliant offerings include AR management, credentialing, reporting, audit, and front-desk solution.
With over two decades of experience, Med Bill Ultra served 62+ physicians across 24+ specialties, including speech therapy, cardiology, rheumatology, gastroenterology, and dental.
You can outsource billing for 3% of your monthly collections. It charges as low as $299 per provider for credentialing, and $4 per claim for AR management. Charges for its other solutions are also available on the ‘Pricing’ page on its website.
5. Rowan Billing Services
Are you looking to partner with a reliable medical billing company in Raleigh? Rowan Billing Services is your best choice.
Its comprehensive suite of solutions includes eligibility verification, prior authorization, medical billing, revenue collection, insurance appeals, patient appointment scheduling, credentialing, and administrative assistance.
It is one of the Raleigh medical billing companies that offers highly customizable solutions, from new practice and group setup to electronic remittance advice (ERA) enrollment and electronic funds transfer (EFT) enrollment.
Upon visiting the website for the first time, a disclaimer pops up. It states ‘Now Accepting Mental Health Providers!’, but no details of other covered specialties are available on the website.
What’s more? It has an ‘FAQ’ page that answers most of the common queries. However, for pricing details, you still need to schedule a call with them.
6. Applied Medical Systems
Applied Medical Systems, or AMS for short, is one of the best medical billing companies in Raleigh.
Its billing expertise is in several specialties, including optometry, ophthalmology, rural health, endocrinology, family medicine, hematology, and oncology. On the other hand, its coding expertise lies in behavioral health, dermatology, telehealth, oncology, and emergency medicine.
It is a reliable medical billing company in Raleigh with over 35 years of experience. It empowers healthcare providers with offerings such as billing, coding, revenue cycle management, practice administration coaching, credentialing, and enrollment.
With ownership, clarity, partnership, discipline, and a people-first approach as its core values, AMS strives to help its partnered firms optimize their revenue cycle.
For pricing details, you can schedule a call with its representative.
7. CIMS Group LLC
Do you want to partner with a billing provider that is fast, efficient, and honest? If yes, CIMS Group LLC is the best fit.
Its offerings include initial consultation, medical billing, insurance verification, account reconciliations, SOP manuals creation, and accounts receivable management.
This medical billing company in Raleigh features detailed ‘Terms of Use’ and ‘Privacy Policy’ on its website, dumping all your worries regarding protected health information (PHI) and HIPAA laws.
However, information regarding covered specialties is unavailable on its website.
Similarly, the pricing details are not mentioned anywhere on the website. You must fill out and submit a simple form available on the ‘Get a Quote’ page to acquire this information.
8. Regal Billing, LLC.
With over two decades of experience, Regal Billing is another top medical billing company in Raleigh that we hand-picked to help you in your search.
It claims to enhance the first-pass rate to 98% and boost average revenue by 30% for its partnered practitioners and practices. Over the years, it has served 500+ healthcare providers with its tailored solutions.
This medical billing company in Raleigh offers various solutions. These include insurance verification, claim submission, payment posting, denial management, revenue cycle management, credentialing, and financial reporting.
The website does not state the exact number of covered specialties. However, it does state that Regal Billing offers tailored solutions as per the size, specialty, and financial goals of the practice.
For a pricing inquiry, you can easily schedule a call with its representative by filling out a short form.
9. Pro Claims Medical Billing, LLC.
Is ‘Trust’ the most integral factor for you in your pursuit of a medical billing company in Raleigh? If yes, partner with Pro Claims. It clearly states on its website that building trust with partnered practices is the firm’s primary goal.
Pro Claims is a Kareo-authorized partner that has been empowering practices for more than 25 years.
It offers 100% HIPAA-compliant and comprehensive medical billing solutions. It claims to ensure insurance payments in 4 days for some carriers, limits accounts receivable over 120 to less than 2%, and offers complete transparency with monthly reporting and analysis.
You can contact them by filling out a simple form for pricing inquiries and other queries.
10. Resurgence Medical Management LLC
Intelligent workflows, streamlined automation, and actionable insights are what this medical billing company in Raleigh leverages. The result? Less paperwork, fewer denials, and improved revenue.
These are the key claims that Resurgence, our next pick, makes. The positive reviews on its website are enough to convince them.
It handles complete revenue cycle management for its partnered practices across 9+ specialties. These include internal medicine, orthopedics, and OBGYN.
On the pricing front, it charges based on the size of your practice. That is, for a practice with 1-2 providers, the monthly fee is $1,695. Similarly, if your practice has 3-4 providers, the monthly fee will be $2,240, and for a larger practice, the monthly charges will be as low as $3,840.
Comparing the Best Medical Billing Companies in Raleigh
We employed a multi-faceted methodology while selecting the top 10 medical billing companies in Raleigh. It helped us identify billing providers with a proven track record of success.
How did it work? We evaluated each company on a set of key performance indicators, including their claimed collection ratios, first-pass claim rates, and overall client satisfaction.
We also weighed factors such as years of industry experience, HIPAA compliance, and any specific accreditations that demonstrate a commitment to professional standards.
What’s more? We also analyzed the bandwidth of covered specialties and services offered. Besides, the level of pricing transparency played a key role in our selection process.
