The Aloha State has done it again! That’s right, in the 2025 Scorecard on State Health System Performance, Hawaii is ranked the second-best state for access to quality and affordable healthcare, efficient use of services, and healthcare outcomes. Moreover, Hawaii has the second-lowest number of insured patients. Only 3.2% of the people in Hawaii do not have public or private health insurance.
However, this large population of insured patients poses its own challenges. A high volume of insurance claims! This is where the medical billing companies in Hawaii come in to save the day. These third-party companies partner with healthcare practices to simplify the insurance billing process, file accurate claims on time, and collect the exact reimbursements to keep the revenue stream flowing.
So, if you are a part of an independent or group practice, explore our list of the 10 best medical billing companies in Hawaii to offload your administrative burden.
Top 10 Medical Billing Companies in Hawaii
Here are our top 10 picks for Hawaii medical billing companies.
- MediBillMD

The medical billing company in Hawaii that has topped our list is none other than MediBillMD, a nationally recognized medical billing services and revenue cycle management (RCM) solutions provider. The company efficiently manages all its operations remotely from its head office in Dallas, Texas.
But if the company is out of state, then why did we include it in our listicle? Because with MediBillMD, you get 100% localized billing support. All its solutions are compliant with the state regulations and payer policies, helping you achieve up to 98% clean claim rate, 97% first-pass ratio, 15% revenue uptick, and less than 30 days in AR.
Moreover, the company caters to the specific needs of 55+ medical specialties, offering specialized billing, coding, credentialing, and practice management assistance to cardiology, urology, mental health, radiology practices, and more. You can connect with MediBillMD representatives via email or call for pricing details or other inquiries.
- Ike Pono Medical Billing Hawaii

Do you want to see clearly where your practice stands financially? Then, Ike Pono Medical Billing Hawaii can help you with that. Ike Pono has a 5-star rating on Google Reviews. So, that alone should be a good reason to include it in the pool of top-tier billing companies in Hawaii. But wait! We have more reasons for our selection. This Honolulu-based medical billing company is owned by Cristiane Caleffi, who is a certified professional coder, medical biller, and reimbursement expert. She has been a part of this industry since 2004. So, with her at the helm, you get medical billing experience and expertise.
From eligibility and benefits verification to payment posting, denial management, and monthly reports, Ike Pono’s team can handle everything. However, there is one problem. At the moment, Ike Pono is not onboarding any new clients because of high demand. But you can connect with them later, through phone or email, to check if they are available for outsourcing.
- AKAMAIMD, LLC

AKAMAIMD, or AkamaiMD, is where medical billing is done right. Established in 2014 in Hilo, AkamaiMD has quickly risen through the ranks to become one of the 10 best medical billing companies in Hawaii. The company offers complete RCM solutions, including claims processing, submission, and monitoring. You can also seek their assistance for denial review and management, patient billing and payments, EDI and EFT enrollment, and insurance credentialing.
AkamaiMD is also a 5-star rated company on Google based on 13 reviews. While we know that the company offers personalized service, deep knowledge, and timely support, not much is known about its fee structure or the specialties it serves. Therefore, we recommend contacting them for such details.
- Lotus Medical Billing

Do you want your practice to bloom like a lotus in the pristine wetlands of Hawaii? Then who can guide you better than Lotus Medical Billing? Straight from the Kapaʻa town, this medical billing company in Hawaii promises to help you get paid for your healthcare services. Its key clients are independent healthcare practices and physicians.
Lotus Medical Billing’s staff has a combined industry experience of 30 years. They are adept at navigating confusing payer rules, rejected claims, and delayed payments. Moreover, the company leverages a HIPAA-compliant, secure VPN connection to obtain billing and patient data from its clients’ systems.
As a technology-first company, Lotus Medical Billing can submit claims through the Hawaii Pacific Health’s EPIC HealthAdvantage Connect EMR. We suggest connecting with the company representative over a call for more information and pricing details.
- Access Revenue Hawaii, LLC

If you are only looking for a 5-star-rated billing partner, then Access Revenue Hawaii is another reliable option. It is one of the few medical billing companies in Hawaii that has more than one physical location. So, you can visit their office in Holualoa or Kamuela.
However, there is something else that sets it apart from other billing companies in Hawaii. Access Revenue Hawaii only offers medical billing and RCM support to behavioral health practices and professionals. So, if you are a therapist, psychologist, psychiatrist, mental health nurse practitioner, or community care agency, you can reach out to Access Revenue Hawaii for insurance billing assistance.
It is unclear what Access Revenue Hawaii charges for its range of solutions, but we do know that the pricing is flexible and the service is personalized. Rest, you can find out by calling or faxing them.
- Medical Billing of Hawaii, LLC

Medical Billing of Hawaii, in Kapolei, is also a prominent medical billing company in Hawaii. It has received positive reviews and testimonials from anesthesiologists, hospitalists, geriatricians, and psychologists alike. With a combined experience of over 65 years in medical billing and coding, Medical Billing of Hawaii’s team can efficiently manage registration data & claim entry, electronic claims submission, payment & remittance posting, patient statements, credentialing, MIPS reporting, and more.
Moreover, like most of the billing companies in Hawaii listed here, this company is also committed to HIPAA compliance and ensures the highest level of integrity in its workflows and communications. You can also get its practice management software for a small monthly fee, which will help you with seamless integration. For more details and queries, you can connect with its sales team via phone or email.
- SMA Billing Solutions, LLC

Like a true billing partner, SMA Billing Solutions contributes to your growth and success. And like most of the names included in our ‘10 Best Medical Billing Companies in Hawaii’ list, SMA Billing Solutions also maintains its headquarters in Honolulu. So, why would partnering with this medical billing company work in your favor?
Well, firstly, SMA Billing Solutions was founded in 2004. Therefore, you get over 20 years of billing expertise. Second, it offers multi-specialty billing and RCM support. From cardiology to cardiothoracic surgery, and even otorhinolaryngology, all are covered. Lastly, it only asks for payment once you are paid, and that, too, is a small percentage of the overall total amount collected. So, with its high standards, diverse service suite, competitive pricing, and decades of experience, we consider SMA Billing Solutions to be a trusted medical billing company in Hawaii.
- TeamPraxis

The next name that we believe deserves a place among the top-rated medical billing companies in Hawaii is TeamPraxis. Also based in Honolulu, TeamPraxis empowers physicians and specialists to increase their productivity and strengthen their bottom line.
It has been serving the Hawaii healthcare community since 1992, and in these three decades, it has built a “Triangle of Success” through its three-tier system and proprietary software: ConnxtAI, ConnxtMD, and the Global Cycle Team. Around 600 providers use ConnxtMD, which results in annual reimbursements of up to $265 million and reduces average AR days to 30.
Simply speaking, TeamPraxis is a health IT solutions provider that believes in leveraging artificial intelligence (AI) to streamline medical billing, decrease administrative burden, increase practice revenue, and make a greater impact. So, if you want tech-powered billing assistance, connect with its sales team over the phone or email.
- Physicians Billing Solutions, LLC.

Physicians Billing Solutions has offices in Kapolei, Hawaii, and Henderson, Nevada. It was founded in 2004 with a mission to provide superior billing solutions to healthcare practices so they can reduce their overhead expenses. With all its staff combined, Physicians Billing Solutions promises over 100 years of medical billing expertise.
Its stack of solutions includes accounts receivable management, bookkeeping and accounting, practice administration, remote support, and HR development and management. Like most medical billing companies in Hawaii, Physicians Billing Solutions is also 100% HIPAA compliant.
If you want proof of whether this company can be trusted, let us tell you that its long list of affiliate partners includes Physicians Staffing Solutions, Precision Business Support, Aloha Tone, and Nimble Solutions. So, rest assured that your practice’s finances will be in safe hands.
- Blue Wave Medical Billing

The last name that made it to our ‘Top 10 Hawaii Medical Billing Companies’ listicle is Blue Wave Medical Billing. It is a Honolulu-based, woman-owned, HIPAA-compliant, and AMBA-recognized medical billing company. The owner of Blue Wave Medical Billing is Jenna Dell. She has more than a decade of experience in the healthcare field. Plus, her team has Medical Reimbursement Specialist and Intuit Bookkeeper certifications and continues to educate itself via the AAPC Credentialing Specialist and ITU Billing and Coding courses.
Its full suite of medical billing solutions includes coding, insurance verification and authorization, accounts receivable management, patient billing and statements, billing software integration, and revenue cycle consulting. Pricing information and the list of specialties it caters to are unavailable on the website. However, you can contact their sales team for these details.
Comparing the Best Medical Billing Companies in Hawaii
Doubting our selection? Then, like all great researchers, let us clearly explain our research methodology. We used geo-search to obtain a list of all the medical billing companies in Hawaii. Online directories like Google My Business (GMB) listings, Yelp, and Better Business Bureau were reviewed to shortlist billing companies in Hawaii that had positive reviews and ratings.
From there, we visited each company’s official website to assess it on metrics like years of industry experience, certifications and affiliations, range of services, number of specialties served, technological capabilities, proven track record, and client testimonials. This helped us filter the best from the rest.
The result? Our well-researched list of the 10 best medical billing companies in Hawaii. So, stop waiting around and make the call to forge a lifetime partnership.


