The medical billing industry in the United States has experienced remarkable growth. As per the latest data, the medical billing market cap in 2024 was around $6.28 billion, and this is expected to increase to $12.26 billion by 2030. This indicates the growing reliance of healthcare providers on billing companies.
However, there are now thousands of billing companies operating in the country. San Jose, which is the heart of Silicon Valley, hosts many of these companies. However, not all of these are reliable, and selecting the right partner can be tricky for healthcare providers. That’s why we have compiled this guide on the best medical billing companies in San Jose. So, let’s start.
Top 10 Medical Billing Companies in San Jose
Let’s go through our top 10 picks for the ‘Best Medical Billing Companies in San Jose’ listicle. We will briefly discuss each company’s medical billing capabilities and unique selling points to simplify your decision-making process.
1. MediBillMD
MediBillMD takes the top position on our list of ‘Top 10 Medical Billing Companies in San Jose’. That’s partly because of their comprehensive medical billing services and the company’s proven track record of success. Unlike many competitors that focus on limited specialties, MediBillMD provides customized billing solutions for practices of all sizes and specialties across the San Jose area and throughout California.
The company claims to increase revenue by 10-15%, reduce accounts receivable to less than 30 days, maximize collection ratios to 96%, and achieve clean claims rates of 98% for its clients. These are some impressive stats, and not many billing companies in San Jose can reach these. Plus, they have a team of certified billers and are 100% HIPAA compliant. Even though the company was established recently, it has quickly become a respected name in the billing industry.
Key Benefits:
- Strong local reputation for compliance
- End-to-end revenue cycle management (RCM)
- Proactive patient billing and insurance follow-up
2. Horizon Revenue Solutions
Horizon Revenue Solutions takes the second position on our list. Like MediBill MD, Horizon Revenue Solutions also offers complete RCM solutions. However, their main focus is on denial and AR management.
The most impressive thing about this company is that it is also a member of the Medical Revenue Management Association of America (MRMMA), which clearly adds to its credibility. Also, multiple pricing options are available for clients depending on revenue collection, with prices starting from just 3.9%. What sets Horizon Revenue Solutions apart from other medical billing companies in San Jose is that they don’t want you to switch to a specific billing or practice management software for system integration. They are happy to accommodate all software.
Key Services:
- Aggressive denial management
- Credentialing
- Aging A/R recovery
3. RCM Centric
The next medical billing company in San Jose that has made it to our list is RCM Centric. RCM Centric is a giant when compared with other local billing companies in San Jose. It has been in service for more than 12 years. The company provides billing solutions for over 45 medical specialties, including highly challenging specialties like internal medicine, pediatrics, oncology, and cardiology.
The company claims to achieve a 25% revenue increase, a 99% client success rate, and a 97% collection rate. RCM Centric also offers credentialing services. So, provider enrollment is also covered under their all-in-one solution.
Key Solutions:
- Medical billing and coding
- Patient help desk
- Credentialing
- IT support
4. 3D Solutions LLC
Like RCM Centric, 3D Solutions is also one of the industry giants, not only in San Jose but the entire country. As one of the best San Jose medical billing companies, it processes more than 3 million claims annually and serves over 100 clients across all 50 states. With over 15 years in the industry, 3D Solutions maintains a first-attempt claims acceptance rate of 95%, which is on par with the top industry leaders. The company proudly claims to boost client revenue by at least 7-20%, which is backed by verified client testimonials.
3D Solutions offers a range of services, including medical billing, medical coding, and credentialing. They also offer numerous performance reports, including coding accuracy reports, turnaround time reports, and compliance reports.
Key Clients:
- Hospitals
- Physician group practices
- Laboratories
- Pharmacies
- Skilled nursing facilities
5. JBills
JBills has carved out a specialized niche among medical billing companies in San Jose, focusing specifically on insurance billing and collections for mental health and substance abuse facilities. Established in 2000, they have been serving rehabilitation centers throughout the United States for over two decades.
An interesting thing about JBills, which also makes it different from its competitors, is that it is completely owned by women. Plus, their niche clientele and solutions reduce competition, which is evident from their 20 years of success.
Main Services:
- Insurance benefit checks
- Medical billing and coding
- Claims creation
- Follow-ups
- Utilization reviews
6. CCK Med Billing Solutions
The next company in our ‘Top 10 Medical Billing Companies in San Jose’ listicle is CCK Med Billing Solutions. CCK provides solutions specifically designed for individual practices and small group practices. The company focuses on delivering personalized billing solutions, ensuring that each client receives dedicated attention to meet their specific needs.
CCK also offers some free services and tools to its clients, such as state-of-the-art Practice Management Software and CPT/Billing Cost Analysis to help practices identify revenue loss due to billing inaccuracies.
Key Offerings:
- Medical billing and practice management
- Creative collection solutions
- Electronic fund transfer (EFT)
- Well-care services
- Document management
- Digital scanning and archiving of medical records
- Remote data backup & recovery
7. Tradecom Medical Transcription, Inc.
Like 3D Solutions, Tradecom is one of the largest and oldest medical billing companies in San Jose. The company was founded in 1999, and since then, it has been serving over 1,000 physicians nationwide. Its billing solutions support almost all medical specialties like cardiology, psychiatry, dermatology, and hematology.
While Tradecom is primarily a medical transcription company, it holds a good reputation for medical billing. The company claims an impressive accuracy rate of more than 98% in billing, which serves as its key strategy to maintain accounts receivable control.
Core Billing Services:
- Appointment scheduling
- Demographic entry
- Eligibility and verification
- Charge posting
- Scrubber report analysis
- Cash posting
- Rejection analysis and correction
- A/R analysis
- A/R follow-up
- Insurance calling/patient calling
8. ABW Medical
ABW Medical is a leading partner of Athenahealth, which is one of the most renowned EHR platforms used in the country. However, we have placed ABW at the bottom of our ‘Best Billing Companies in San Jose’ listicle as its billing solutions are only available to clients that use Athenahealth. ABW Medical’s team of 300+ has supported over 800 clients across various specialties for more than 16 years.
The company promises to boost key performance metrics, including a revenue realization rate (RRR) above 99%, days in accounts receivable under 30, and back-end denials below 4%. ABW Medical also has an impressive response time. Its team can be deployed for as little as two hours per day, offering a 25-point free assessment.
Specialties Covered:
- Pediatrics
- Orthopedics
- Family medicine
- Internal medicine
- Ophthalmology
- Rheumatology
- OB-GYN
- Sports medicine
- Urgent care and more
9. PACT RCM LLC
PACT RCM has been serving clients in San Jose since 2023. The unique thing about this medical billing company in San Jose is that, along with billing and coding, PACT RCM is heavily focused on financial empowerment. This focus is for both healthcare providers and patients. What is shocking is that the company promises to deliver a 100% first-pass ratio.
PACT RCM offers a full stack of solutions, including medical billing, coding, compliance management, and practice management.
Usual Clients:
- Individual providers
- Small practices
- Large hospitals and healthcare system providers
10. Bill My Med
The last company on our list of Top Medical Billing Companies in San Jose is Bill My Med. Bill My Med has good reviews on online platforms and a reasonable local reputation. The company offers complete RCM solutions to healthcare providers of all sizes.
Its goal is to provide accurate and timely billing support to its clients so they can grow their revenue. The good thing is that Bill My Med specializes in home health billing, a segment of the medical billing industry that often faces unique and complex challenges. But Bill My Med’s team promises compliant, efficient, and streamlined billing for your home health services.
Main Services:
- Medical billing
- Billing audits
- Provider credentialing
- Claims management
Comparing the Best Medical Billing Companies in San Jose
To identify the 10 best medical billing companies in San Jose, our team evaluated each company on pre-specified criteria. Numerous metrics were assessed for each company, including client testimonials, service specialization, technological capabilities, and proven track records. In our ranking, we prioritized companies with a local presence in San Jose and verified reviews.
We also analyzed company reviews on multiple platforms like Yelp, Clutch, and GoodFirms. This comprehensive evaluation strategy ensures that only the top-tier medical billing companies in San Jose get listed and not the ones with better marketing.
