Virginia, the 12th most populated US state and the 15th best for healthcare access, is home to over 150 medical facilities and hospitals. Inova Fairfax Hospital in Falls Church is the biggest hospital in Virginia and a flagship of the Inova Health System. It is ranked the No.1 hospital in Virginia and the Washington D.C. metro area with the highest net patient revenue (NPR) statewide, at more than $2.1 billion.
The 928-bed medical facility experiences an annual patient inflow of 2 million, and its emergency department alone handles around 400,000 visits per year. With such a high influx of patients and large volumes of medical claims to file daily, healthcare practices need medical billing companies in Virginia to take over insurance billing and revenue cycle management.
If you, too, are looking for the perfect billing partner, check out the 10 best medical billing companies in Virginia to elevate your practice’s financial performance.
Top 10 Medical Billing Companies in Virginia
At least 40 businesses are actively offering medical billing and coding solutions across various specialties in the Old Dominion State. Each one claims to be the best in the industry. However, our research has shown that the top-rated medical billing companies in Virginia have mastered a beautiful balance between human expertise and technological innovation to deliver specialized billing and revenue cycle management (RCM) solutions to healthcare practices at competitive rates.
Hence, the top 10 Virginia medical billing companies are those that can offer their clients expert, tech-driven, customized, and affordable services at the quickest turnaround time. Find them down below.
1. MediBill MD
MediBill MD is a Texas-based, end-to-end revenue cycle management company that has made it to our list of ‘10 Best Medical Billing Companies in Virginia in 2024’ primarily because of its seamless nationwide reach. The company was formed in 2023 to simplify the medical billing process and offer related RCM solutions to over 45 specialties. It works with small, medium, and large practices to chase revenue, file clean claims, and resolve denials, effectively increasing the collection ratios up to 96%.
MediBill MD’s strong point is its diverse, experienced, and AAPC-certified workforce that manages three-way communication between providers, patients, and payers to streamline the billing workflow. You can outsource medical billing to MediBill MD for a small percentage of your net collections and avail of benefits like HIPAA compliance, a 98% clean claim rate, and up to a 15% revenue uptick. Contact the company via call, email, or live chat for more details.
2. HMS USA Inc.
Only a handful of medical billing companies in Virginia enjoy a widespread digital presence on platforms like Trustpilot, GoodFirms, Crunchbase, and BusinessBooky. HMS USA Inc. is one of them. The company is headquartered in Reston, Virginia. It offers a suite of medical billing and practice management solutions, including credentialing, front-office support, remote patient monitoring, digital marketing, and billing audits.
HMS USA’s solutions are tailored to the billing needs of at least 26 medical specialties. Currently, over 250 practices and 500+ providers have partnered with the company for clean insurance billing and maximized revenue collection. The company boasts a 99% success rate and HIPAA-compliant solutions that meet the ISO 27001 security standards. You can talk to HMS USA representatives over a call, email, or live chat to inquire about the pricing structure.
3. Avosina Healthcare Solutions
A select few medical billing companies in Virginia were created by physicians for physicians. Avosina Healthcare Solutions is one of them. The company was formed in 2015 by Dr. Alidad Arabshahi and Dr. Pratik Desai to optimize all aspects of practice management by combining industry experience with information technology (IT) expertise. Located in Lorton, Virginia, Avosina uses its unique RCM, IT, and marketing solutions to solve everyday billing problems and secure a 99% collection resolution rate on valid claims.
Its popular offerings include medical coding, credentialing, claim submission, denial management, patient AR collections, and deep practice analytics. So far, Avosina has served over 160 physicians and reduced AR days to less than 30. It promises same-day claims submission and a 95% first-pass clean claim rate. You can contact the company by phone or email for more information and fees.
4. Old Town Medical Billing and Credentialing, LLC
Old Town Medical Billing and Credentialing has made it to our list of ‘Top-Rated Medical Billing Companies in Virginia’ because of its transparent pricing. The company is based in Manassas, Virginia, and offers more than 15 years of experience in medical billing and credentialing to mental health practices. Its provider credentialing solutions start at $75 per panel and vary based on the insurance companies’ requirements.
For end-to-end medical billing, Old Town uses two pricing models – fixed rates and a percentage of net collections. It charges $5 flat for the patient’s eligibility and benefits verification and $4 per claim for claims where the copay is more than the payer allows. Similarly, Old Town takes 8% of the net payment for each successful claim submission and processing. You can reach out to the company through phone, fax, and email for electronic claims submission and credentialing.
5. Nova Medical Billing
What makes the best medical billing companies in Virginia unique from the rest? Certifications! And Noval Medical Billing’s CEO and founder, John D. Uecke, has 16 of them! Situated in Chantilly, Virginia, Nova has become a household name among small group and solo healthcare practices for RCM, medical billing, and coding expertise. Every member of its team has years of experience in the billing industry, and becoming an AAPC-certified professional biller (CPB) is a must for employment.
Nova Medical Billing offers three pricing models – flat monthly fee, per-claim fee, and percentage-based fee. Each package includes essential billing solutions like eligibility checks, appointment reminders, data entry, claims submission, payment posting, monthly reporting, and more. Its percentage-based fee ranges from 5.0-10.75% of collections, depending on the workflow. For more inquiries, connect with the Nova team over call or email between Mon-Fri, 9 AM to 5 PM, local time.
6. EE Medix
The next name in our ‘Top 10 Virginia Medical Billing Companies’ listicle is EE Medix. The company maintains its head office in Dumfries, Virginia, and positions itself as a professional, homegrown medical billing company. It boasts over 45 years of experience in health IT, medical billing, and patient care. EE Medix’s billing solutions are tailored to the needs of 50+ medical specialties, including anesthesia/pain management, neuro-musculoskeletal medicine, and radiation oncology.
From comprehensive RCM solutions to advanced technology integration and compliance with regulations, EE Medix’s expert staff handles everything efficiently. The company guarantees a 98% claims first-pass rate and up to 17% increase in profitability. Moreover, EE Medix has received an 8.9-star rating from 1,248+ satisfied customers. You can contact the team for pricing details or a free audit to kickstart your revenue growth.
7. 1st Choice Medical Billing
If you are finding it difficult to choose the perfect billing partner from dozens of medical billing companies in Virginia, let 1st Choice Medical Billing be your first and final choice. From a small commercial plaza in Portsmouth, Virginia, 1st Choice Medical Billing delivers 30+ years of medical billing and coding experience to multi and single-specialty independent practices. Its solutions are tailored for 7 main specialties, including internal medicine, pulmonology, podiatry, and psychology, to guarantee 100% compliance with varying billing and coding guidelines.
From RCM-specific solutions, like payer contract analysis and identifying revenue sources, to billing solutions, like insurance verification, charge entry, claims submission, tracking, and denial management, 1st Choice’s experienced team can professionally manage everything. Its 4-word mantra – analyze, identify, advise, execute – paves the way for clear communication, effortlessly increasing the client’s bottom line. Reach out to the 1st Choice team for pricing or a free consultation.
8. AcerHealth Inc
AcerHealth is one of the best medical billing companies in Virginia because of its technological capabilities, premier medical billing solutions, and practice management excellence. Located in Ashburn, Virginia, the company was founded in 2010 by its current CEO, Jai Kumar, who brings 21 years of IT experience to the healthcare sector. AcerHealth offers ongoing medical billing and RCM assistance to over 800 practices across 14 specialties, including diagnostic labs and ambulatory surgery centers.
It is a CCHIT and Surescripts-certified medical billing company in Virginia that promises to increase revenue by up to 30%. You can count on AcerHealth for patient eligibility verification, provider credentialing, patient statements and payment collection, practice analytics, and compliance. Contact the company via phone or email for more insights on its solutions and monthly rates or to book a free consultation/demo.
9. Halfort Medical Practice Solutions
Out of all the medical billing companies in Virginia, Halfort Medical Practice Solutions (HMPS) is the only one offering a full stack of medical billing solutions free for the first 30 days. That’s right! Its 30-day free trial allows you to test drive medical billing and coding, credentialing, A/R follow-up, and 24/7 support without providing credit card details or signing contracts.
Halfort’s HIPAA-compliant RCM, practice management, and billing solutions are for startup clinics and established healthcare practices and include patient payment follow-up, pre-authorization, coding, billing, reporting, payment posting, audits, and monthly meetings. You choose between the Starter or Deluxe pricing plan (starting as low as 2.75% of monthly collections) to unlock a range of billing solutions, including SEO-based performance marketing. Give the company a call, drop an email, or initiate a live chat to learn more about its tailored solutions.
10. FC Billing, LLC
The last name on our ‘Top 10 Medical Billing Companies in Virginia’ list is FC Billing, LLC. It is a physician-preferred medical billing solutions provider based out of Lansdowne, Virginia, offering full-cycle and error-free billing services with over 20 years of industry experience. Its long list of offerings, including medical coding, verification/prior authorization, insurance credentialing, payment posting, AR management, and practice setup, is designed to maximize reimbursements.
FC Billing actively works with 7 medical specialties, including gastroenterology, dermatology, mental & behavioral health, optometry, and plastic surgery, to guarantee up to 100% claim payment and ensure payer and industry regulations. The company’s founder and CEO, Farida Chowdhury, focuses on the “big picture” and employs the best talent to create a strong foundation for medical practices. You can reach the FC Billing team via email or call to inquire about their charges or book a free consultation.
Comparing the Best Medical Billing Companies in Virginia
In our search for the top 10 medical billing companies in Virginia, we devised and relied on a simple methodology that included factors like industry experience, technological capabilities, specialty-specific billing and coding expertise, reviews and ratings, pricing strategy, and customer support to analyze the companies’ results and performance.
Only the top-performing billing companies in Virginia were included in our listicle, as is evident by their flawless Google My Business (GMB), Trustpilot, GoodFirms, and Clutch ratings.
We hope that our list of 10 Best Virginia Medical Billing Companies will help you pick the perfect billing partner for your practice so you, too, can enjoy an increased bottom line for accelerated financial success.
