RC Billing

What RC Billing does

RC Billing is a privately held, U.S.-based medical and radiation oncology billing services firm founded in 2003 and headquartered in Cedar Park, Texas. The company provides full-service revenue cycle management exclusively for oncology — covering medical oncology, radiation oncology, and proton therapy — to freestanding cancer centers, hospital-based radiation oncology physician groups, proton therapy centers, and independent oncology practices. The firm positions itself as the largest privately owned oncology billing service company in the United States, serving more than 350 oncology providers nationwide through 100% U.S.-based in-house teams.

Its core product is end-to-end billing that spans patient demographic and charge entry, claim submission via clearinghouse scrubbing, cash application, insurance AR follow-up, patient services, and zero-balance account resolution, packaged with monthly financial reporting delivered by the 10th business day of each month. The underlying technology stack is built around HL7 ADT and DFT interface integration with client EHR systems, clearinghouse claim scrubbing to prevent front-end edit denials, automated AR work queues, and a ShareFile-based secure portal for financial report distribution. A proprietary affiliate, RCCS (Revenue Cycle Consulting Services), provides bundled coding, compliance, and education resources — including the Radiation Oncology Navigator (eNav) coding guide, a Client Resource Center Q&A portal, annual medical record reviews, and CEU-eligible curriculum — at no incremental cost to full-service billing clients.

RC Billing makes money through multi-year, quote-based managed-services contracts priced on practice size and volume, with three add-on revenue streams: payer credentialing and contracting, prior authorization management (available both standalone and as an add-on), and revenue cycle oversight consulting via RCCS. Go-to-market is direct enterprise and inside sales via consultation requests and phone outreach, supported by content marketing through a newsroom, newsletter, and oncology education storefront. There are no resellers, marketplace channels, or external investors identified, and the firm retains annual SSAE-18 SOC 1 Type 2 and HIPAA compliance audits as enterprise-grade trust signals.

Name

RC Billing

Legal name

RC Billing

Website

https://rcbilling.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

51–100 employees

Short description

RC Billing is a privately held U.S. firm that provides full-service medical and radiation oncology billing, including proton therapy, to 350+ cancer centers, hospital-based oncology groups, and proton therapy providers nationwide through 100% U.S.-based teams.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management (Oncology Billing)

NAICS

Collection Agencies (561440)

SIC

Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF), Claims Management, Scrubbing & Clearinghouse (HLACACAB), Patient Billing, Statements & Payment Processing (HLACACAG), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL)

Keywords

• Oncology billing services
• Radiation oncology billing
• Revenue cycle management
• Proton therapy billing
• Medical billing

Headquarters

HQ city

Cedar Park

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Full-Service Oncology Billing: RC Billing provides comprehensive billing services covering the entire revenue cycle from charge entry through final resolution. Services include patient demographic management, charge entry, claim submission, cash application, insurance AR follow-up, patient services, and monthly financial reporting. The company works accounts to zero balance and provides transparent monthly reporting with account review calls.
2. Payer Credentialing & Contracting (Add-On): Optional add-on service for full-service billing clients covering provider enrollment with payers (including Medicare/Medicaid), recredentialing, document management, CAQH updates, contract review, negotiation support, and ongoing status follow-up. Only available to existing full-service billing clients, not offered as standalone.
3. Prior Authorization Management: Available both as an add-on to full-service billing clients and as a standalone service for oncology practices. Covers treatment plan review, procedure code identification, authorization submission to payers, tracking, approval communication, and denial escalation/appeals.
4. Revenue Cycle Oversight with RCCS: Add-on consulting service bringing in RCCS for denial trend analysis, performance reviews, Revenue Cycle Assessment, and Project-Based Revenue Recovery when systemic fixes are needed. Only available to contracted billing clients.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

RC Billing provides full-service medical and radiation oncology revenue cycle management, covering patient demographic and charge entry, claim submission, cash application, insurance AR follow-up, patient services, and monthly financial reporting for oncology practices. The company also delivers specialized proton therapy billing, payer credentialing and contracting, prior authorization management, and coding and documentation compliance support as add-on or standalone services. Clients engage RC Billing as an extension of their practice, with the firm working accounts to zero balance and supplying transparent monthly reporting and dedicated US-based teams.

Product overview

RC Billing offers a full-service oncology billing platform centered on Full-Service Oncology Billing as its core product, with optional add-on modules including Payer Credentialing & Contracting, Prior Authorization Management, Coding & Documentation Compliance Support, and Revenue Cycle Experts. The platform also includes Proton Therapy Billing as a specialized sub-product. The core offering provides end-to-end revenue cycle management from charge capture through payment posting, while add-on services address credentialing, authorization, compliance, and revenue optimization. All full-service clients receive coding and compliance support through affiliate company RCCS at no additional cost.

Differentiator

Problem solved

Functional benefit

Products and services

• Full-Service Oncology Billing End-to-end oncology revenue cycle management covering patient demographics and charge entry, claim submission, cash application, insurance AR follow-up, patient services, and monthly financial reporting. Includes HL7 interface integration, daily claim scrubbing, denial resolution, and zero-balance follow-up. Available to oncology physician groups, freestanding cancer centers, hospital-based oncology groups, and proton therapy centers.
• Payer Credentialing & Contracting Add-on service for full-service billing clients covering provider enrollment with major payers including Medicare and Medicaid, recredentialing, document management, CAQH updates, contract review, and rate negotiation support. Only available to existing full-service billing clients, not offered as a standalone service.
• Prior Authorization Management Service for radiation and medical oncology prior authorization management covering treatment plan review, procedure code identification, payer submission, tracking, and appeal resolution. Available as an add-on to full-service billing clients or as a standalone service for practices needing authorization support only.
• Coding & Documentation Compliance Support Compliance support included with full-service billing agreements through affiliate RCCS. Includes annual documentation and coding medical record reviews, access to the CRC (Client Resource Center) portal for ongoing coding Q&A, the Radiation Oncology Navigator Guide (eNav digital or print), and CEU-eligible curriculum for radiation oncology coding.
• Revenue Cycle Experts Add-on revenue cycle oversight service partnering with affiliate RCCS for denial trend analysis, performance reviews, root cause analysis, and project-based revenue recovery when systemic fixes are needed. Only available to contracted billing clients.
• Proton Therapy Billing Specialized proton therapy billing delivered as part of RC Billing's radiation oncology services. Covers charge entry via HL7 interfaces, daily claim submission, proton-specific denial management and appeals, cash application, and financial reconciliation. Includes prior authorization and payer credentialing add-ons tailored to proton therapy, with deep experience in clinical, operational, and billing processes for proton therapy centers nationwide.

Quantifiable outcome

• Working accounts to zero balance resolution
• +2 more outcomes

Named customers3 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

One partnership is on record.

• RCCS (Revenue Cycle Consulting Services)coreStrategic or Co-development PartnerRCCS is the affiliated consulting and education company of RC Billing, providing specialized oncology coding and compliance support. Through this partnership, RC Billing clients receive annual medical record reviews, access to the Client Resource Center (CRC) Q&A portal, Radiation Oncology Navigator coding guides, and CEU-eligible radiation oncology curriculum - all included at no additional cost for full-service billing clients. RCCS also provides Revenue Cycle Assessment and Project-Based Revenue Recovery services for clients needing deeper analysis.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• nThrive: nThrive is a healthcare RCM technology and services company offering end-to-end revenue cycle solutions to health systems and physician groups. It is a broad incumbent competitor in RCM, though it does not specialize in oncology.
• Waystar: Waystar is a healthcare payments and RCM technology platform serving hospitals and health systems. It is a broad incumbent whose cloud-based RCM and claims management technology competes with incumbent billing service providers in adjacent categories.
• R1 RCM: R1 RCM is a leading RCM and healthcare technology company serving large hospital systems and physician groups with end-to-end revenue cycle solutions. It is a broad incumbent whose AI-driven automation could pressure specialty billing firms like RC Billing.
• Optum: Optum (UnitedHealth Group) operates one of the largest healthcare RCM, analytics, and care delivery businesses, serving payers, providers, and employers. Its scale and RCM automation capabilities position it as a broad incumbent competitor to specialty RCM firms.
• Experian Health: Experian Health provides RCM, identity management, and patient access solutions to hospitals, physician groups, and healthcare organizations. It is a broad incumbent in healthcare RCM technology and services.

Direct peers

• Zotec Partners: Zotec Partners is a technology-enabled RCM and practice management firm specializing in radiology, oncology, and other complex specialties. It directly competes with RC Billing in the oncology billing and revenue cycle services market.
• AGS Health: AGS Health is a tech-enabled RCM and healthcare BPO firm offering medical coding, billing, and AR services to provider clients. It is a direct competitor in the outsourced RCM services market, including specialty physician practices.
• Omega Healthcare: Omega Healthcare is a global healthcare RCM and BPO services provider serving physician practices, hospitals, and specialty groups. It directly competes with RC Billing for outsourced RCM engagements, particularly in specialty verticals.
• Coronis Health: Coronis Health is a healthcare RCM services company providing end-to-end medical billing, coding, and revenue cycle solutions to specialty practices and hospitals. It competes with RC Billing in serving specialty provider RCM needs.
• AdvantEdge Healthcare: AdvantEdge Healthcare is a medical billing and RCM company serving multiple specialties including radiology and anesthesia with technology-enabled services. It competes with RC Billing for outsourced billing and RCM engagements in the healthcare provider market.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/rcbilling
• LinkedInlinkedin.com/company/rc-billing

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about RC Billing