First Coast Billing Group
First Coast Billing Group is a Jacksonville, Florida-based medical billing company founded in 1990 that specializes in aged accounts receivable wind-down, full-service billing, and EKG over-read billing for healthcare providers and federal agencies across the United States.
- Company typePrivate
- Founded1990
- HeadquartersJacksonville, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What First Coast Billing Group does
First Coast Billing Group (FCBG) is a Jacksonville, Florida-based medical billing services company founded in 1990 and privately held under owner Morris Moran since June 2006. The firm specializes in accounts receivable (AR) wind-down — the recovery of aged and legacy receivables typically 60-120+ days past service date — alongside full-service medical billing, specialized EKG over-read billing for cardiologists, billing operations consulting, and federal contract medical billing. It serves private physician practices, multi-specialty groups, and large health systems across the United States.
FCBG's core technology is a custom-built, in-house proprietary software platform designed specifically for AR wind-down. The platform interfaces directly with hospital databases to submit claims in bulk and provides real-time client access to collection data with weekly activity reporting. The flagship EKG Over-Read Billing service uses automation to match the high-volume, low-payment economics of EKG over-reads. The firm also holds pre-approved federal vendor status with volume and quick-pay discount terms, and is operationally linked to affiliate software firm Intersect Billing Solutions Inc. (IBS), co-founded by Moran in 2009.
The business runs on managed-services revenue (quote-based, multi-year contracts customized to each practice) with complementary professional-services fees for consulting. Go-to-market is enterprise field sales targeting hospital systems, large physician groups, and federal agencies; named enterprise customers include Ascension, Baptist Health System, BayCare, and HCA Healthcare. FCBG reports 300+ active provider relationships, a 30+ year operating history, and a leadership team of roughly 11-50 employees including former hospital and IT executives.
First Coast Billing Group firmographics
Firmographics- Name
- First Coast Billing Group
- Legal name
- First Coast Billing Group
- Website
- https://firstcoastbillinggroup.com
- Company type
- Private
- Founded year
- 1990
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- First Coast Billing Group is a Jacksonville, Florida-based medical billing company founded in 1990 that specializes in aged accounts receivable wind-down, full-service billing, and EKG over-read billing for healthcare providers and federal agencies across the United States.
- Ownership category
- akta.pro rank
First Coast Billing Group industry classification
Industry- Product category
- Medical Billing Services
- NAICS
- Collection Agencies (561440)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Patient Billing, Statements & Payment Processing (HLACACAG)
Keywords
Where First Coast Billing Group is headquartered
LocationHeadquarters
- HQ city
- Jacksonville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
First Coast Billing Group business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Medical Billing Services: Full-service medical billing including claim generation, submission, insurance verification, denial management, patient statements, payment posting, and appeals processing.
- AR Wind-Down Services: Specialized services for collecting old accounts receivable, typically starting 60-120 days after service date. Includes legacy AR projects, data storage for 7 years, and auditing assistance.
- EKG Over-Read Billing: Specialized billing for cardiologists who over-read EKGs, interfacing directly with hospital databases to submit claims in bulk. Addresses high-volume, low-payment claims.
- Medical Billing Consulting: Consulting services examining clinic operations with root cause analysis, including payor mix analysis, CPT code review, credentialing, and benchmarking.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Custom billing solutions tailored to practice needs |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels4 records
First Coast Billing Group product offering
Product offeringCore offering
First Coast Billing Group provides outsourced medical billing and accounts receivable wind-down services for healthcare providers. Its core offerings include full-service medical billing (claim generation, submission, insurance verification, denial management, and appeals), specialized EKG over-read billing for cardiologists, consulting on billing operations, and federal contract billing. The company uses custom in-house proprietary software that interfaces directly with hospital databases to submit claims in bulk and provide real-time account transparency.
Product overview
First Coast Billing Group is a multi-specialty medical billing company offering a unified service portfolio centered on Accounts Receivable wind-down services. The core product is their proprietary AR Wind-Down service for collecting aged/legacy accounts receivable (60-120+ days old). This is supported by full-service Medical Billing Services, specialized EKG Over-Read Billing Services (automated bulk claims submission for cardiologists), Consulting Services (billing analysis, credentialing, coding audits), and Federal Contracts services for government healthcare facilities. All services leverage their in-house proprietary software designed for exceptional AR wind-down performance.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing Services Full-service medical billing for healthcare providers, including claim generation, submission, insurance verification, denial management, patient statements, payment posting, and appeals processing, tailored to multiple medical specialties.
- AR Wind-Down Services Accounts Receivable Wind-Down service specializing in collecting aged and legacy accounts receivable, typically starting 60-120 days after service date. Maximizes reimbursement on inactive accounts before, during, and after billing solution transitions, with 7-year data housing and auditing assistance.
- EKG Over-Read Billing Services Specialized automated billing solution for cardiologists who over-read EKGs. Interfaces directly with hospital databases to submit EKG interpretation claims in bulk, addressing the high-volume, low-payment nature of EKG billing.
- Consulting Services Medical billing consulting that examines clinic operations with root cause analysis, including payor mix analysis, CPT code review, credentialing, coding audits, and fee schedule analysis, aimed at multi-specialty healthcare practices.
- Federal Contracts Medical billing services for federal government agencies and state and local government facilities, with pre-approved vendor status offering volume and quick pay discounts.
Quantifiable outcome
- Recovered $1M to over $20M in aged balances for clients
- +1 more outcomes
Companies that use First Coast Billing Group
Customer profileNamed customers4 records
Segments5 records
Ideal customer profiles4 records
First Coast Billing Group technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
First Coast Billing Group partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Intersect Billing Solutions Inc (IBS)coreSoftware company founded in July 2009 by Morris Moran (Owner/President of First Coast Billing Group) and Edsel Pertile. Focused on medical industry software solutions, IBS has developed an end-to-end practice management solution that is highly customizable and efficient. The solution addresses challenges common with out-of-the-box solutions and helps maintain compliance and security.
Scale indicators4 records
Recent moves5 records
Expansion highlights4 records
First Coast Billing Group competitors and assessment
Company assessmentDirect peers
- AdvancedMD: Cloud-based medical billing, scheduling, and EHR software for small to mid-sized practices and billing companies. Closely comparable to FCBG in targeting independent and specialty physician practices with billing workflow automation.
- Waystar: Healthcare revenue cycle management software platform covering claims management, denial resolution, and patient billing. Comparable to FCBG because both serve healthcare providers with claims submission and payment-processing workflows.
- R1 RCM: Large-scale revenue cycle management and medical billing services company serving hospitals and health systems. Comparable to FCBG as an outsourced medical billing/AR management provider, though operating at much greater scale.
- Medical Practice Billing: Independent medical billing services company providing claim submission, denial management, and AR follow-up for specialty practices. Closely mirrors FCBG as a service-led specialty medical billing outsourcer serving physician practices.
- Tebra (formerly Kareo): Practice management, EHR, and medical billing platform built for independent practices and billing services. Comparable to FCBG as a technology-enabled medical billing solution for small-to-mid medical practices.
Broad incumbents
- NextGen Healthcare: Provides EHR, practice management, and revenue cycle management solutions to ambulatory care providers. Comparable to FCBG in delivering billing services and RCM tools, though primarily a software vendor rather than a service-led RCM outsourcer.
- Athenahealth: Cloud-based EHR, practice management, and medical billing platform serving physician practices and health systems. Overlaps with FCBG on the medical billing and claims management layer, but offers a far broader integrated suite.
- Availity: Healthcare information network and revenue cycle management platform facilitating claims, eligibility, and payer-provider data exchange. Comparable to FCBG on the claims submission and payer-interaction workflow.
- eClinicalWorks: Ambulatory EHR and practice management vendor with RCM/billing services for physician practices. Comparable to FCBG in serving physician billing needs, though via integrated software rather than pure service.
- Experian Health: Provides revenue cycle management, claims management, and patient access/billing solutions to hospitals and physician groups. Comparable to FCBG in claims processing and patient billing, with a much broader data and analytics footprint.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
First Coast Billing Group social profiles
Digital presenceFirst Coast Billing Group financial estimates
Financial estimateRevenue estimate
Valuation estimate
First Coast Billing Group leadership team
Management profileNumber of profiles
Profiles4 records
First Coast Billing Group funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
First Coast Billing Group M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about First Coast Billing Group
What does First Coast Billing Group do?
First Coast Billing Group provides outsourced medical billing and accounts receivable wind-down services for healthcare providers. Its core offerings include full-service medical billing (claim generation, submission, insurance verification, denial management, and appeals), specialized EKG over-read billing for cardiologists, consulting on billing operations, and federal contract billing. The company uses custom in-house proprietary software that interfaces directly with hospital databases to submit claims in bulk and provide real-time account transparency.
Is First Coast Billing Group a public or private company?
First Coast Billing Group is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was First Coast Billing Group founded?
First Coast Billing Group was founded in 1990. It employs 11 to 50 people.
Where is First Coast Billing Group based?
First Coast Billing Group is headquartered in Jacksonville, United States, in the North America region.
How does First Coast Billing Group make money?
Four revenue lines are on record. Medical Billing Services are the primary driver. The others are AR Wind-Down Services, EKG Over-Read Billing and medical Billing Consulting.
Who are First Coast Billing Group's main competitors?
Direct peers on record are AdvancedMD, Waystar, R1 RCM, Medical Practice Billing and Tebra (formerly Kareo). Broad incumbents are NextGen Healthcare, Athenahealth, Availity, eClinicalWorks and Experian Health.
Does First Coast Billing Group have an API?
No public API is recorded for First Coast Billing Group.
What industry is First Coast Billing Group in?
First Coast Billing Group's product category is Medical Billing Services. Its primary akta.pro industry code is HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 561440 and its SIC code is 8000.