Billing Care Solutions
Billing Care Solutions is a private U.S. medical billing and revenue cycle management services provider delivering outsourced coding, claims, denial management, and credentialing to 1,200+ healthcare providers across 50+ specialties and all 50 states on a 2.99% of collections pricing model.
- Company typePrivate
- Founded2008
- HeadquartersSheridan, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Billing Care Solutions does
Billing Care Solutions (BCS), operating as Billing Care Solutions LLC, is a private U.S.-based medical billing and revenue cycle management (RCM) services provider headquartered in Sheridan, Wyoming. Founded in 2008 (per company history) and reporting 11–50 employees, the company delivers outsourced billing, coding, credentialing, denial management, prior authorization, analytics, and compliance services to more than 1,200 healthcare providers across all 50 states and 50+ medical specialties, including cardiology, oncology, gastroenterology, neurology, infusion therapy, and home health. Its technology stack centers on an AI-assisted RCM platform featuring ICD-10 and CPT coding validation across 50+ specialties, AI-integrated denial management, automated compliance checks, and real-time analytics dashboards, delivered through HIPAA-compliant cloud-based monitoring and certified by CBCS and AAPC credentials.
The company monetizes primarily through a transaction-based pricing model at 2.99% of collections on a pay-for-paid basis, supplemented by bundled credentialing and consultation services. Go-to-market is sales-led and inside-sales driven, combining inbound content marketing and SEO with outbound direct sales and consultation booking (Calendly), supported by a free revenue assessment lead magnet. BCS distributes through deep integration with 30+ EMR/EHR platforms including Epic, Oracle Health (Cerner), eClinicalWorks, NextGen, Kareo, and Practice Fusion, which functions as a switching-cost moat for provider clients. The company claims operational KPIs of 99% clean claim rate, 35–40% denial reduction, 24-hour processing turnaround, 100% client retention, and a 5.0 Google rating, though these are self-reported and not third-party validated.
BCS operates as a founder-led, privately-held entity with no disclosed institutional investors, funding rounds, acquisitions, or parent company; testimonials reference founder Adnan Qamar as the primary client relationship lead. The absence of capital events and the SMB-skewed customer mix suggest organic, reinvestment-driven growth rather than venture-scale expansion, positioning the business as a bootstrapped specialty RCM operator rather than a high-growth technology platform.
Billing Care Solutions firmographics
Firmographics- Name
- Billing Care Solutions
- Legal name
- Billing Care Solutions LLC
- Website
- https://billingcaresolutions.com
- Company type
- Private
- Founded year
- 2008
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Billing Care Solutions is a private U.S. medical billing and revenue cycle management services provider delivering outsourced coding, claims, denial management, and credentialing to 1,200+ healthcare providers across 50+ specialties and all 50 states on a 2.99% of collections pricing model.
- Ownership category
- akta.pro rank
Billing Care Solutions industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Business Support Services (5614), Custom Computer Programming Services (541511)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Management Services (8741)
- akta.pro primary industry
- RCM Outsourcing & Managed Billing Services (HLACACAN)
- akta.pro secondary industries
- Patient Billing, Statements & Payment Processing (HLACACAG), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Accounts Receivable (A/R) & Collections Management (HLACACAJ), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)
Keywords
Where Billing Care Solutions is headquartered
LocationHeadquarters
- HQ city
- Sheridan
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Billing Care Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Medical Billing Services: Revenue cycle management and medical billing services charged as a percentage of collections. Pricing model: 2.99% of collections on pay-for-paid basis.
- Credentialing Services: Provider enrollment and credentialing services included as part of comprehensive RCM package.
- Specialty-Specific Billing: Billing services for 50+ medical specialties including cardiology, oncology, gastroenterology, with specialized coding expertise.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Standard RCM Services at 2.99% of Collections |
| Transaction based/ take rate | Pay-as-you-go | Full RCM Package |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels8 records
Billing Care Solutions product offering
Product offeringCore offering
Billing Care Solutions provides outsourced medical billing and end-to-end revenue cycle management (RCM) services for healthcare providers in the United States. Its core offerings span medical billing and coding, claims submission, denial and AR management, credentialing and provider enrollment, prior authorization and VOB, billing/coding audits, reporting and analytics, compliance assistance, and patient help support, delivered across 50+ medical specialties and all 50 states. Services are priced at 2.99% of collections on a pay-for-paid model and are supported by an AI-driven coding platform with HIPAA-compliant cloud monitoring.
Product overview
Billing Care Solutions is a medical billing and revenue cycle management (RCM) services company offering a unified platform of billing services rather than a software product. The core offerings include Medical Billing & Coding, Revenue Cycle Management, Credentialing Services, AR & Denial Management, Billing and Coding Audits, Reporting and Analytics, VOB & Prior Authorization, Infusion Billing, Consultation Services, Compliance Assistance, and Patient Help Support. These services are delivered as an integrated package supporting 50+ medical specialties across all 50 U.S. states, with AI-driven coding validation and cloud-based compliance monitoring integrated throughout their service delivery.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing & Coding Comprehensive medical billing and coding services for healthcare providers, including insurance verification, charge entry, claim submission, payment posting, denial management, and patient billing support using CPT, ICD-10, and HCPCS coding standards.
- Revenue Cycle Management End-to-end revenue cycle management from patient scheduling to final payment, including front-end quality checks, claims submission, payment posting, and accounts receivable management.
- Credentialing Services Provider enrollment and credentialing services including insurance panel enrollment, clearinghouse enrollment, hospital privileges, PECOS and CAQH credentialing, payer contract management, and re-credentialing services.
- AR & Denial Management Accounts receivable recovery and denial prevention solutions to recover delayed payments and reduce denied claims through proactive follow-up and appeals.
- Infusion Billing Specialized billing service for infusion therapies including prior authorizations, accurate coding with HCPCS/J-codes, charge capture, claims submission, denial management, and real-time analytics for biologics, immunoglobulins, and oncology drugs.
- Billing and Coding Audits Revenue integrity audits to identify revenue leakage, coding risks, and improve overall billing performance through comprehensive review and analysis.
- Reporting and Analytics Financial performance analytics with clear reports and real-time insights into collections, accounts receivable, and denials to enable data-driven decision-making.
- VOB & Prior Authorization Verification of benefits and prior authorization services to prevent claim rejections before services are rendered and ensure faster approvals.
- Consultation Services Expert revenue cycle consulting to reveal revenue cycle gaps and inefficiencies with tailored healthcare solutions for long-term operational and financial success.
- Compliance Assistance Risk and compliance solutions ensuring accurate processes that support compliant billing workflows, protecting against costly audit penalties and data breaches.
- Patient Help Support Patient-centric billing support including flexible payment options, transparent billing, automated communication, patient portals, and personalized outreach.
- Specialty Billing Services Specialty-focused medical billing for 50+ specialties including cardiology, oncology, neurology, gastroenterology, dermatology, orthopedics, psychiatry, radiology, and more.
Quantifiable outcome
- 99% Clean Claims Rate
- +7 more outcomes
Companies that use Billing Care Solutions
Customer profileNamed customers7 records
Segments4 records
Ideal customer profiles3 records
Billing Care Solutions technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration37 records
AI capability4 records
Feature5 records
Billing Care Solutions partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- AAPCcoreAmerican Academy of Professional Coders membership. Certified coders trained and credentialed through AAPC. Ensures compliance with latest coding standards and regulations.
Scale indicators17 records
Recent moves1 record
Expansion highlights5 records
Billing Care Solutions competitors and assessment
Company assessmentBroad incumbents
- Athenahealth: Integrated EHR, practice management, and RCM platform serving ambulatory providers; broader incumbent BCS integrates with but also competes against for outsourced billing.
- MedData (now R1 RCM legacy): Larger RCM and patient financial services provider serving hospitals and health systems, broader incumbent with overlapping A/R, billing, and patient responsibility services.
- Waystar: Cloud-based healthcare payments and RCM software platform serving providers of all sizes; broader portfolio incumbent with overlapping claims management and analytics capabilities.
Direct peers
- Omega Healthcare: RCM and medical coding outsourcing provider with extensive US client base and similar percentage-based pricing, comparable delivery model and specialty coverage to BCS.
- BillingParadise: Outsourced medical billing and RCM services firm serving US providers across multiple specialties, very similar in size, scope, and offshore-augmented delivery model to Billing Care Solutions.
- IKS Health: End-to-end RCM, coding, and clinical documentation services firm serving US healthcare providers, comparable in offering mix (coding, denial, AR) and pay-for-performance pricing.
- Aviacode: Medical coding and RCM services provider with specialty-specific expertise across hospitals and physician groups, overlapping significantly with BCS's core coding and billing offerings.
- GeBBS Healthcare Solutions: Mid-to-large scale RCM outsourcing and medical coding BPO serving US providers and payers, comparable service catalog (coding, AR, denial management) and specialty breadth.
- 24/7 Medical Billing Services: US-based RCM and medical billing outsourcing company covering 40+ specialties with a percentage-of-collections pricing model, directly comparable to BCS's offering.
Emerging players
- Practice Fusion (Veradigm): Cloud-based EHR with embedded billing workflows targeted at smaller practices; overlapping customer segment with BCS and partial overlap on the billing/coding workflow.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks7 records
Key highlights7 records
Customer concentration
Billing Care Solutions social profiles
Digital presenceBilling Care Solutions compliance and trust
Trust signalCompliance3 records
Billing Care Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Billing Care Solutions leadership team
Management profileNumber of profiles
Profiles1 record
Billing Care Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Billing Care Solutions 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 Billing Care Solutions
What does Billing Care Solutions do?
Billing Care Solutions provides outsourced medical billing and end-to-end revenue cycle management (RCM) services for healthcare providers in the United States. Its core offerings span medical billing and coding, claims submission, denial and AR management, credentialing and provider enrollment, prior authorization and VOB, billing/coding audits, reporting and analytics, compliance assistance, and patient help support, delivered across 50+ medical specialties and all 50 states. Services are priced at 2.99% of collections on a pay-for-paid model and are supported by an AI-driven coding platform with HIPAA-compliant cloud monitoring.
Is Billing Care Solutions a public or private company?
Billing Care Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Billing Care Solutions founded?
Billing Care Solutions was founded in 2008. It employs 11 to 50 people.
Where is Billing Care Solutions based?
Billing Care Solutions is headquartered in Sheridan, United States, in the North America region.
How does Billing Care Solutions make money?
Three revenue lines are on record. Medical Billing Services are the primary driver. The others are credentialing Services and specialty-Specific Billing.
Who are Billing Care Solutions's main competitors?
Broad incumbents on record are Athenahealth, MedData (now R1 RCM legacy) and Waystar. Direct peers are Omega Healthcare, BillingParadise, IKS Health, Aviacode, GeBBS Healthcare Solutions and 24/7 Medical Billing Services. Practice Fusion (Veradigm) is listed as an emerging player.
Does Billing Care Solutions have an API?
No public API is recorded for Billing Care Solutions.
What industry is Billing Care Solutions in?
Billing Care Solutions's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 5614 and its SIC code is 7370.