911 Billing Services & Consultant

What 911 Billing Services & Consultant does

911 Billing Services & Consultant, Inc. is a privately held, woman-owned outsourced billing services provider headquartered in Madisonville, Kentucky, founded in 1999 by Linda Basham after a 16-year career in Emergency Medical Services. The company specializes in end-to-end EMS and ambulance medical billing and account management for municipal EMS agencies, fire departments, hospitals with ambulance transport services, and private ambulance operators across 10 U.S. states. With 48 full-time staff processing more than 350,000 calls annually, 911 Billing manages the full revenue cycle: documentation training for EMTs and paramedics, eligibility verification, electronic claims submission, payment posting, secondary billing, patient invoicing, denial follow-up, and revenue optimization consulting.

The company's core products are Complete Account Management and the Outsourced Emergency Billing Process, supported by add-on services including Claims Review (conducted by two Certified Ambulance Coders), On Demand Training via a LightspeedVT-powered platform, downloadable billing forms, and Revenue Optimization Consultation. 911 Billing does not sell proprietary software; rather, it integrates with clients' existing EPCR systems (ESO, ImageTrend, ZOLL, Forte Holdings), provides a client portal via eBridge, and processes patient payments through eServices. Staff hold CAC, CACO, and CAPO certifications from the National Academy of Ambulance Compliance, and the company maintains a retainer with the EMS-specialized law firm Page, Wolfberg & Wirth for ongoing legal and compliance training.

911 Billing operates on a transaction-fee model, charging clients a percentage of net collections with rates varying by transportation service type, annual call volume, and average loaded miles. Pricing is quote-based and not publicly disclosed. Go-to-market is sales-led and direct, targeting municipal procurement and private operators through the company website, social channels, American Ambulance Association membership, and industry conferences, with a standard 30-day implementation and no upfront costs. The company reports handling over $300M in annual billing volume and claims to have recovered hundreds of millions of dollars in ambulance medical billing revenue for clients over its 25-year history.

Name

911 Billing Services & Consultant

Legal name

911 Billing Services & Consultant, Inc.

Website

https://911billing.net

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

911 Billing Services & Consultant provides outsourced EMS and ambulance billing and account management to municipalities, fire departments, hospitals, and private ambulance services across 10 U.S. states, using a percentage-of-net-collections pricing model.

Ownership category

akta.pro rank

Product category

EMS and Ambulance Medical Billing Services

SIC

Services-Health Services (8000)

akta.pro primary industry

EMS Billing, Revenue Cycle & Compliance Services (HLAFANAM)

akta.pro secondary industry

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)

Keywords

• Ambulance billing services
• EMS medical billing
• Outsourced revenue cycle management
• Ambulance claims processing
• EMS compliance consulting

Headquarters

HQ city

Madisonville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. EMS/Ambulance Billing Services: Percentage-based billing service where fees are charged as a percentage of overall net collections for each agency. Rates vary based on transportation service types, annual call volume, and average loaded miles.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

911 Billing Services provides outsourced EMS and ambulance medical billing on a percentage-of-net-collections basis, managing the entire revenue cycle for municipalities, fire departments, hospitals, and private ambulance services. Services include documentation training for EMTs and paramedics, eligibility verification, electronic claims submission, payment posting, secondary billing, patient invoicing, denial follow-up, coding review by Certified Ambulance Coders, compliance consulting, and on-demand staff training.

Product overview

911 Billing Services & Consultant provides a unified EMS and ambulance billing platform centered on Complete Account Management and the Outsourced Emergency Billing Process. The core offering encompasses the entire revenue cycle including claims submission, payment posting, and follow-up, supported by complementary services such as On Demand Training via LightspeedVT, Claims Review by certified coders, downloadable billing forms, and revenue optimization consultation. The company does not offer software for sale but provides comprehensive outsourced billing services.

Differentiator

Problem solved

Functional benefit

Products and services

• Complete Account Management Full-cycle outsourced billing management for EMS and ambulance services covering EMT/paramedic documentation training, eligibility verification, claims submission, payment posting, secondary billing, patient invoicing, and follow-up on unpaid claims. Designed for municipalities, fire departments, hospitals, and private ambulance operators.
• Outsourced Emergency Billing Process Core outsourced billing service including electronic claims processing, payer contact for unresolved claims, patient payment arrangements, daily deposit posting, and comprehensive record maintenance for EMS and ambulance clients.
• Revenue Optimization Consultation Professional review of a client's current EMS or ambulance billing practices and policies (whether in-house or outsourced) to identify improvements in revenue, training, and compliance.
• On Demand Training Online on-demand training service delivered through the LightspeedVT platform, used for both internal employee education and ongoing client training to support compliance and profitability.

Quantifiable outcome

• Successfully increased revenue for ALL clients over the past 24 years
• +1 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Page, Wolfberg & WirthcoreStrategic or Co-development PartnerNational EMS industry legal firm with retainer agreement. PWW provides training to 911 Billing staff in legal and ethical practices in Ambulance Medical billing and compliance services.
• American Ambulance AssociationminorOthersIndustry association membership for EMS and ambulance billing services industry engagement and staying current with industry developments.
• Better Business BureauminorOthersBBB accreditation providing trust and credibility signal for the company.
• Kentucky Board of EMSminorOthersState regulatory body membership for Kentucky EMS industry engagement.
• NAACminorOthersNational Academy of Ambulance Compliance - certification and training partner.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• PMMC (Practice Management Medical Consultants): Long-standing EMS/ambulance billing and revenue cycle services provider; competes directly with 911 Billing for municipal, hospital-based, and private ambulance billing contracts across multiple states.
• MP Cloud Technologies: EMS billing software and services company that serves ambulance providers with revenue cycle and billing workflows; overlapping customer base with 911 Billing, including private and public EMS agencies.
• Digitech Computer LLC: Direct EMS/ambulance medical billing services competitor offering outsourced revenue cycle management for ambulance agencies; one of the most well-established direct competitors to 911 Billing in the U.S. EMS billing niche.

Broad incumbents

• R1 RCM: Large enterprise healthcare RCM services and technology company; while focused on hospital revenue cycle, it extends into ambulance/EMS billing for larger health systems that 911 Billing also targets.
• Experity: Healthcare RCM/billing platform primarily focused on urgent care and on-demand care, with expanding capabilities that touch EMS-adjacent providers; demonstrates the tech-enabled RCM model that could disrupt pure-play billers like 911 Billing.
• ZOLL Data Systems: Broader EMS technology platform offering billing, dispatch, and ePCR software — listed on 911 Billing's partner site; competes for the same EMS agency wallet from a software-first angle rather than pure outsourced services.
• ImagineSoftware: Medical billing and RCM technology platform serving multiple specialties including emergency and ambulance-adjacent services; a broader competitor with technology-driven approach that contrasts with 911 Billing's outsourced services model.

Emerging players

• ImageTrend: EPCR and EMS data platform that partners with 911 Billing on integrations and competes at the workflow/data layer; serves the same EMS agencies though its revenue model is software/ SaaS rather than percentage-of-collections.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/911Billing
• Facebookfacebook.com/911BillingService
• LinkedInlinkedin.com/company/2557854

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 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 911 Billing Services & Consultant