Medical Billing

What Medical Billing does

Medical Billing Connection (MBC) is a privately held medical billing and revenue cycle management (RCM) outsourcer headquartered in Vista, California, founded in 1999. The firm provides end-to-end medical billing services to healthcare providers across the United States, handling the full revenue cycle from verification of benefits (VOB) through claims submission, appeals, and accounts receivable follow-up. MBC operates on a contingency-style, percentage-of-net-receivables pricing model (approximately 7.5%) that aligns vendor compensation with successful collections. Its technology stack is built around the CollaborateMD cloud-based billing platform, which provides clients 24/7 transparency into billing operations and offers Electronic Medical Records (EMR) integration. The platform supports secure scanning and digital imaging of superbills and EOBs, electronic claims processing (with a stated 14-day average payment turnaround), and HIPAA-compliant operations.

MBC serves a heterogeneous base of healthcare providers, including solo practices, multi-provider facilities, and — distinctively — recovery, rehabilitation, and addiction-treatment centers, where it positions itself as one of a small number of billing firms with the specialized expertise required for VOB, initial authorizations, and concurrent reviews in that niche. The customer base appears concentrated among small-to-mid-sized practices; no enterprise-scale logos are named, and disclosed cost comparisons average roughly $2,250/month per client versus $3,642.53 for in-house billing. Distribution is sales-led via a toll-free number (800.980.4808), website contact forms, social channels (Facebook, LinkedIn, Twitter, Alignable), and healthcare-industry conference participation, with industry partnerships focused on referral networks.

Headcount is reported at 11–50 employees, consistent with a small operating posture. The firm discloses no leadership team, no funding rounds, no M&A activity, no patents, and no AI/ML capabilities. Strategic positioning emphasizes personalized service, transparent operations, recovery/rehab domain expertise, and operational speed (14-day claim payment averages, 60-minute Live VOB turnaround), rather than technology differentiation, automation, or scale. As of the most recent disclosed activity (October 2020 COVID-19 update), the company continued operating as an essential healthcare services vendor.

Name

Medical Billing

Legal name

Medical Billing Connection

Website

https://medbillconnection.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

Medical Billing Connection is a privately held, Vista, California-based medical billing and revenue cycle management outsourcer serving healthcare providers nationwide, with niche specialization in recovery and rehabilitation center billing under a 7.5% percentage-of-net-receivables pricing model.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Ambulatory Health Care Services (621)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

akta.pro secondary industries

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Medical Billing & Coding Automation (HLACACAA)

Keywords

• Medical billing services
• Revenue cycle management
• Healthcare claims processing
• Insurance verification services
• Medical practice billing

Headquarters

HQ city

Vista

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

Revenue model

1. Percentage-Based Medical Billing Fees: Pricing based on a percentage of net receivables. The company operates on a contingency-style model where 'if you don't get paid, we don't get paid.' This aligns incentives between the billing company and healthcare provider.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Medical Billing Connection provides outsourced medical billing and practice management services to healthcare providers nationwide. Services include electronic claims submission to primary, secondary, and tertiary insurance companies, patient statements, appeals, payment posting, denial management, live verification of benefits (VOB), pre-authorizations, utilization reviews, and custom financial reporting. The company operates on a contingency-style percentage-of-net-receivables fee model and specializes in billing for recovery and rehabilitation centers.

Product overview

Medical Billing Connection offers a unified medical billing and practice management service portfolio with five integrated modules: Billing Services (core claims submission and processing), Tracking Services (follow-up and claims monitoring), Reporting Services (financial reporting and analysis), Recovery & Rehab Billing (specialized services for addiction treatment facilities), and In-House vs. Outsourcing Consulting. The company operates on a percentage-based fee model where the provider pays only when claims are successfully paid, and claims EMR capability for client systems.

Differentiator

Problem solved

Functional benefit

Products and services

• Billing Services

Quantifiable outcome

• Electronic claims paid within average 14 days after submission
• +4 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators5 records

Recent moves3 records

Expansion highlights5 records

Direct peers

• DrChrono (EverHealth): DrChrono provides EHR, practice management, and medical billing tools tailored to small practices and specialty providers — competing for the same solo and small-group customers MBC targets.
• PracticeSuite: PracticeSuite offers practice management, EHR, and medical billing services to ambulatory providers of all sizes, overlapping with MBC's billing, tracking, and reporting modules.
• Tebra (formerly Kareo): Tebra offers cloud-based medical billing, practice management, and EHR for small and mid-sized ambulatory practices — the same SMB-provider customer base MBC serves with outsourced billing.
• Coronis Health: Coronis Health provides end-to-end medical billing and RCM outsourcing to healthcare providers, closely mirroring MBC's outsourced-service model and percentage-of-receivables economics.
• AdvancedMD: AdvancedMD delivers cloud-based medical billing, scheduling, and practice management software for independent practices — a comparable RCM-and-practice-management offering, though typically sold as software rather than outsourced services.
• Lightning Step: Lightning Step provides EHR, CRM, and billing/RCM software specifically for addiction treatment and recovery centers, competing head-on with MBC's recovery/rehab specialty module.
• Kipu Health: Kipu Health is an EHR and revenue cycle management platform purpose-built for behavioral health and addiction treatment providers — directly overlapping with MBC's recovery/rehab specialty billing focus.

Broad incumbents

• eClinicalWorks: eClinicalWorks provides EHR, practice management, and billing/RCM solutions to ambulatory care providers — a broader incumbent competitor in the same RCM workflow MBC addresses.
• Waystar: Waystar is a scaled, cloud-based revenue cycle management platform automating claims, payments, and denial management — a much larger, tech-forward incumbent operating in MBC's core RCM category.
• Athenahealth: Athenahealth is a large, established EHR and revenue cycle management platform serving ambulatory practices and health systems — broader in scale and capability, but overlapping in RCM and medical billing.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/medicalbillcon
• Facebookfacebook.com/Medical-Billing-Connection-1405258529693725
• LinkedInlinkedin.com/company/medical-billing-connection

Revenue estimate

Valuation estimate

Number of profiles

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 Medical Billing