Billing Specialist Services

What Billing Specialist Services does

Billing Specialist Services (BSS) is a privately held, founder-owned medical billing and revenue cycle management firm founded in 2010 by Michelle Riportella in Lake In The Hills, Illinois. The company specializes in mental health billing, providing credentialing and contracting, claim submission, follow-up and appeals, payment posting, patient billing, financial reporting, benefits verification, intake/virtual assistant, and collections services to solo mental health providers and small group practices. BSS is differentiated by an a la carte service model and hourly pricing rather than the percentage-of-collections fees typical of the RCM industry, and by deep specialization in mental health payer workflows including TMS, EAPs, redeterminations, and appeals.

The company operates as a labor-intensive professional services firm with no proprietary technology platform, relying instead on certified billing staff (CPC, CCA, AAPC), integration with client EHR systems, encrypted communications, and third-party HIPAA compliance oversight. A distributed team of 26 across 17+ U.S. states serves customers nationally, with concentration in the McHenry County/Chicago-area origin market. Customer acquisition is primarily community- and referral-driven through Chicago-area networking groups and a dense testimonial base. The company has announced a 2026 expansion into billing for Applied Behavior Analysis (ABA), Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) practices, and maintains a partnership ecosystem that includes device maker Brainsway, EHR/CRM vendor Lightning Step, and billing technology partner AVA Billing.

Name

Billing Specialist Services

Legal name

Billing Specialist Services

Website

https://billingmr.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

1–10 employees

Short description

Billing Specialist Services is a privately held, founder-owned mental health billing and revenue cycle management firm providing a la carte, hourly-priced credentialing, claim submission, appeals, and patient billing services to solo and small group practices across the United States, with a 2026 expansion planned into ABA, PT, OT, and ST billing.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Healthcare Billing & Patient Payments Presentment (FSAMAJAH), Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Medical billing services
• Revenue cycle management
• Mental health billing
• Insurance credentialing
• Claims processing

Headquarters

HQ city

Lake In The Hills

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, Others

Revenue model

1. Professional Billing Services: Hourly billing for services rendered. The company charges only for hours spent on services for each provider, using a timer system to track time. Services are offered a la carte so providers can select only the services they need.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels7 records

Core offering

Billing Specialist Services provides outsourced medical billing and revenue cycle management for mental health providers, including claim submission, insurance credentialing and contracting, payment posting, follow-up and appeals, patient billing, financial reporting, and benefits verification. Services are offered à la carte, allowing practices to select only the components they need, with specialization in mental health billing codes and TMS treatment billing.

Product overview

Billing Specialist Services operates as a mental health billing specialist firm offering a modular suite of billing and revenue cycle management services. The core offering consists of comprehensive medical billing support including claim submission, credentialing and contracting, follow-up and appeals, patient billing, payment posting, and financial reporting. The company differentiates through a la carte service options allowing providers to customize their billing support. Specialized services include Transcranial Magnetic Stimulation (TMS) billing and upcoming expansion into ABA, PT, OT, and ST services (2026). The service architecture supports both in-house billing system use and integration with client EHR systems, providing flexibility for practices of varying sizes.

Differentiator

Problem solved

Functional benefit

Products and services

• Credentialing and Contracting Consults providers on setup of EIN, NPI, and CAQH; fills out applications for insurance panel enrollment; follows up on progress; and finalizes contracts and fee schedules for mental health providers.
• Claim Submission Submits claims electronically, files secondary claims, coordinates automatic crossovers, and attaches documentation needed for resubmission of claims for mental health providers.
• Follow-up and Appeals Calls insurance companies to check status of unpaid or rejected claims, calls patients for recovery of unpaid balances, resubmits claims with documentation, files appeals, and sends accounts to collections.
• Patient Billing Handles patient and provider inquiries, invoicing patients, generating AR and financial reports, resolving patient billing questions and concerns, and processing credit card payments.
• Payment Posting Enters all insurance and patient payments, makes account and ledger adjustments, pulls payment reports, and generates balance ledger reports for providers.
• Financial Reports Provides access to financial health reports including insurance aging, patient aging, monthly and daily summaries, reimbursement analysis for different payers, and A/R reports.
• Intake/Virtual Assistant Takes calls from patients, schedules appointments, enters patient demographics and insurance information into providers' EHR system, and assists providers while they are out of office.
• Verification of Benefits Calls insurance companies to verify mental health benefits and eligibility before patients are seen, sets up authorizations or single case agreements, tracks EAPs, and reaches out to patients with benefits and accumulations.
• Consultation/Training Consults with practices to make necessary adjustments within billing systems, trains staff, and uses expertise to improve clinical and administrative processes.
• Practice Management Solutions Offers flexibility to use the company's in-house billing system or provides access to the client's EHR system for billing work.
• Self-Pay Clients Handles practices with self-pay clients requiring support for Good Faith Estimates and the No Surprises Act compliance.
• Collections Partners with a third-party collections affiliate to work with providers' patient accounts to ensure providers get paid.
• Transcranial Magnetic Stimulation (TMS) Billing Specialized billing support for Transcranial Magnetic Stimulation (TMS) treatment services, including TMS-specific codes and authorizations.

Quantifiable outcome

• Providers report increased revenue and collections after outsourcing billing to BSS
• +4 more outcomes

Named customers14 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Seven partnerships are on record, tiered minor and core.

• Head / Heart (Head Heart Biz Therapy)minorStrategic or Co-development PartnerHead / Heart is listed as a partner on the BSS website. The partnership appears to be a strategic referral/collaboration relationship between mental health billing services and therapy practice.
• Infinium Marketing GroupminorGTM or Marketing PartnerInfinium Marketing Group is listed as a partner, providing marketing support or co-marketing activities with BSS.
• Steph's Bookkeeping ServiceminorStrategic or Co-development PartnerSteph's Bookkeeping Service is listed as a partner, providing complementary bookkeeping services to BSS clients.
• TMS Clinical SolutionsminorStrategic or Co-development PartnerTMS Clinical Solutions is listed as a partner, supporting BSS's TMS (Transcranial Magnetic Stimulation) billing specialization.
• BrainswayminorStrategic or Co-development PartnerBrainsway is listed as a partner. Brainsway is a medical device company specializing in deep transcranial magnetic stimulation (dTMS) for mental health treatment. BSS provides billing services for their provider clients.
• NeurovominorStrategic or Co-development PartnerNeurovo is listed as a partner, likely related to BSS's TMS and mental health billing services.
• HIPAA Compliance Group (Third-Party)coreOthersBSS works with a third-party HIPAA compliance company that manages staff HIPAA compliance testing, IT department oversight, company policy compliance, and semi-annual HIPAA risk management analysis. BSS has passed every risk assessment since inception.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• PracticeMax: Provides outsourced RCM and billing services across multiple specialties including behavioral health. Direct competitor in the outsourced RCM services market for small and mid-size practices.
• Avidon Health Group: Medical billing and RCM services company working with practices across multiple specialties. Direct competitor in the outsourced RCM/BPO market serving small healthcare providers.
• Precision Medical Billing: Third-party medical billing services company serving physician practices. Direct competitor in the outsourced medical billing services market.
• TheraThink: An outsourced mental health billing services firm targeting therapists and small group practices. Direct competitor to BSS in niche behavioral health RCM outsourcing.
• Doctors' Management Services: Medical billing and practice management services firm. Comparable as a BPO-style RCM outsourcing firm serving small to mid-size practices.

Broad incumbents

• Tebra (formerly Kareo): Cloud-based medical billing, EHR, and practice management platform for independent practices. Indirect competitor whose all-in-one platform threatens outsourced billing models.
• TherapyNotes: Practice management and EHR platform with integrated billing for behavioral health practitioners. Indirectly competes with BSS by enabling in-house billing for the same customer segment.
• SimplePractice: Practice management platform with integrated billing, scheduling, and telehealth built for private mental health practitioners. Competes with BSS by offering an in-house software alternative to outsourced billing.
• AdvancedMD: End-to-end cloud medical billing, EHR, and practice management platform with RCM service options. Broad incumbent competing for the same small-practice billing wallet.
• CollaborateMD: Cloud-based medical billing software and clearinghouse serving small and mid-size practices. Indirectly competes with BSS by providing self-serve claims management tools.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/MRiportella
• Facebookfacebook.com/BillingSpecialistServices
• LinkedInlinkedin.com/company/billing-specialist-services

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Billing Specialist Services