Resource Billing & Consulting

What Resource Billing & Consulting does

Resource Billing & Consulting (RBC) is a privately held medical billing and revenue cycle management company founded in 1999 and headquartered in Visalia, California. The company provides billing, coding, and collection services to approximately 25 multi-specialty physician practice groups, handling claims submission, denial persistence, self-pay collection, CPT code distribution analysis, documentation and coding improvement, annual MIPS reporting, and monthly financial and operational dashboard reporting. Its service catalog is offered through three plan structures — Package Plans, Custom Plans, and A La Carte Options — with the latter covering payor contracting, provider credentialing, and chart auditing. Pricing is not publicly disclosed and is handled through direct quote requests.

The business is operated as a solo founder-led firm under CEO/Owner Regena Virgil, with no disclosed external funding, parent company, or institutional investors. Its technology stack is described broadly as a medical billing and coding platform supporting revenue cycle management, with no proprietary features, AI/ML capabilities, APIs, or integrations documented. Go-to-market is sales-led and direct: clients are reached via the company website contact form and phone outreach (559-627-3000), with no digital marketing, content marketing, or channel partner activity evident. Customer acquisition appears to be referral- and relationship-driven rather than marketing-driven. The company markets responsiveness, transparency, no long-term contracts (60-day cancellation after year one), and certified-coder expertise as its primary differentiators.

The addressable market is concentrated in California, with no indication of multi-state or national operations. The customer base is entirely within the U.S. healthcare provider vertical, specifically multi-specialty medical groups. There are no disclosed patents, trademarks, regulatory actions, M&A activity, partnerships, or formal certifications in the source data. Operating geographies and operating status (actively serving clients) are confirmed as current.

Name

Resource Billing & Consulting

Legal name

Resource Billing & Consulting, Inc.

Website

https://resourcebilling.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

Resource Billing & Consulting is a privately held, founder-owned medical billing and revenue cycle management firm based in Visalia, California, serving approximately 25 multi-specialty physician practice groups with claims submission, denial management, MIPS reporting, and credentialing services since 1999.

Ownership category

akta.pro rank

Product category

Medical Billing Services

NAICS

Administrative Management and General Management Consulting Services (541611), Accounting, Tax Preparation, Bookkeeping, and Payroll Services (54121)

SIC

Services-Management Consulting Services (8742), Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industry

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)

Keywords

• Medical billing services
• Revenue cycle management
• Medical claims processing
• Physician billing solutions
• Healthcare coding services

Headquarters

HQ city

Visalia

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing and Collection Services: Revenue is generated through billing and collection services provided to physician practice groups. The company manages revenue collection for multi-specialty medical groups, handling claims submission, denial persistence, and payment collection. Services include efficient claims submission, CPT code distribution analysis, documentation/coding improvement strategies, and MIPS reporting.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Resource Billing & Consulting provides outsourced medical billing and collection services to multi-specialty physician practice groups, managing revenue collection end-to-end. Core activities include claims submission, denial persistence, self-pay collection, CPT code analysis, documentation and coding improvement, MIPS reporting, and monthly financial/operational dashboards, delivered under Package Plans, Custom Plans, and A La Carte service options such as payor contracting, provider credentialing, and chart auditing.

Product overview

Resource Billing & Consulting offers billing and collection services for multi-specialty medical groups, managing revenue cycle for 25 physician practice groups. The company provides three service plan tiers: Package Plans (bundled services), Custom Plans (tailored arrangements), and A La Carte Options (individual services including Payor Contracting, Provider Credentialing, and Chart Auditing). Core services include claims submission, denial management, self-pay collection, CPT code analysis, coding improvement strategies, MIPS reporting, and monthly financial dashboards.

Differentiator

Problem solved

Functional benefit

Products and services

• Billing and Collection Services Core outsourced medical billing and collection service for multi-specialty medical groups, managing revenue collection end-to-end and maximizing reimbursements through efficient claims submission, denial management, self-pay collection, CPT code analysis, documentation/coding improvement, MIPS reporting, and monthly financial and operational dashboards.
• Package Plans Pre-configured billing service packages for multi-specialty medical groups that bundle the firm's billing, collection, and reporting capabilities into a packaged offering.
• Custom Plans Tailored billing service arrangements designed around the specific needs of individual multi-specialty medical practices, with custom quotes provided on request.
• Payor Contracting A La Carte service in which RBC works directly with insurance companies to negotiate and manage payor contracts on behalf of client medical groups.
• Provider Credentialing A La Carte service in which RBC works directly to enroll and credential providers with insurance companies on behalf of client medical groups.
• Chart Auditing A La Carte service in which RBC works with a vendor to perform chart auditing, assessing coding and charting for compliance assurance for client medical groups.

Quantifiable outcome

• Managed billing and collections for 25 physician practice groups

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators3 records

Recent moves3 records

Expansion highlights2 records

Broad incumbents

• eClinicalWorks: eClinicalWorks is a large ambulatory EHR and RCM platform serving physician practices, including multi-specialty groups. While much larger than RBC, its billing and practice management offerings overlap with RBC's services for medical groups.
• R1 RCM: R1 RCM is a large-scale revenue cycle management company serving hospitals, health systems, and physician groups. Although it typically serves larger organizations than RBC, its RCM outsourcing model directly parallels RBC's service offering.
• NextGen Healthcare: NextGen Healthcare provides integrated EHR, practice management, and revenue cycle management solutions for ambulatory practices, including specialty and multi-specialty groups. It competes in the same RCM outsourcing market as RBC but at significantly larger scale.
• Experian Health: Experian Health provides healthcare revenue cycle management, claims processing, and patient billing/collections services. Its patient billing and collections capabilities overlap with RBC's self-pay collection and denial management services.

Direct peers

• Greenway Health: Greenway Health offers EHR, practice management, and revenue cycle management services for ambulatory practices including multi-specialty groups. It competes with RBC for the same physician-group RCM outsourcing market.
• Practice Fusion: Practice Fusion (part of Veradigm) provides EHR and integrated RCM services for small to mid-sized independent medical practices. It targets the same small multi-specialty and single-specialty group billing segment as Resource Billing & Consulting.
• athenahealth: athenahealth provides cloud-based EHR, practice management, and RCM services to medical groups and hospitals. Its athenaCollector RCM product directly competes with Resource Billing & Consulting's outsourced billing services.
• Tebra: Tebra (formerly Kareo) provides an integrated practice management, EHR, and medical billing platform plus RCM services for independent practices and small medical groups. It is a direct competitor in the outsourced billing space serving similar customer segments.
• AdvancedMD: AdvancedMD provides cloud-based practice management, EHR, and medical billing/RCM services targeted at small to mid-sized medical practices. Its RCM outsourcing arm directly competes with RBC for multi-specialty group billing contracts.
• Medusind: Medusind is a medical billing and revenue cycle management outsourcing company serving physician groups and healthcare providers. Like Resource Billing & Consulting, it provides outsourced billing, coding, and collections services to medical practices, making it a close size-and-model comparable.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Resource Billing & Consulting