Gold Star Medical Business Services

What Gold Star Medical Business Services does

Gold Star Medical Business Services is a privately held, founder-owned US consulting firm headquartered in Horseshoe Bay, Texas, that provides outsourced medical billing, compliance, credentialing, and staff training services to small and mid-sized medical practices across multiple specialties including family/internal medicine, chiropractic, OB/GYN, neurology, orthopedics, dermatology, cardiology, and plastic surgery. Founded in 2006 by Lisa Maciejewski-West, the company has progressively broadened from a single medical-billing offering into an integrated suite of practice-administration services, with each client assigned a dedicated billing representative rather than a rotating support function. The underlying technology is modest: a web-based practice management and billing software option that can be used in place of the client's existing software, alongside a customizable virtual training system that connects Gold Star's consultants with in-house billing staff through weekly meetings, AR reviews, and accountability reporting.

The business model is professional-services and managed-services based, with revenue generated from service fees on outsourced billing engagements, compliance program development and audits, certification training delivered in partnership with the Practice Management Institute (CMC, CMOM, CMIS), credentialing projects, and paid speaking engagements at medical associations and hospitals. Pricing is quote-based, positioned as cost-competitive with in-house billing staff once payroll taxes, benefits, training, and turnover are factored in; no public pricing tiers exist. Go-to-market is sales-led and primarily domestic (US), relying on the founder's speaking engagements, state and specialty medical association relationships, word-of-mouth referrals, and a Calendly-driven free consultation funnel supported by a 866 toll-free number and online contact form. The firm is small (11-50 employees), unbacked by institutional capital, and operates without disclosed revenue, acquisitions, or material technology investments beyond its proprietary web platform.

Name

Gold Star Medical Business Services

Legal name

Gold Star Medical Business Services

Website

https://goldstarmedical.net

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

11–50 employees

Short description

Gold Star Medical Business Services is a founder-owned US consulting firm that provides outsourced medical billing, compliance, credentialing, and staff training services to small and mid-sized medical practices across multiple specialties, supported by a web-based practice management platform.

Ownership category

akta.pro rank

Product category

Medical Billing Services

NAICS

Professional, Scientific, and Technical Services (54)

SIC

Services-Health Services (8000)

akta.pro primary industry

Medical Billing, Coding & Revenue Cycle (EDAOAJAE)

Keywords

• Medical billing services
• Revenue cycle management
• Healthcare credentialing
• Compliance consulting
• Staff training certification

Headquarters

HQ city

San Angelo

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. Medical Billing Services: Full-service revenue cycle management billing services. Clients are assigned a dedicated billing representative who handles insurance and patient billing needs. Can work with client's existing software or provide access to web-based platform. Revenue is generated through service fees that are competitive with or less than cost of in-house billing staff when accounting for taxes, benefits, and turnover costs.
2. Staff Training and Certification Services: Medical staff training services including coding, billing, compliance, office management, OSHA/HIPAA training. Partners with Practice Management Institute to provide certification programs (CMC, CMOM, CMIS). Classes offered on-site or via live webinar format concluding with national examination.
3. Compliance Services: Compliance and ethics program formulation and maintenance. Includes chart audits, documentation reviews, claims coding reviews, custom compliance manual creation, and mandatory compliance training on documentation, HIPAA Privacy and Security, OSHA, Human Resources, Sexual Harassment, and Workplace Violence.
4. Professional Speaking and Education: Speaking engagements at medical association meetings, hospitals, and physician groups. Certification program delivery for medical organizations and communities. Lisa Maciejewski-West is on faculty of Texas State Technical College, Practice Management Institute, and Angelo State University Small Business Development Center.
5. Credentialing Services: Provider credentialing services to assist medical practices with the credentialing process for insurance panels.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Gold Star Medical Business Services provides outsourced medical billing, credentialing, staff training and certification, compliance, and professional speaking services to small and mid-sized medical practices nationwide. Founded in 2006 by Lisa Maciejewski-West, the company bundles full-service revenue cycle management with a virtual training system and an optional web-based practice management and billing software platform for clients that prefer a hosted solution.

Product overview

Gold Star Medical Business Services is a single unified service offering for medical office administration, not a platform-plus-modules architecture. The core portfolio consists of six interconnected service offerings: Medical Billing Services (full-service revenue cycle management), Credentialing Services (provider enrollment), Staff Development/Training Services (certification prep and skills training), Compliance Services (ethics program development and audits), Professional Speaking and Education (keynote and certification facilitation), and Virtual Training Resources (remote training for billing staff). On Site Evaluations provides supplemental audit services. These services are designed to work together to address the complete business needs of medical practices from patient intake through claim reimbursement.

Differentiator

Problem solved

Functional benefit

Products and services

• Outsourced Medical Billing Services Full-service outsourced medical billing and revenue cycle management for small and mid-sized medical practices, including claims submission, follow-up, denial management, and collections, delivered by dedicated billing representatives with targets of 92-95% net collection rate.
• Credentialing Services Provider credentialing and payer enrollment services for medical practices, supporting initial credentialing, re-credentialing, and ongoing payer enrollment maintenance.
• Staff Training and Certification Training and certification programs for medical practice staff on billing, coding, front-office workflows, and related topics, delivered through the company's proprietary virtual training system.
• Billing Boot Camp Public-facing intensive training program covering approximately 100 hours of billing instruction, designed to prepare staff for medical billing roles in small and mid-sized practices.
• Compliance Services Compliance consulting and assessment services for medical practices, covering healthcare regulatory requirements and practice-level compliance posture.
• Professional Speaking and Continuing Education Paid professional speaking engagements and continuing education programs delivered by Gold Star's senior consultants to medical practices, professional associations, and industry audiences.
• On-Site Practice Evaluations On-site evaluation engagements in which Gold Star consultants assess a medical practice's billing, workflow, and operational setup and provide findings and recommendations.
• Web-Based Practice Management and Billing Software Platform Gold Star's own web-based practice management and billing software platform, offered to clients that prefer a hosted solution to support outsourced billing and remote operations.

Quantifiable outcome

• Clients should be collecting 92-95% of net services (gross billing minus write offs)
• +2 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

One partnership is on record.

• Practice Management Institute (PMI)coreStrategic or Co-development PartnerGold Star Medical has partnered with the Practice Management Institute (pmimd.com) to provide comprehensive medical education services. Through this collaboration, Gold Star can offer and teach a full array of classes to clinics, PHOs, ACOs, local and state associations through live or webinar-based training. PMI partnership enables delivery of nationally recognized certification programs including Certified Medical Coders (CMC), Medical Office Managers (CMOM), and Medical Insurance Specialists (CMIS). Classes are offered on-site or via live webinar format, concluding with National Examinations.

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Kareo (Tebra): Tebra (formerly Kareo) provides cloud-based medical billing, practice management, and EHR software for small to mid-sized independent practices, directly competing with Gold Star's billing service and web-based PM software offering.
• AdvantEdge Healthcare Solutions: Medical billing and practice management company offering full-service RCM for physician practices, directly comparable in service mix and target customer to Gold Star.
• Practice Management Institute (PMI): Strategic partner that also offers CMC, CMOM, and CMIS certification programs nationwide; competes with Gold Star for medical staff training and certification delivery at a national scale.
• Coronis Health: Outsourced medical billing, coding, and revenue cycle management provider serving small and mid-sized medical practices, overlapping directly with Gold Star's core billing service.
• ChiroPlanet: Practice management and marketing platform for chiropractic offices (and powering Gold Star's own website), competing in a niche where Gold Star also lists chiropractic among its specialty practices served.

Broad incumbents

• athenahealth: Large-scale EHR and revenue cycle management vendor serving practices of all sizes; its billing services and software compete with Gold Star's offerings at the higher end of the SMB market.
• R1 RCM: National, PE-backed end-to-end revenue cycle management provider for hospitals and large physician groups, representing the scaled competitive threat against smaller outsourced billing firms.
• Medical Group Management Association (MGMA): National association providing education, certification, and resources for medical practice administrators, comparable to Gold Star's training and compliance education offerings.
• Experian Health: Large-scale healthcare revenue cycle, eligibility, and claims management vendor competing in adjacent RCM tooling and services for medical practices.

Emerging players

• DoctorLogic: Digital marketing and practice growth platform for medical practices, an adjacent technology-enabled service competing for the same medical practice wallet share on the patient-acquisition side rather than billing.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/Goldstarmedical

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 Gold Star Medical Business Services