Med Billing RCM
Med Billing RCM is a US-based medical billing and revenue cycle management services company that provides end-to-end billing, coding, credentialing, and AR management to healthcare practices across 50+ specialties in all 50 states.
- Company typePrivate
- Founded2012
- HeadquartersIrvine, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Med Billing RCM does
Med Billing RCM (legal entity: Medbilling RCM Company) is a US-based medical billing and revenue cycle management services company founded in 2012 and headquartered in Irvine, California, with additional offices in Richmond, Texas and Rosedale, New York. The company provides end-to-end RCM services across all 50 states, serving healthcare practices of all sizes — from solo practitioners to hospitals and health systems — across more than 50 medical specialties. Its service portfolio spans hospital billing, physician billing, ambulatory surgery center (ASC) billing, clinical and reference laboratory billing, accounts receivable management, coverage discovery/eligibility verification, medical coding, medical credentialing, and dedicated FTE outsourcing.
The underlying technology stack is built around cloud-based EHR/EMR integration (Epic, eClinicalWorks, Athena, Cerner, Allscripts, Practice Fusion), electronic claims processing, automated claim scrubbing, and practice management system connectivity. The company layers proprietary "Revenue Control Frameworks" tailored for specific settings (Laboratory, Urgent Care, General Surgery) on top of this integration layer, supported by a six-system coverage discovery infrastructure using 270/271 transaction standards. The company claims to process 75,000+ claims daily through 500-800+ certified billing and coding professionals (AAPC/AHIMA certified), with reported operational metrics of 98-99.9% clean claim rates and 99.5% coding accuracy.
Revenue mechanics are diversified across three pricing structures: percentage of collections (transaction-fee model with no upfront fees), flat monthly subscription fees, and custom multi-year contracts. The go-to-market motion combines inside sales for inbound SMB inquiries, direct enterprise field sales for hospitals and large groups processing $500K+ in annual claims, and a self-service website channel offering free revenue assessments. Marketing relies on content (50+ blog articles), organic SEO, and organic social presence on Facebook, Instagram, and LinkedIn. The company is privately held with no disclosed funding rounds, no parent company, and no public ownership disclosures.
Med Billing RCM firmographics
Firmographics- Name
- Med Billing RCM
- Legal name
- Medbilling RCM Company
- Website
- https://medbillingrcm.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Med Billing RCM is a US-based medical billing and revenue cycle management services company that provides end-to-end billing, coding, credentialing, and AR management to healthcare practices across 50+ specialties in all 50 states.
- Ownership category
- akta.pro rank
Med Billing RCM industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370)
- 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), Patient Billing, Statements & Payment Processing (HLACACAG), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE)
Keywords
Where Med Billing RCM is headquartered
LocationHeadquarters
- HQ city
- Irvine
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Med Billing RCM business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Percentage of Collections: Percentage-based model tied to actual reimbursements received. Clients pay only for results delivered with no upfront fees.
- Flat Monthly Fee: Fixed monthly amount based on agreed scope and service volume. Provides predictable billing for consistent service delivery.
- Custom Pricing: Tailored pricing model designed around practice's specific needs, specialty mix, and billing volume.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Monthly | Percentage of Collections - Pay for performance model |
| Subscription | Monthly | Flat Monthly Fee - Predictable pricing |
| Hybrid | Multi-year contract | Custom Pricing - Tailored to specific needs |
Go-to-market motion3 records
Distribution channels3 records
Marketing channels7 records
Med Billing RCM product offering
Product offeringCore offering
Med Billing RCM provides outsourced medical billing and revenue cycle management services to healthcare practices, handling charge capture, claim submission, payment posting, denial management, accounts receivable follow-up, medical coding, and insurance credentialing. The company serves physician practices, clinics, and specialty groups across all 50 US states through certified billing and coding professionals.
Product overview
Med Billing RCM is a comprehensive medical billing and revenue cycle management services company offering a unified platform of billing services. The core portfolio consists of Hospital Billing Services, Physician Billing Services, AR Management Services, Coverage Discovery Services, Laboratory Medical Billing Services, ASC Billing Services, Medical Credentialing Services, Medical Coding Services, and Healthcare FTE Outsourcing Services — all operating across all 50 states. The company layers on specialty-specific billing modules including Urgent Care, General Surgery, Rheumatology, Internal Medicine, Radiology, Dermatology, Mental Health, Family Practice, and Ophthalmology billing services. Supporting features include QCDR/MIPS reporting, patient payment portals, and EHR/PMS integrations. The offering positions as end-to-end RCM from patient registration through final payment posting, with add-on capabilities for credentialing, prior authorization, and denial management.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing Services
- Revenue Cycle Management (RCM)
- Medical Coding Services
- Insurance Credentialing Services
- Accounts Receivable Management
- Specialty-Specific Medical Billing
Quantifiable outcome
- 30% revenue increase achievable through hospital billing services
- +11 more outcomes
Companies that use Med Billing RCM
Customer profileNamed customers10 records
Segments6 records
Ideal customer profiles1 record
Med Billing RCM technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration13 records
Feature6 records
Med Billing RCM partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered minor.
- Regional Health SystemminorHealthcare organization utilizing Med Billing RCM's coverage discovery and eligibility verification services for revenue cycle optimization.
- Midwest Physician GroupminorMulti-provider physician group partnered for end-to-end revenue cycle management services.
- Valley Medical CenterminorMedical center utilizing hospital billing and accounts receivable management services.
- Premier Care NetworkminorMulti-provider network receiving billing optimization and multi-provider network enrollment services.
- United Specialty ClinicsminorSpecialty clinic network utilizing specialty-specific billing and credentialing services.
- Summit Surgical CenterminorAmbulatory surgical center achieving 98% first-pass rate through ASC billing infrastructure.
- Pacific ASC GroupminorAmbulatory surgical center group receiving multi-location billing management.
- Midwest Surgery PartnersminorMulti-specialty surgical practice utilizing comprehensive ASC billing services.
- Coastal Outpatient SurgicalminorOutpatient surgical center partnered for revenue cycle management and denial management.
- Premier Surgery CentersminorPremier surgery center network receiving comprehensive ASC billing infrastructure.
Scale indicators17 records
Recent moves6 records
Expansion highlights5 records
Med Billing RCM competitors and assessment
Company assessmentDirect peers
- AdvancedMD: AdvancedMD offers cloud-based practice management, EHR, and managed RCM/billing services for small and mid-sized physician practices. It is a direct peer targeting the same SMB and specialty practice segment with a similar software-plus-services RCM model.
- eClinicalWorks: eClinicalWorks provides EHR, practice management, and RCM/billing services to physician practices, including its own Healow billing services. It is comparable as a direct competitor in physician-practice RCM and is one of the EHR systems Med Billing RCM integrates with.
- GeBBS Healthcare Solutions: GeBBS is an RCM and medical coding BPO serving hospitals, physician groups, labs, and ASCs with offshore delivery. It is a direct peer in the outsourced RCM and medical coding space, with similar specialty breadth and percentage-of-collections / FTE engagement models.
- FinThrive (formerly nThrive): FinThrive combines RCM technology (claims management, contract management, underpayment detection) with outsourced services for hospitals and health systems. It is comparable because it directly competes across the same end-to-end RCM and analytics services that Med Billing RCM sells.
Broad incumbents
- R1 RCM: R1 RCM is a large-scale US revenue cycle management outsourcing firm serving hospitals, health systems, and physician groups. It is comparable as a direct RCM-outsourcing peer, though at materially larger scale and broader enterprise footprint than Med Billing RCM.
- Conifer Health Solutions: Conifer Health Solutions (a Tenet Healthcare company) provides end-to-end revenue cycle management, patient access, and HIM services to hospitals and physician practices. It is comparable as a full-stack RCM outsourcing peer with similar end-to-end service scope across hospital and ambulatory settings.
- Athenahealth: Athenahealth provides cloud-based EHR, practice management, and native RCM/billing services to physician practices and hospitals. It is comparable as an EHR-embedded RCM competitor that increasingly absorbs the outsourced billing workflow Med Billing RCM sells.
- Experian Health: Experian Health offers eligibility verification, claims management, denials management, and patient payment solutions to hospitals and physician practices. It is comparable as a broad incumbent providing overlapping RCM and coverage discovery capabilities.
Emerging players
- Waystar: Waystar provides cloud-based RCM technology for claims management, eligibility, denials, and patient payments, used by hospitals and large physician groups. It is comparable as a technology-led RCM platform increasingly automating workflows that Med Billing RCM handles with human billers.
- Candid Health: Candid Health is an AI-native RCM platform automating claims submission, denials management, and billing for digital health and provider groups. It is comparable as an emerging technology-led RCM competitor that pressures the labor-intensive outsourcing model on which Med Billing RCM's value proposition depends.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Med Billing RCM social profiles
Digital presenceMed Billing RCM compliance and trust
Trust signalCompliance2 records
Med Billing RCM financial estimates
Financial estimateRevenue estimate
Valuation estimate
Med Billing RCM leadership team
Management profileNumber of profiles
Profiles1 record
Med Billing RCM funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Med Billing RCM M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Med Billing RCM
What does Med Billing RCM do?
Med Billing RCM provides outsourced medical billing and revenue cycle management services to healthcare practices, handling charge capture, claim submission, payment posting, denial management, accounts receivable follow-up, medical coding, and insurance credentialing. The company serves physician practices, clinics, and specialty groups across all 50 US states through certified billing and coding professionals.
Is Med Billing RCM a public or private company?
Med Billing RCM is a private company. It is classified as unknown and is currently operating.
When was Med Billing RCM founded?
Med Billing RCM was founded in 2012. It employs 11 to 50 people.
Where is Med Billing RCM based?
Med Billing RCM is headquartered in Irvine, United States, in the North America region.
How does Med Billing RCM make money?
Three revenue lines are on record. Percentage of Collections are the primary driver. The others are flat Monthly Fee and custom Pricing.
Who are Med Billing RCM's main competitors?
Direct peers on record are AdvancedMD, eClinicalWorks, GeBBS Healthcare Solutions and FinThrive (formerly nThrive). Broad incumbents are R1 RCM, Conifer Health Solutions, Athenahealth and Experian Health. Emerging players are Waystar and Candid Health.
Does Med Billing RCM have an API?
No public API is recorded for Med Billing RCM.
What industry is Med Billing RCM in?
Med Billing RCM's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAB, Claims Management, Scrubbing & Clearinghouse. Its NAICS code is 518 and its SIC code is 7370.