MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
MedBrilliance RCM is a US-based outsourced medical billing and revenue cycle management services company founded in 2020 in Austin, Texas, serving 180+ physicians, clinics, specialty practices, ambulatory centers, and hospital systems across all 50 states via a percentage-of-collections pricing model.
- Company typePrivate
- Founded2020
- HeadquartersAustin, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management does
MedBrilliance RCM is a US-based outsourced medical billing and revenue cycle management company founded in 2020 and headquartered at 5900 Balconies Drive STE 100, Austin, Texas. The company delivers full-cycle billing, coding, credentialing, denial management, eligibility verification, prior authorization, scribing, patient help desk, and virtual assistant services to 180+ physicians, multi-provider clinics, specialty practices, ambulatory centers, and hospital systems across all 50 U.S. states. It claims a delivery workforce of 200+ certified billing and coding professionals (CMRS, RHIA, CPB, AAPC credentials) and reports 98.9% claim accuracy, 98.5% first-pass success, 99% client satisfaction across 130+ third-party reviews, and up to 35% revenue growth for clients.
The underlying technology stack is a cloud-based billing platform layered on top of EHR integrations with Epic, Cerner, eClinicalWorks, Athenahealth, DrChrono, Kareo, AdvancedMD, Greenway Health, NextGen, Kinnser, Homecare Homebase, and MatrixCare, supplemented by clearinghouse connectivity, automated claim scrubbing, encrypted data handling, and real-time analytics dashboards. The compliance posture covers HIPAA, PCI DSS, GDPR, CCPA, and COPPA, with all services delivered remotely via dedicated account management.
Monetization is primarily percentage-of-collections, ranging from 2.49% (Enterprise tier, $500K+ monthly collections) to 4.99% (Classic tier, sub-$50K), with mid-tier bands at 2.99% and 3.99%, plus per-encounter scribing fees (from 2.49%) and separate transaction-based add-ons (credentialing, e-prescribing, RX Manager, data migration, paper statements, paper claim submission). The go-to-market is sales-led: free practice audits, content marketing (blog), SEO, and LinkedIn presence drive acquisition; no external funding rounds, acquisitions, leadership changes, or M&A activity are disclosed. The company is privately held as MedBrilliance RCM LLC.
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management firmographics
Firmographics- Name
- MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
- Legal name
- MedBrilliance RCM LLC
- Website
- https://medbrilliance.com
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- MedBrilliance RCM is a US-based outsourced medical billing and revenue cycle management services company founded in 2020 in Austin, Texas, serving 180+ physicians, clinics, specialty practices, ambulatory centers, and hospital systems across all 50 states via a percentage-of-collections pricing model.
- Ownership category
- akta.pro rank
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Ambulatory Health Care Services (621)
- SIC
- Services-Health Services (8000)
- akta.pro industry
- RCM Outsourcing & Managed Billing ServicesHealthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing SoftwareClaims Management, Scrubbing & ClearinghouseHealthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing SoftwarePatient Access, Registration & Intake (Front-End RCM)Healthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing SoftwarePatient Billing, Statements & Payment ProcessingHealthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing Software
Keywords
Where MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management is headquartered
LocationHeadquarters
- HQ city
- Austin
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Percentage of Collections: Core revenue model based on percentage of monthly collections processed. Services priced from 2.49% to 4.99% of collections depending on practice size and tier selected. Lower percentage rates for higher-volume practices, incentivizing larger clients.
- Add-On Services: Optional premium services including mail bills/paper statements, payer credentialing, paper claim submission, data migration, medical coding, electronic prescribing, prior authorization, and medication management offered at additional charges based on specialty and case type.
- Medical Scribing Services: Per-encounter pricing for medical scribing services starting at 2.49% per encounter, providing documentation support for healthcare providers
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Monthly | Enterprise tier for practices with $500,000+ monthly collections at 2.49% |
| Transaction based/ take rate | Monthly | Ultimate tier for practices with $100,000-$500,000 monthly collections at 2.99% |
| Transaction based/ take rate | Monthly | Pro tier for practices with $50,000-$100,000 monthly collections at 3.99% |
| Transaction based/ take rate | Monthly | Classic tier for practices up to $50,000 monthly collections at 4.99% |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels4 records
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management product offering
Product offeringCore offering
MedBrilliance RCM provides outsourced full-cycle medical billing and revenue cycle management services to physicians, clinics, multi-provider groups, ambulatory centers, and hospital systems across all 50 U.S. states. Core deliverables include eligibility verification, ICD-10/CPT/HCPCS medical coding, electronic claim submission, denial management and appeals, A/R recovery, medical credentialing, prior authorization, hospital billing, medical scribing, and patient help desk support, priced as a percentage of monthly collections (2.49% to 4.99%) with optional add-on services billed separately.
Product overview
MedBrilliance RCM is a unified medical billing and revenue cycle management platform delivered as a core service with tiered pricing plans (Enterprise, Ultimate, Pro, Classic) scaled by monthly collections volume. The core Medical Billing Services platform handles the full RCM lifecycle (eligibility verification, coding, claim submission, A/R follow-up, denial management, and reporting). It is supplemented by an ecosystem of specialized add-on modules including Medical Scribing Services (real-time and virtual EHR documentation), Medical Coding Services (ICD-10/CPT by AAPC-certified coders), Denial Management Services, Hospital Billing Services, Medical Credentialing Services, Benefits and Eligibility Verification, Patient Help Desk Services, Virtual Assistant Services, and Prior Authorization Services. Optional paid add-ons include EHR/Practice Management Software integration, Electronic Prescribing (eRx), RX Manager, Data Migration, Paper Statement Mailing, and Paper Claim Submission. All services are priced on a percentage-of-collections model ranging from 2.49% (Enterprise) to 4.99% (Classic), with add-ons billed separately.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing Services Full-cycle medical billing and revenue cycle management (RCM) covering eligibility verification, claim submission, payment posting, denial management, and A/R recovery for physicians, clinics, multi-provider groups, and healthcare organizations across all 50 U.S. states.
- Medical Coding Services Accurate ICD-10, CPT, and HCPCS code assignments by AAPC-certified coders, ensuring claim acceptance, audit-proof documentation, and specialty-specific coding tailored for every medical field.
- Medical Credentialing Services Provider credentialing and payer enrollment services including CAQH and NPI management, ensuring compliance and enabling practices to begin billing without delay.
- Benefits and Eligibility Verification Services Patient insurance coverage verification performed before services are rendered, preventing day-of-service surprises and reducing claim denials.
- Denial Management Services Expert denial management including root cause analysis, claim correction, appeals and resubmission, payer follow-up, and proactive prevention to maximize revenue recovery from denied claims.
- Medical Scribing Services Real-time, virtual, and specialty-specific medical scribing that documents patient encounters directly into EHR systems, reducing administrative burden and provider burnout.
- Prior Authorization Service Management of prior authorizations and verification of patient insurance benefits before visits, preventing day-of-service surprises and claim delays.
- Hospital Billing Services Specialized hospital billing covering inpatient and outpatient billing, emergency department billing, surgical and anesthesia billing, A/R management, denial management, and complex claims and audits for hospital systems and ambulatory centers.
- Patient Help Desk Services Healthcare customer support services covering patient access center operations, medical call center outsourcing, patient financial and billing support, and patient follow-up and retention.
- Virtual Assistant Services Remote administrative and support services for medical practices, handling patient scheduling, communication management, administrative support, billing and insurance support, data entry and reporting, and patient follow-up and retention.
Quantifiable outcome
- 98.9% error-free claim ratio
- +4 more outcomes
Companies that use MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
Customer profileNamed customers6 records
Segments5 records
Ideal customer profiles4 records
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration12 records
Feature6 records
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core and supporting.
- EpiccoreEHR integration partnership enabling MedBrilliance scribes to work seamlessly within Epic systems for real-time patient documentation and data entry.
- CernercoreEHR integration enabling medical scribes to document directly into Cerner platforms for streamlined healthcare documentation workflows.
- eClinicalWorkscoreIntegration with eClinicalWorks EHR systems allowing scribes and billing teams to operate within existing practice workflows.
- AthenahealthcoreEHR platform integration for seamless data entry and billing workflow connectivity with Athenahealth users.
- DrChronosupportingiOS-optimized EHR platform integration supporting mobile-first practice workflows.
- KareosupportingPractice management and billing software integration for independent practice workflow support.
- AdvancedMDsupportingEHR and practice management integration supporting multi-specialty practice billing and documentation workflows.
Scale indicators7 records
Recent moves6 records
Expansion highlights4 records
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management competitors and assessment
Company assessmentDirect peers
- PracticeSuite: Practice management and medical billing company offering cloud-based software and outsourced RCM services to U.S. physician practices. Closely comparable in target market (independent and specialty practices) and service breadth to MedBrilliance.
- AdvancedMD: Cloud-based EHR, practice management, and medical billing software with outsourced RCM services for small and mid-sized practices. Operates in the same ambulatory RCM outsourcing segment as MedBrilliance, including multi-specialty groups.
- Greenway Health: EHR, practice management, and revenue cycle management vendor serving ambulatory practices. Listed as a MedBrilliance-supported integration platform, while also providing competing RCM services to the same customer base.
- DrChrono: Mobile-first EHR and practice management platform with integrated medical billing and RCM services. Listed as a MedBrilliance integration partner, while also offering competing outsourced billing for small/mid-sized practices.
- CareCloud: Cloud-based EHR, practice management, and outsourced medical billing services for small-to-mid-sized physician practices. Competes with MedBrilliance for ambulatory groups seeking an integrated software-plus-services RCM solution.
- Tebra (Kareo + PatientPop): Practice management, EHR, and medical billing platform serving independent practices. Kareo is listed as a MedBrilliance integration partner, but Tebra also sells its own outsourced RCM/billing services that compete head-to-head for SMB physician customers.
- Athenahealth: EHR vendor with integrated revenue cycle management and outsourced billing services for ambulatory practices. MedBrilliance lists Athenahealth as an integration partner but Athenahealth's own RCM service directly competes for the same physician practice customers.
- BillingParadise: U.S. medical billing and RCM outsourcing company serving physician practices, group practices, and hospitals. Highly comparable to MedBrilliance in percentage-based pricing, specialty coverage, denial management focus, and certified-coder talent model.
- eClinicalWorks: Major ambulatory EHR vendor offering integrated practice management and RCM/billing services for physician practices. Mirrors MedBrilliance's positioning across eligibility, coding, claim submission, and denial management for ambulatory groups.
Broad incumbents
- R1 RCM: One of the largest U.S. outsourced RCM and medical billing providers serving hospitals and large physician groups. Directly comparable to MedBrilliance across the full RCM workflow but at much larger enterprise scale and with deeper hospital-system penetration.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management social profiles
Digital presenceMedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management compliance and trust
Trust signalCompliance5 records
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management financial estimates
Financial estimateRevenue estimate
Valuation estimate
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management leadership team
Management profileNumber of profiles
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management 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 MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
What does MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management do?
MedBrilliance RCM provides outsourced full-cycle medical billing and revenue cycle management services to physicians, clinics, multi-provider groups, ambulatory centers, and hospital systems across all 50 U.S. states. Core deliverables include eligibility verification, ICD-10/CPT/HCPCS medical coding, electronic claim submission, denial management and appeals, A/R recovery, medical credentialing, prior authorization, hospital billing, medical scribing, and patient help desk support, priced as a percentage of monthly collections (2.49% to 4.99%) with optional add-on services billed separately.
Is MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management a public or private company?
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management founded?
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management was founded in 2020. It employs 11 to 50 people.
Where is MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management based?
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management is headquartered in Austin, United States, in the North America region.
How does MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management make money?
Three revenue lines are on record. Percentage of Collections are the primary driver. The others are add-On Services and medical Scribing Services.
Who are MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management's main competitors?
Direct peers on record are PracticeSuite, AdvancedMD, Greenway Health, DrChrono, CareCloud, Tebra (Kareo + PatientPop), Athenahealth, BillingParadise and eClinicalWorks. R1 RCM is listed as a broad incumbent.
Does MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management have an API?
No public API is recorded for MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management.
What industry is MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management in?
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management'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 621 and its SIC code is 8000.