Last updated: 2026-08-24
Honest Taskers, AGS Health, and Transcure lead this year's shortlist of claims follow-up specialist companies, seven firms ranked on how they chase unpaid claims to resolution, from working an aged accounts receivable worklist and calling payers to checking portal status, requesting the documentation a payer says is missing, and escalating the claims that have simply stalled. Four purchase shapes appear here: hourly staff, a flat weekly seat, a percentage of what gets collected, and software that tells your own team where to look. Below we set out whether follow-up should be staffed, outsourced or automated, why the mistakes are quiet, how it is priced, whether a partner is paid in a way that matches your backlog, and what shape that backlog is.
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.
At a glance
- 1Honest Taskers
- 2AGS Health
- 3Transcure
- 4Plutus Health
- 5Neolytix
- 6Coronis Health
- 7Waystar
How we chose the best claims follow-up specialist companies
We ranked these firms on five facts, each read at the provider's own website in August 2026. Those facts are which follow-up work is performed, what credentials or certifications are stated, published pricing, the purchase model, and named compliance. Purchase model does most of the sorting here, because claims follow-up is the one revenue cycle task where the pricing shape changes the incentive. A firm paid a percentage of collections wants your aged claims worked; a firm paid per seat is indifferent to whether they get paid. That is not a moral point, it is a contract design point, and it should decide which column you read first. Blank facts read "not publicly listed" instead of a guess.
Best claims follow-up specialist companies compared
The table ranks all 7 on the same columns, Honest Taskers first because we publish the list. Facts were read August 2026 and change often, so treat them as a starting point, not a quote.
| Company | Claims follow-up work covered | Credential or certification stated | Published pricing | Purchase model | Compliance named |
|---|---|---|---|---|---|
| Honest Taskers | Claims status calls, payer portal checks, worklist preparation, documentation requests, denial logging and escalation | None claimed for coding; pool includes licensed nurses and physicians | $10.00–$12.65/hr | Staffing by the hour | Compliance officer; HIPAA compliance verified by Accountable; BAA when PHI is accessed |
| AGS Health | Claims, accounts receivable, denials, prior authorization, coding, provider enrollment, CDI | "Cybersecurity Transparent Designation 2023"; no coder credential named | Not publicly listed | Outsourced service | Named designation only; no SOC 2, ISO or HITRUST |
| Transcure | RCM covering billing, coding, audits, eligibility, MIPS, credentialing | AAPC-certified billers and coders (company-reported) | 3% to 5% of monthly collections | Percentage of collections | ISO 27001 (company-reported) |
| Plutus Health | Denial management, AR management, claim submission and scrubbing, complex claims, NSA independent dispute resolution | AAPC-certified audits referenced; 99.2% coding accuracy threshold | Not publicly listed | Outsourced service plus AI agents | HIPAA; SOC 2 Type II |
| Neolytix | RCM including AR and denials, coding audit, credentialing, provider enrollment, virtual assistants | Not publicly listed | Not publicly listed | Outsourced service plus staffing | ISO 27001 certified; HIPAA stated |
| Coronis Health | Medical billing and coding, RCM, claims and AR follow-up | Not publicly listed | Not publicly listed | Outsourced service | Not publicly listed |
| Waystar | Claim Manager, Claim Monitoring, Denial and Appeal Management, Recoupment Manager, Medicare Management | Not applicable; your staff work the queues | Not publicly listed | Software license | HIPAA, SOC 2, HITRUST, PCI-DSS |
Two firms publish a price and they publish opposite structures: a percentage of collections that only pays if the claim does, and a flat hourly rate that pays regardless. One entry is software, which matters because a great deal of claims follow-up spend goes on people doing work a worklist tool should have prioritized. Note also that the two firms with ISO 27001 or SOC 2 Type II are both offshore-delivered, and the enterprise firm named for the largest health systems publishes the weakest security designation of the three.
1. Honest Taskers
Best for: practices that want a named person working their aged accounts receivable worklist inside their own system, during payer business hours.
Pricing: $10.00–$12.65/hrLocation: US clients; PH, LatAm, India and Pakistan recruitingModel: Staffing by the hourFirst hire: Two-week working trial
Claims follow-up is a volume job with a decay curve. A claim worked at 35 days usually gets paid; the same claim at 180 days often does not, and the reason it aged is almost never that it was complicated. It is that nobody had time. Honest Taskers places staff who work inside your practice management system on exactly that queue: pulling the aged accounts receivable worklist and working it oldest and largest first, calling payers and sitting in the phone queue, checking claim status in payer portals, requesting the records or documentation a payer says is missing, logging every denial reason so patterns become visible, and escalating the claims that need a decision rather than another call. Because staff work your time zone, those payer calls happen when payers answer. Staff are trained on HIPAA and data privacy under a dedicated compliance officer, and a Business Associate Agreement is signed before anyone touches protected health information, with HIPAA compliance verified by Accountable. Rates run about $10 to $12.65 an hour by role, background, schedule, and location, with a two-week working trial on the first hire and 99.6% average monthly retention reported. See the virtual medical billing service for role detail.
Limitation: this is staffing, so your team still owns the payer strategy, the appeal arguments, and the collection outcome, and the firm names no AAPC or AHIMA credential and no SOC 2 or ISO certification of the kind competitors here publish.
2. AGS Health
Best for: hospitals and large groups that want claims, accounts receivable, and denials handled inside one enterprise engagement.
Pricing: Not publicly listedLocation: HQ Washington DC; delivery ChennaiModel: Outsourced serviceClients: Banner Health, Baylor Scott & White
AGS Health covers the widest span on this list, naming claims, accounts receivable, and denials alongside coding, prior authorization, provider enrollment and credentialing, and clinical documentation improvement. For an organization whose accounts receivable problem is six problems in a row, that breadth is the argument: the same firm that finds the denial pattern can fix the coding that caused it. Its named clients include Banner Health and Baylor Scott & White, which tells you the scale it is built for. Headquarters are in Washington DC with a delivery center in Chennai, India.
Limitation: it is built for health systems rather than practices, publishes no pricing, and names only a Cybersecurity Transparent Designation from 2023 rather than SOC 2, ISO 27001, or HITRUST.
3. Transcure
Best for: practices that want the firm paid only when the claim is, and are comfortable with cost rising alongside revenue.
Pricing: 3% to 5% of monthly collectionsLocation: Texas, New Jersey, FloridaModel: Percentage of collectionsScale: 1,100+ certified billers and coders
Transcure is the only firm here whose published price is contingent on results: 3% to 5% of monthly collections. On aged claims specifically that alignment is worth real money, because a percentage-paid firm has a reason to work the ninety-day bucket that a per-seat arrangement does not. Its whole revenue cycle work covers billing, coding, audits, MIPS, eligibility, and credentialing across more than 40 specialties, from small independent practices through health systems, with offices in Texas, New Jersey, and Florida and more than 1,100 certified billers and coders. It states ISO 27001 and AAPC-certified billers and coders, both company-reported.
Limitation: percentage pricing means cost grows with revenue, which suits a growing practice less well than a flat rate, and it takes over the whole revenue cycle rather than only the follow-up queue.
4. Plutus Health
Best for: practices with a denial problem rather than a volume problem, wanting analytics and dispute capability behind the follow-up.
Pricing: Not publicly listedLocation: Dallas TX; three delivery centersModel: Outsourced service plus AI agentsCompliance: SOC 2 Type II
Plutus Health is the most specifically denial-oriented firm on this list. Its named services include denial management, accounts receivable management, claim submission and scrubbing, complex claims, and No Surprises Act independent dispute resolution, which is a genuinely specialist capability that most firms this size do not touch. It reports serving more than 9,000 providers across 40 or more US states, processing $1.7 billion in annual claims and $1 billion in annual collections, with 1,600 agents and 25 AI agents in production from a Dallas headquarters and three global delivery centers. It states HIPAA compliance and SOC 2 Type II, and references AAPC-certified audits against a 99.2% coding accuracy threshold.
Limitation: no pricing is published, the delivery center locations are not named, and individual coder credentials are not listed, so ask who specifically works your account.
5. Neolytix
Best for: small and mid-sized practices that want accounts receivable work from an ISO 27001 certified firm without an enterprise contract.
Pricing: Not publicly listedLocation: HQ ChicagoModel: Outsourced service plus staffingCompliance: ISO 27001 certified
Neolytix is the entry that scales down, with explicit small-practice and mid-market tiers in a category where most firms chase health systems. It covers revenue cycle management including accounts receivable and denials, coding audit, credentials verification organization credentialing, provider enrollment, licensing, and virtual assistants, and reports serving more than 270 organizations across 31 specialties in 40 states from a Chicago base. It is ISO 27001 certified and states HIPAA compliance, which is a stronger documented position than most similarly sized firms manage. The mix of outsourced service and placed staffing means you can hand over the queue or take a seat, and change your mind later.
Limitation: claims follow-up is not called out as its own service line and no pricing is published, so the cost of the follow-up piece specifically takes a quote.
6. Coronis Health
Best for: behavioral health organizations and community health centers that want a billing firm familiar with their payer mix.
Pricing: Not publicly listedLocation: Not publicly listedModel: Outsourced serviceFocus: Behavioral health, CHCs, hospitals
Coronis Health names claims and accounts receivable follow-up directly alongside medical billing, coding, and revenue cycle management, and its stated client base is the reason it earns a place: behavioral health, community health centers, hospitals, health systems, and physician groups. Behavioral health and community health billing carry payer behavior that general firms handle badly, from session limits and authorization rules to grant and sliding-scale complexity, so domain familiarity is worth more here than scale.
Limitation: it publishes no pricing, no delivery location, and no named certification of any kind, which makes it the least verifiable entry on this list from public sources.
7. Waystar
Best for: organizations whose follow-up effort is misdirected rather than insufficient.
Pricing: Not publicly listedLocation: Not publicly listedModel: Software platformCompliance: HIPAA, SOC 2, HITRUST, PCI-DSS
Waystar belongs on this list because a large share of claims follow-up labor is spent on claims that a decent tool would have flagged, prioritized, or prevented. Its platform includes Claim Manager, Claim Monitoring, Denial and Appeal Management, Recoupment Manager, and Medicare Management, alongside prebill anomaly detection and charge integrity work upstream. It reports serving more than a million providers and reaching 60% of the US patient population, across physician and specialty practices, ambulatory surgery centers, billing services, laboratories, durable medical equipment, federally qualified health centers, home health and hospice, skilled nursing, and health systems. Its compliance position is the strongest here: HIPAA, SOC 2, HITRUST, and PCI-DSS.
Limitation: it is software, so your own staff still work every queue and make every payer call, which does not help a practice whose problem is that nobody is available to do it.
Should claims follow-up be staffed, outsourced, or automated?
Staff it when the backlog is a capacity problem, which it usually is. Working an aged worklist is repetitive, deadline-sensitive, and mostly about persistence rather than expertise, and hourly staff in your own system means the institutional knowledge stays with you. A medical records specialist earned about $51,140 a year, roughly $24.59 an hour before benefits, according to the u.s. bureau of labor statistics may 2025 wage data for medical records specialists, against roughly $10 to $13 an hour for placed remote staff. Outsource on a percentage of collections when your backlog is large and you would rather trade margin for certainty, since a contingent fee only costs you when it works. Outsource to an enterprise firm when accounts receivable is one symptom of upstream coding and authorization failures that need fixing together. Buy software when your team is busy but working the wrong claims, which is more common than it sounds and shows up as a high touch count per resolved claim. What none of these fix by itself is a denial pattern nobody is reading: whichever route you take, insist on denial reasons captured in a way you can aggregate. For the administrative scope you can delegate, see tasks to outsource to a virtual medical assistant.
Why are claims follow-up mistakes quiet rather than obvious?
Because a missed timely filing deadline closes a claim without anyone raising it, and the money is gone before the report shows a gap.
- Timely filing deadlines. Ask who tracks them and what the escalation is at thirty days out, because a claim that ages past the deadline is simply gone.
- Denial data that aggregates. Insist that denial reasons are captured in structured form. A resolved claim with no recorded reason teaches you nothing.
- Write-off authority. Put in writing who can adjust or write off a balance, and at what threshold, since that authority is where losses hide.
- Payer hours against delivery hours. Offshore delivery needs shifts overlapping US payer business hours. Confirm the schedule, not the headcount.
- Compliance evidence. Certifications vary widely here, from HITRUST and SOC 2 down to none at all. Get the Business Associate Agreement before access is granted.
How is claims follow-up priced?
Three shapes, two of them published. Percentage of collections: Transcure publishes 3% to 5% of monthly collections, which is the contingent model and the one that aligns incentives on aged claims. Hourly: Honest Taskers publishes $10.00 to $12.65 depending on role, background, schedule, and location. AGS Health, Plutus Health, Neolytix, and Coronis Health are quote-only, and outsourced accounts receivable work in this market is commonly priced either as a percentage of collections or per resolved claim, though none of them publishes a figure. Waystar licenses software with no published price. The comparison unit that works is cost per dollar recovered on your own aged buckets, which you can calculate for the hourly option from touches per hour and resolution rate, and which any contingent provider should be willing to model with you. Rates were checked August 2026 and change often. For staffing rate context, see how much a virtual medical assistant costs in 2026.
Does the claims follow-up partner get paid in a way that matches your backlog?
Check the incentive first, then deadline discipline, denial reporting and coverage hours.
- Incentive that matches your backlog. Contingent pricing suits an aged backlog; a flat seat suits steady current volume.
- A timely filing report. Ask to see it before signing, showing claims by days to deadline.
- Structured denial capture. Require denial reason codes in a report you can aggregate and act on.
- Coverage during payer hours. Get the shift pattern in writing, and more so for offshore delivery.
- Named security standard. ISO 27001, SOC 2 Type II, or HITRUST. Several firms here name none.
What shape is your accounts receivable backlog before you hand it over?
Age it properly first, because the shape of it decides which model to buy.
- Pull your accounts receivable by bucket and by payer, and flag everything within sixty days of timely filing.
- If the backlog is large and old, price a contingent arrangement against it.
- If current volume is the problem, buy a seat and give it the worklist plus a daily touch target.
- Get the Business Associate Agreement, scoped system access, and a written write-off threshold before go-live.
- Re-age the backlog after ninety days and measure recovery against your own baseline, not the vendor report.
For the hiring route on the staffing option, read how to hire a virtual medical assistant.
Methodology and sources
We read each company's own website in August 2026, recording which claims follow-up work is performed, what credentials or certifications are stated, published pricing, purchase model, and named compliance. Wage context is from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics for medical records specialists. Claims submission and timely filing rules are set by the Centers for Medicare and Medicaid Services for Medicare and by contract for commercial payers. Where a company didn't publish a fact, we marked it "not publicly listed"; accuracy, volume and collection figures are labeled company-reported and were not independently audited.
Related revenue cycle staffing guides
If the backlog is a capacity problem, the fastest fix is a named owner with a daily touch target. Our explainer on what a virtual medical assistant is covers what a remote hire can own in a billing queue, and where the boundary sits before work needs a coding credential.
Speak with Honest Taskers about staffing your claims follow-up.