Q: What are medical billing outsourcing jobs?

Medical billing outsourcing jobs are administrative roles where a biller submits claims, works denials and follows up on payments for healthcare providers. The biller is employed by a billing company or staffing firm rather than the practice. Most of the work is remote and done inside the provider's own systems.

Q: How much do remote medical billing jobs pay?

Job boards list remote medical billers at roughly $17 to $25 an hour, or about $30,000 to $60,000 a year by experience and certification. The U.S. Bureau of Labor Statistics reports a $51,140 median wage for medical records specialists, the wider federal category (May 2025). Pay rises with a credential and denials or accounts receivable experience.

Q: Are medical billing outsourcing jobs fully remote?

No, not every one is fully remote, though many outsourcing and staffing roles are. Billing runs on software and phones, so it travels well. Some hospital and large-group roles stay hybrid or on-site.

Q: Is a remote medical billing job a stable career?

Yes, it's a stable career because providers always need to get paid. The U.S. Bureau of Labor Statistics projects about 8 percent growth for medical records specialists from 2025 to 2035, faster than average. Adding coding or denials skills makes a biller harder to replace.

Do medical billing jobs require certification?

No, certification isn't always required, but it helps. Many billers start with a certificate program or on-the-job training. The Certified Professional Biller (CPB) credential from AAPC is the one hiring managers recognize, and some outsourcing firms treat it as a floor.

Do these companies sign a business associate agreement?

Not all of them, and this guide says which do. A business associate agreement is the contract that makes it lawful for a vendor to handle protected health information on your behalf, and HIPAA training is not the same thing. Ask for the agreement in writing before any access is granted, and treat a vague answer as an answer.

What should we watch out for?

The most common problems are: percentage pricing that keeps growing as you grow, well past the point where the work does; specialty mismatch, where a generalist firm learns your payer rules on your claims; denials worked as ticket closure rather than as appeals, which clears queues without recovering money.

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Last updated: September 27, 2026

The word outsourcing throws people off, because it sounds like a company rather than a job you can hold. It's both. Behind every outsourced billing contract is a remote biller doing the same claim work an in-house team would, just for a different employer.

At a glance

Medical billing outsourcing jobs cover claim submission, denial work and payment follow-up for healthcare providers.
Typical requirements include medical terminology, payer rules and billing software experience.
Certification such as the AAPC Certified Professional Biller (CPB) helps candidates stand out.
Job boards list remote billers around $17 to $25 an hour, and BLS reports a $51,140 median for the wider occupation.
Honest Taskers hires healthcare-experienced remote billing professionals and pairs pay with benefits.

This is a candidate's guide to the work, written for anyone weighing a remote billing role. The market is real, it's growing, and it rewards people who know the rules and can prove they work well unsupervised. This guide covers what these jobs are, what the work involves day to day, which skills employers look for, which certifications help you stand out, how much the jobs pay, whether they run fully remote, which employers hire for them, how you get hired, what a billing career path looks like, which software the work relies on, what makes the job demanding, whether it's a stable line of work, and where the figures here come from. Read it in order and you'll finish with a clear picture of the role and a plan for landing one.

What are medical billing outsourcing jobs?

Medical billing outsourcing jobs are administrative roles that handle a provider's claims and payments from outside the practice's own payroll. Instead of hiring an in-house biller, a clinic contracts a billing company or a staffing firm, and the biller does the same work remotely.

The job sits inside the revenue cycle. A biller turns clinical visits into clean claims, sends them to payers, chases what gets rejected or denied, and posts what comes back. The provider keeps the patient relationship, while the biller owns the paperwork that gets the provider paid.

Two setups exist. A staffing firm places a biller who works inside the practice's own systems under its direction, while an outsourced billing company runs the whole function and reports results back. Both are legitimate medical billing jobs, and knowing which one you're applying to tells you who you'll answer to day to day.

What does a remote medical billing job involve day to day?

A remote medical billing job involves turning visits into claims, sending them to payers, and following the money until it lands. The rhythm repeats every day, one claim batch at a time.

A typical day holds a repeating set of tasks.

Charge entry and claim creation in the practice's system.
Claim scrubbing to catch coding and eligibility errors before submission.
Clearinghouse rejection fixes and resubmission.
Payment posting from insurers and patients.
Denial review, appeals and accounts receivable follow-up.

Most of the work happens inside an EHR or a practice management system and a clearinghouse, so you're moving between screens rather than papers. The pace is steady rather than dramatic, and the win is a clean first-pass claim that pays without a fight. That first-pass rate, the share of claims accepted on the first try, is the number most billing teams watch.

Which skills do medical billing jobs require?

Medical billing jobs require medical terminology, payer and claim rules, billing software fluency, HIPAA awareness and steady attention to detail. Those five carry most of the work.

The core skills employers screen for are concrete.

Medical terminology and CPT, ICD-10 and HCPCS coding basics.
Payer and claim rules, including Medicare and commercial policies.
Billing and clearinghouse software fluency.
HIPAA awareness and safe handling of patient information.
Attention to detail and steady follow-through on unpaid claims.

Soft skills matter as much as the technical ones. You'll spend part of most days in a portal or on the phone with a payer such as Medicare or a commercial insurer, so clear written and spoken English and a calm, persistent manner move claims that a timid follow-up leaves stuck. Coding knowledge helps even when a separate coder owns the codes, because a biller who reads a denial can see where the code went wrong. One word shows up fast here, specialist, since denials and accounts receivable both grow into their own tracks.

Which certifications help you land a medical billing job?

The Certified Professional Biller (CPB) credential from AAPC helps most candidates land a first medical billing job. It's the credential hiring managers recognize by name.

AAPC, the professional body that sets much of the coding and billing standard, offers the CPB for billing and the Certified Professional Coder (CPC) for coding (aapc.com, read September 2026). A CPB signals that you know claim rules, payer requirements and the appeal process before your first day.

Certification isn't always mandatory. Plenty of billers start with a certificate program or on-the-job training and earn the CPB later. When two resumes look alike, though, the credentialed one wins the interview more readily, and some outsourcing firms treat it as a floor. For coding-heavy work, the CPC or an AHIMA credential such as the Certified Coding Specialist carries similar weight.

How much do remote medical billing jobs pay?

Remote medical billing jobs pay roughly $17 to $25 an hour on job-board listings, or about $30,000 to $60,000 a year depending on experience and certification. Pay and benefits climb with a credential and a specialty.

The U.S. Bureau of Labor Statistics "Occupational Outlook Handbook" reports a median annual wage of $51,140 for medical records specialists, the wider federal category that includes billing (bls.gov, May 2025 data, read September 2026).

What remote medical billing jobs pay, by source (2025 to 2026)
Source	Reported pay
Job boards, hourly	About $17 to $25 an hour for remote billers
Job boards, annual	Roughly $30,000 to $60,000 a year by experience and certification
BLS median, May 2025	$51,140 a year for medical records specialists

Job boards such as ZipRecruiter, Glassdoor and SimplyHired list the hourly ranges above, while the federal figure covers a broader occupation, so treat the two as different lenses on one market. A new biller starts near the bottom, and a CPB plus denials or accounts receivable experience moves you up.

Are medical billing outsourcing jobs fully remote?

No, not every medical billing outsourcing job is fully remote, though many outsourcing and staffing roles now are. Remote is the default for this kind of work, and you don't have to negotiate hard for it.

Billing runs on software and phones, so it travels well. An outsourced billing company or a staffing firm can place you from home while you work a US practice's hours in its own systems. Some hospital and large-group roles stay hybrid or on-site, usually where the employer wants billers near the coders and the front desk.

Time zone matters more than location. A remote biller working US accounts keeps US business hours whatever the home address, because payers and patients are reachable then. The trade-offs, and the day-shape that comes with a home-based role, sit in our look at the benefits of a medical billing role.

Which employers hire for medical billing jobs?

Billing companies, revenue cycle management firms, staffing companies, hospitals and large practices all hire for medical billing jobs. Each hires for a slightly different reason.

Dedicated billing and RCM companies hire the most, because billing is their whole product. Staffing firms hire billers to place with practices that want a remote person inside their own systems. Hospitals and multi-site groups keep in-house billing teams for a claim volume that doesn't let up.

Honest Taskers hires healthcare-experienced remote billing professionals and places them with US practices. It recruits in the Philippines, Latin America, India and Pakistan, and its billers work the client's US time zone. Practices that staff this way pay Honest Taskers a billing rate of $10.00 to $12.65 per hour for a placed professional, which is the client-side cost rather than the biller's take-home pay. Alongside that, Honest Taskers pairs competitive pay with benefits that include healthcare coverage for eligible team members, interest-free employee loans, wellness packages, performance-based raises and professional development, which is how it keeps experienced billers rather than churning through them.

How do you get hired for a remote medical billing job?

You get hired for a remote medical billing job by pairing real billing knowledge with proof you work well unsupervised from home. Employers screen for both, in that order.

Start with the fundamentals, such as claim rules, a billing certificate or the CPB, and hands-on time in an EHR. A resume that names the systems you've used and the specialties you've billed beats one that lists duties in the abstract. Then show the remote side, since a home-based biller needs a quiet workspace, reliable internet and the discipline to clear a queue without someone watching.

Interviews often include a short test, such as reading a denial and saying what you'd do next. Practicing that answer out loud helps more than rereading a textbook. To picture the role before you apply, read our walk-through of a day in the life of a medical biller, which shows the queue and the call rhythm an employer expects you to handle.

What does a medical billing career path look like?

A medical billing career path runs from entry-level biller to specialist, then to lead or manager, and sometimes across into coding or revenue cycle strategy. The ladder is real, and each rung has a name employers use.

A new biller learns charge entry and clean-claim basics, and it's the rung nobody skips. From there, most people specialize, since denials, appeals and accounts receivable each reward someone who goes deep. A denials and appeals track suits people who like the fight, while an accounts receivable track suits people who like the chase. Above the specialist rung sit billing team leads and billing managers, who own targets, staffing and payer relationships.

The senior end is revenue cycle work, where the job is the whole money flow rather than one queue. Someone aiming that way can study the scope in our guide to revenue cycle specialist companies and point the next few roles toward it.

Which software do medical billing jobs rely on?

Medical billing jobs rely on EHR and practice management systems plus a clearinghouse that routes claims to payers. Fluency in the employer's stack often separates two otherwise equal candidates.

The systems you'll meet most are the big EHR and practice management platforms, such as Epic, eClinicalWorks, AdvancedMD, Athenahealth, Tebra and Kareo. On top of one of those sits a clearinghouse, such as Availity or Waystar, which scrubs and forwards claims and returns rejections. Add payer portals and a spreadsheet or two, and that's the daily toolset.

No biller knows every platform, and employers don't expect it. What they want is someone fluent in one modern system who picks up the next one fast. Naming the exact software you've run, and the clearinghouse you've worked, tells a hiring manager how little ramp time you'll need.

What makes a medical billing job demanding?

A medical billing job is demanding because payers keep changing the rules and every denied claim is money the practice won't see until someone wins it back. The pressure is quiet but constant.

Denials are the hard core of the work. A claim can bounce for a wrong modifier, a missing prior authorization or an eligibility gap, and each one needs a fix and a resubmission inside a filing deadline. The American Medical Association reports that prior authorization is a heavy administrative burden on practices (ama-assn.org, read September 2026), and billers feel that burden claim by claim.

Rules shift under you, too. Payer policies, coding updates and coverage changes all move, so last quarter's clean claim can reject this quarter. People who do well treat it as a puzzle rather than a grind, which is the temperament our guide to denials and appeals specialist companies describes.

Is a remote medical billing job a stable career?

Yes, a remote medical billing job is a stable career, because providers always need to get paid and the work doesn't disappear when it's done well. Demand tracks healthcare itself, which keeps growing.

The U.S. Bureau of Labor Statistics projects employment of medical records specialists to grow about 8 percent from 2025 to 2035, faster than the average occupation (bls.gov, read September 2026). Billing sits inside that trend. An aging population means more visits, more claims and more denials to work, and none of that shrinks in a downturn.

Stability also comes from range. A biller who adds coding, denials or revenue cycle skills becomes hard to replace and easy to promote. Billers curious about the coding side can compare the day in our walk-through of a day in the life of a medical coder before deciding where to specialize next.

Where do these medical billing job figures come from?

These medical billing job figures come from federal wage data, a certification body and public job boards, each named here. Nothing on this page is a private estimate.

Pay ranges of about $17 to $25 an hour and $30,000 to $60,000 a year are what job boards such as ZipRecruiter, Glassdoor and SimplyHired list for remote billers, read in September 2026. Federal wage and outlook numbers, the $51,140 median and the roughly 8 percent growth projection, come from the U.S. Bureau of Labor Statistics "Occupational Outlook Handbook" entry for medical records specialists (May 2025 data). AAPC supplies the certification facts, and the American Medical Association supplies the prior authorization burden. What isn't verifiable is a single national wage for outsourced billers specifically, because federal data groups them with the wider records occupation. We don't publish a savings percentage, since that depends on each employer's own costs.

Learn how Honest Taskers hires remote healthcare billing professionals.

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Last updated: 2026-08-21

Honest Taskers, Transcure, and Medusind lead this year's shortlist of companies to outsource medical billing, seven firms ranked on which purchase model they sell, what they publish about price, the specialties and client types they name, stated delivery location, and compliance. The most useful thing to settle before you compare vendors is whether you want a person in your system at an hourly rate or a firm that owns the outcome for a share of what it collects.

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, and we sell the staffing model rather than the outsourced-service model.

At a glance

1Honest Taskers
2Transcure
3Medusind
4Neolytix
5Coronis Health
6Staffingly
7AGS Health

How we chose these companies
Companies compared
The 7 companies
Should medical billing be hourly staffing, a flat fee, or a percentage of collections?
What are the risks when billing goes out?
How much does outsourced medical billing cost?
What should you look for in a company to outsource medical billing?
How do you get started with a company to outsource medical billing?
Methodology and sources

How we chose these companies

Two products answer this search and they are priced on entirely different logic. In the staffing model you pay an hourly rate for a person who works your claims inside your practice management system, and your team still owns the strategy and the result. In the outsourced-service model the firm takes the function, works claims on its own process, and charges a percentage of collections or a flat monthly fee, with the outcome as its problem. Both are legitimate. Buying the wrong one is the expensive mistake, so we compared model first, then published pricing, named specialties and client types, stated delivery location, and compliance.

Published pricing separates this field faster than anything else. Only three of these seven publish a number: an hourly rate, a percentage of collections, and a weekly per-person fee. The other four quote on request, which means a like-for-like comparison requires you to write one scope document and send it to all of them. That's work, but it's the only way the numbers become comparable.

Specialty and client-type fit is the criterion practices under-weight and later regret. Behavioral health, federally qualified health centers, home health, and dental all bill differently enough that a firm without real experience in yours will learn on your claims. Where a company names client types explicitly, we've listed them, because that specificity is itself evidence.

Compliance is uneven. Two firms name ISO 27001, one names SOC 2 Type II alongside a signed business associate agreement, and two publish no certification at all. Every firm handling your claims is a business associate under the framework the U.S. Department of Health and Human Services sets out, so the agreement is the floor rather than the achievement. Wage context for the in-house comparison is the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics, which puts the national median for billing and posting clerks at $23.32 an hour, about $48,500 a year.

Companies compared

Companies to outsource medical billing compared on the criteria stated below, read at each provider's own site.
Company	Purchase model	Published pricing	Client types and specialties named	Delivery location (as stated)	Compliance (as stated)
Honest Taskers	Staffing, per hour	$10.00 to $12.65/hr	US practices, small to mid-size	Philippines, Latin America, India and Pakistan recruiting, US managed	Compliance officer; HIPAA verified by Accountable; BAA when PHI is accessed; SOC 2 audit ready
Transcure	Outsourced service	3% to 5% of monthly collections	Small and independent practices through health systems, 40+ specialties	Offices in Texas, New Jersey, Florida; 1,100+ certified billers and coders	ISO 27001; AAPC-certified billers and coders (company-reported)
Medusind	Outsourced service	Not publicly listed	Physician groups, FQHCs, behavioral health, home health, dental and DSOs, 30+ specialties	Not publicly listed	Not publicly listed
Neolytix	Outsourced service	Not publicly listed	270+ organizations, 31 specialties, 40 states; small-practice and mid-market tiers	Not publicly listed; headquarters Chicago	ISO 27001 certified; HIPAA compliance stated
Coronis Health	Outsourced service	Not publicly listed	Behavioral health, community health centers, hospitals, systems, physician groups	Not publicly listed	None named
Staffingly	Staffing, per week	$399/wk at 45 hrs; $349 at 5+; $299 at 10+	Practices of all sizes; billing, coding, prior auth, front office	India, Pakistan, Bangladesh (company-stated secured facilities)	SOC 2 Type II; ISO/IEC 27001:2022; signed BAA; $5M E&O and cyber policy
AGS Health	Outsourced service	Not publicly listed	Large systems; named clients include Banner Health and Baylor Scott & White	US headquarters Washington DC; delivery center Chennai, India	States HIPAA safeguards; no SOC 2, ISO or HITRUST named

1. Honest Taskers

Best for: practices that want billing capacity at a published hourly rate while keeping their process, systems, and payer relationships.

Pricing: $10.00 to $12.65/hrModel: Managed staffingCompliance: BAA when PHI is accessedFirst hire: Two-week working trial

Honest Taskers places medical billers into your practice rather than taking billing over, which is the right answer for the large share of practices whose process works and whose problem is that nobody is running it. The scope covers charge entry, claim submission, payment posting, denial follow-up and appeals preparation, accounts receivable work, insurance verification, and patient balance queries, all inside your practice management system and clearinghouse. Because it's staffing, the hourly cost doesn't move when your collections grow, and your payer relationships, data, and workflows stay yours.

People work the client's US time zone, recruited in the Philippines, Latin America, India and Pakistan under US-based management. Compliance runs on quarterly HIPAA and data privacy training led by a dedicated compliance officer, a Business Associate Agreement signed where the professional will access PHI, remote work screening covering a dedicated password-protected computer with VPN and antivirus requirements, and a security environment described as SOC 2 audit ready, with HIPAA compliance verified by Accountable. Reported retention is 99.6% average monthly, which is worth weighing in billing specifically because someone who knows your payer mix and your denial patterns is materially more effective in month twelve than in month one. Rates run $10.00 to $12.65 an hour with a two-week working trial on the first hire and unlimited replacement support. See the virtual medical billing service for scope detail.

Limitation: staffing means your team still owns the billing outcome, the payer follow-up strategy, and the numbers. There's no collections guarantee and no service level agreement tied to days in AR.

2. Transcure

Best for: practices that want a full outsourced service with the price published up front.

Pricing: 3% to 5% of monthly collectionsModel: Outsourced serviceScale: 1,100+ certified billers and codersOffices: Texas, New Jersey, Florida

Transcure is the only whole-service firm here that publishes its rate, at 3% to 5% of monthly collections, and that alone makes it the reference point for pricing the outsourced model. The scope runs across billing, coding, audits, MIPS reporting, eligibility verification, and credentialing for practices from solo through health systems across 40 or more specialties. It reports offices in Texas, New Jersey, and Florida and a team of more than 1,100 certified billers and coders, is ISO 27001 certified, and reports AAPC-certified staff. If you want someone accountable for collections rather than someone filling a seat, this is the model, priced transparently.

Limitation: percentage pricing means your cost rises with revenue permanently, which suits a growing practice less well than a flat rate.

3. Medusind

Best for: practices in a specialty that bills differently, including dental, behavioral health, home health, and FQHCs.

Pricing: Not publicly listedModel: Outsourced serviceCoverage: Billing, coding, credentialing, ARSpecialties: 30+

Medusind names its client types with unusual specificity: physician groups, federally qualified health centers, behavioral health, home health, dental practices and dental service organizations, across 30 or more specialties, with medical and dental billing, coding and credentialing, accounts receivable follow-up, and payment posting. That specificity is the reason it ranks here. Billing rules diverge sharply between a community health center and an orthodontic group, and a firm that names both has in all likelihood done both.

Limitation: it publishes neither pricing, delivery location, nor any certification, so all three have to be established in conversation.

4. Neolytix

Best for: solo and small practices wanting an outsourced service tier built for their size.

Pricing: Not publicly listedModel: Outsourced serviceCoverage: Billing, coding audit, credentialingCompliance: ISO 27001 certified

Neolytix reports serving 270 or more organizations across 31 specialties and 40 states, and publishes explicit small-practice and mid-market tiers, which is rarer than it sounds in a market where most whole-service firms quietly prefer larger clients. Scope covers revenue cycle management, billing, coding audit, credentialing and provider enrollment, licensing, and virtual assistants, so a practice can consolidate several administrative gaps with one vendor. It is ISO 27001 certified and states HIPAA compliance.

Limitation: no published pricing, so comparing it on cost takes a quote, and minimums start at one full-time equivalent.

5. Coronis Health

Best for: behavioral health organizations and community health centers wanting a firm that names them as core clients.

Pricing: Not publicly listedModel: Outsourced serviceCoverage: Billing, coding, RCM, ARCompliance: None named

Coronis Health provides medical billing and coding, revenue cycle management, and claims and accounts receivable follow-up, and names behavioral health, community health centers, hospitals, health systems, and physician groups among its clients. Behavioral health billing in particular carries authorization and session-limit rules that trip up generalist firms, so a vendor naming it as a core segment is worth a conversation if that's your world.

Limitation: it publishes no pricing, no delivery location, and no named certification, which is the thinnest public disclosure on this list.

6. Staffingly

Best for: practices wanting a flat weekly per-person cost with volume discounts and documented certifications.

Pricing: $399/wk at 45 hrsModel: Staffing, per weekVolume: $349 at 5+, $299 at 10+Compliance: SOC 2 Type II, ISO 27001

Staffingly prices staffing by the week rather than the hour, at $399 for a full-time equivalent at 45 hours, dropping to $349 at five or more people and $299 at ten or more, which is the clearest volume structure published in this category. It covers billing, coding, prior authorization, and front office, and its compliance disclosure is the most detailed here: SOC 2 Type II, ISO/IEC 27001:2022, a signed business associate agreement, and a $5 million errors and omissions and cyber policy. It states delivery from secured facilities in India, Pakistan, and Bangladesh.

Limitation: its workflow is AI-assisted with a person verifying output rather than fully human, so confirm what that means for your claim types.

7. AGS Health

Best for: large groups and systems outsourcing high-volume billing and denials.

Pricing: Not publicly listedModel: Outsourced serviceCoverage: Coding, claims, AR, denials, prior authDelivery: Chennai, India

AGS Health handles coding, claims, accounts receivable, denials, prior authorization, provider enrollment and credentialing, and clinical documentation improvement with an AI-assisted workflow, and names large clients including Banner Health and Baylor Scott & White. It publishes its footprint plainly, with a US headquarters in Washington DC and a delivery center in Chennai, India, which is more disclosure than several firms above it manage.

Limitation: built for health systems, so a small practice is unlikely to be the right fit, and it names no SOC 2, ISO or HITRUST certification.

Should medical billing be hourly staffing, a flat fee, or a percentage of collections?

Hourly staffing at $10.00 to $12.65 an hour, or a flat weekly fee per person, buys hands on your claims and nothing else. Cost is predictable and doesn't grow with your revenue, and it's the cheapest route per dollar collected once volume is meaningful. It suits a practice with a functioning process, and it fails a practice whose process is the problem, because more hands on a broken workflow produce more denials faster.

A percentage of collections, published here at 3% to 5% a month, buys accountability. The firm's income depends on collecting yours, which aligns incentives in the way most practices want, and it comes with the firm's own workflow, staff, and reporting. The costs are structural: the fee grows with your success indefinitely, your process becomes theirs, and moving away later is a project.

There is a middle option worth considering, which is outsourcing one stage instead of the function. Sending only accounts receivable follow-up or only denials out gives you a scope you can measure within a quarter, keeps the rest in-house, and is far easier to unwind. Several firms here will scope that way if you ask, and it is usually a better first move than handing over the whole cycle to find out whether a vendor is any good.

What are the risks when billing goes out?

Percentage pricing that keeps growing as you grow, well past the point where the work does.
Specialty mismatch, where a generalist firm learns your payer rules on your claims.
Denials worked as ticket closure rather than as appeals, which clears queues without recovering money.
Patient balance calls made in your name by people you never hear.
Delivery location left unstated, so you don't know where your claims are handled.
Shared credentials instead of named logins with audit trails.
Reporting built on the vendor's definitions, which quietly makes results unfalsifiable.
Notice periods and auto-renewals that outlast your patience.
Coding decisions made by staff whose credentials nobody has checked.

How much does outsourced medical billing cost?

Three published figures anchor this market: 3% to 5% of monthly collections for a full outsourced service, $399 a week per full-time equivalent at 45 hours dropping to $299 at ten or more people, and $10.00 to $12.65 an hour for staffing. The other four firms quote on request.

Convert everything to cost per dollar collected before comparing. A practice collecting $80,000 a month pays roughly $2,400 to $4,000 at 3% to 5%, which is close to a single full-time biller at an hourly rate; at $200,000 a month the same percentage is $6,000 to $10,000 while the staffing cost has barely moved. That crossover is the whole economics of this decision, and it means the right answer changes as a practice grows rather than staying fixed. Ask any percentage-based vendor what happens to the rate at double your volume, and get the answer in writing. Rates move, so confirm before you sign.

What should you look for in a company to outsource medical billing?

Which model you're being sold, stated plainly, and what it costs at your volume and at twice it.
Named experience in your specialty and with your payer mix, including Medicaid if you bill it.
Whether your data stays exportable, and in what format.
Where the work is performed, in writing.
A signed BAA plus the safeguards behind it, not a compliance logo.
Named individual logins with audit trails.
Who speaks to patients about money, and under whose name.
Reporting definitions agreed before the contract starts.
Notice period, exit assistance, and what transition costs.

How do you get started with a company to outsource medical billing?

Pull your days in AR, clean claim rate, denial rate, and net collection rate. That's your baseline.
Decide whether you're short of hands or short of performance, since that picks the model.
Write one scope document and send the same one to every vendor.
Ask for pricing at your current volume and at double.
Check specialty and payer experience with specific questions, not categories.
Confirm delivery location, coder credentials, and BAA terms in writing.
Agree reporting definitions before go-live.
Start with one stage, such as accounts receivable follow-up, that you can measure in a quarter.
Review against your baseline at 90 days before widening scope.

Methodology and sources

We verified each company at its own website on August 21, 2026, recording purchase model, published pricing, the client types and specialties each names, stated delivery location, and stated compliance. Business associate requirements come from the U.S. Department of Health and Human Services. Figures a company reports about itself, including headcount and certification of its own staff, are labeled company-reported. Where a company publishes nothing on price, location, or certification, the entry says "not publicly listed" rather than estimating. GeBBS Healthcare Solutions was reviewed and left out because its site blocks automated retrieval and nothing could be verified from source.

If staffing is the likely answer, our virtual medical billing page sets out what a placed biller owns.

If you want the role's day-to-day first, our medical billing duties and responsibilities guide covers the detail.

Speak with Honest Taskers about staffing your billing.

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