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
On this page
- 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
| 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.
Related billing guides
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.