Last updated: 2026-08-21
Honest Taskers, Medusind, and Coronis Health lead this year's shortlist of medical billing outsourcing companies, seven firms ranked on how much of the billing function transfers, what the practice keeps, published pricing, specialty fit, and compliance. Outsourcing billing changes more inside a practice than most vendors describe, and this list is organized around what changes rather than around feature grids. Below we set out what you hand over and what you cannot, who defines the reporting, what outsourcing costs, which decisions stay yours, and which numbers to baseline first.
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 transfer the least of the function of anyone listed.
At a glance
- 1Honest Taskers
- 2Medusind
- 3Coronis Health
- 4Transcure
- 5Neolytix
- 6AGS Health
- 7Staffingly
On this page
- How we chose these companies
- Companies compared
- The 7 companies
- What you hand over, and what you can't?
- Who defines the reporting when you outsource medical billing?
- How much does medical billing outsourcing cost?
- Which medical billing decisions stay yours after outsourcing?
- Which medical billing numbers should you baseline before outsourcing?
- Methodology and sources
How we chose these companies
Practices usually evaluate billing vendors on price and promised recovery, then discover that the thing that changed was control. Who decides when a claim gets appealed. Whose report you argue about at the end of the month. Who calls the patient with a $340 balance and how they sound doing it. So we ranked on how much of the function transfers, then compared what the practice keeps, published pricing, named specialty fit, and compliance.
That framing sorts the field into three groups. One firm here staffs billers into your process and transfers nothing but labor. Four take the function on their own workflow with their own staff and reporting. Two sit in between, taking a defined stage and leaving the rest with you. The middle option gets overlooked and is often the right first move, because it gives you a measurable scope and a cheap exit.
Specialty fit is the criterion that decides whether the first six months go well. Behavioral health authorization rules, federally qualified health center encounter billing, home health episodes, and dental claim formats each differ enough that a generalist firm will be learning on your revenue. Two firms here name those segments explicitly, which is more informative than any claim about accuracy rates.
On compliance the disclosures are uneven: SOC 2 Type II and ISO 27001 at one end, nothing named at all at the other. Any firm working your claims is a business associate under the framework the U.S. Department of Health and Human Services sets out, so a signed agreement is the starting condition, not a differentiator. On the in-house side, the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics reports a national median of $23.32 an hour for billing and posting clerks, about $48,500 a year.
Companies compared
| Company | How much transfers | What you keep | Published pricing | Specialty fit named | Compliance (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Labor only | Process, systems, payer relationships, reporting | $10.00 to $12.65/hr | US practices, small to mid-size | Compliance officer; HIPAA verified by Accountable; BAA when PHI is accessed; SOC 2 audit ready |
| Medusind | The billing function | Clinical operations only | Not publicly listed | Physician groups, FQHCs, behavioral health, home health, dental and DSOs, 30+ specialties | Not publicly listed |
| Coronis Health | The billing function | Clinical operations only | Not publicly listed | Behavioral health, community health centers, hospitals, systems, physician groups | None named |
| Transcure | The billing function plus coding and MIPS | Clinical operations only | 3% to 5% of monthly collections | Solo through health systems, 40+ specialties | ISO 27001; AAPC-certified billers and coders (company-reported) |
| Neolytix | Most of the cycle, tiered by practice size | Varies by tier | Not publicly listed | 270+ organizations, 31 specialties, 40 states | ISO 27001 certified; HIPAA compliance stated |
| AGS Health | Defined back-end stages | Front end and patient access | Not publicly listed | Large systems; Banner Health and Baylor Scott & White named | States HIPAA safeguards; no SOC 2, ISO or HITRUST named |
| Staffingly | Labor only, per week | Process, systems, reporting | $399/wk at 45 hrs; $349 at 5+; $299 at 10+ | Practices of all sizes | SOC 2 Type II; ISO/IEC 27001:2022; signed BAA; $5M E&O and cyber policy |
1. Honest Taskers
Best for: practices that want billing worked properly without handing over control of how it's worked.
Pricing: $10.00 to $12.65/hrTransfers: Labor onlyCompliance: BAA when PHI is accessedFirst hire: Two-week working trial
Honest Taskers is the option where nothing transfers except the work itself. A placed biller handles charge entry, claim submission, payment posting, denial follow-up and appeals preparation, accounts receivable work, insurance verification, and patient balance queries inside your practice management system and your clearinghouse, on your escalation rules. Your reporting stays your reporting, which matters more than it sounds: when the vendor also defines the metrics, month-end conversations stop being falsifiable.
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 of 99.6% average monthly is worth weighing here, because continuity of the person who knows your payers is most of what makes billing work. Rates run $10.00 to $12.65 an hour with a two-week working trial on the first hire, unlimited replacement support, and about two weeks to onboard. See the virtual medical billing service for scope.
Limitation: keeping control means keeping the problem. There's no collections guarantee, no service level agreement, and if your billing process itself is the failure point, staffing it will make the same mistakes faster.
2. Medusind
Best for: practices in segments that bill unlike everyone else, including dental, behavioral health, home health, and FQHCs.
Pricing: Not publicly listedTransfers: The billing functionCoverage: Billing, coding, credentialing, ARSpecialties: 30+
Medusind ranks second because of how precisely it names its clients: 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. In a category where most firms claim every specialty, naming segments with genuinely different claim mechanics is meaningful evidence. Dental and medical billing under one roof is also unusual, and useful for groups that do both.
Limitation: pricing, delivery location, and certifications are all unpublished, so three of the five things you need to know require a conversation.
3. Coronis Health
Best for: behavioral health organizations and community health centers.
Pricing: Not publicly listedTransfers: The billing functionCoverage: Billing, coding, RCM, ARCompliance: None named
Coronis Health provides medical billing and coding, revenue cycle management, and claims and accounts receivable follow-up, naming behavioral health, community health centers, hospitals, health systems, and physician groups among its clients. Behavioral health billing turns on authorization tracking, session limits, and payer-specific documentation rules that routinely defeat generalist firms, so a vendor that treats it as a core segment rather than an afterthought is worth a conversation.
Limitation: no pricing, no delivery location, and no named certification, which is the thinnest public disclosure on this list.
4. Transcure
Best for: practices that want the full function transferred at a rate they can see before the first call.
Pricing: 3% to 5% of monthly collectionsTransfers: Billing, coding, MIPSScale: 1,100+ certified billers and codersCompliance: ISO 27001
Transcure publishes 3% to 5% of monthly collections, the only percentage rate stated openly on this list, which makes it the reference point for what full transfer should cost. Scope spans 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, a team of more than 1,100 certified billers and coders, ISO 27001 certification, and AAPC-certified staff.
Limitation: a percentage of collections means the cost rises with revenue permanently, so model it at double your current volume before signing.
5. Neolytix
Best for: smaller practices that want a tier designed for their size rather than a scaled-down enterprise contract.
Pricing: Not publicly listedTransfers: Most of the cycle, tieredCoverage: Billing, coding audit, credentialingCompliance: ISO 27001 certified
Neolytix reports 270 or more organizations across 31 specialties and 40 states, with explicit small-practice and mid-market tiers, and covers revenue cycle management, billing, coding audit, credentialing and provider enrollment, licensing, and virtual assistants. The tiering is the point: a solo practice buying from a firm whose smallest normal client is a hospital tends to get hospital processes at hospital cadence, which is a poor fit. It is ISO 27001 certified and states HIPAA compliance.
Limitation: no published pricing, so cost comparison takes a quote, and minimums start at one full-time equivalent.
6. AGS Health
Best for: large groups transferring specific back-end stages rather than the whole function.
Pricing: Not publicly listedTransfers: Defined back-end stagesCoverage: Coding, claims, AR, denials, prior authDelivery: Chennai, India
AGS Health covers coding, claims, accounts receivable, denials, prior authorization, provider enrollment and credentialing, and clinical documentation improvement with an AI-assisted workflow, naming 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. Transferring named stages rather than the function is the lower-risk shape of this purchase, and this firm is built for it.
Limitation: built for health systems, so small practices rarely fit, and it names no SOC 2, ISO or HITRUST certification.
7. Staffingly
Best for: practices wanting a flat weekly cost per person and the clearest published compliance disclosure.
Pricing: $399/wk at 45 hrsTransfers: Labor onlyVolume: $349 at 5+, $299 at 10+Compliance: SOC 2 Type II, ISO 27001
Staffingly charges by the week rather than the hour, at $399 per full-time equivalent at 45 hours, $349 at five or more people, and $299 at ten or more, covering billing, coding, prior authorization, and front office. Its compliance disclosure is the most detailed on this list, naming SOC 2 Type II, ISO/IEC 27001:2022, a signed business associate agreement, and a $5 million errors and omissions and cyber policy, with delivery from stated secured facilities in India, Pakistan, and Bangladesh.
Limitation: the workflow is AI-assisted with a person verifying output rather than fully human, so establish what that means for your claim types before committing.
What you hand over, and what you can't?
What transfers cleanly is volume work: claim submission, payment posting, eligibility checks, and first-pass denial follow-up. These are rule-bound, measurable, and improve with scale, which is why every firm here does them and why they're the right place to start.
What transfers badly is judgement tied to your practice. Which appeals are worth fighting, which patient balances to write off, how firm to be with a slow payer you also depend on for referrals. A vendor can execute a policy on these, but it cannot invent one for you, and engagements go wrong when the practice assumes otherwise and the vendor quietly defaults to whatever clears the queue fastest.
What never transfers is accountability to your patients. The person calling about a balance represents your practice whether they work for you or not, and patients don't distinguish. That's the strongest argument for keeping the patient-facing side in-house even when the claims side goes out, and it's the split several practices land on after trying both.
Who defines the reporting when you outsource medical billing?
- Reporting defined by the vendor, which makes disappointing months hard to challenge.
- Specialty mismatch, where your claims become the training set.
- Percentage pricing that grows with revenue indefinitely.
- Appeals judged by queue speed rather than recovery value.
- Patient balance calls made in your name by people you never hear.
- Delivery location and coder credentials left unstated.
- Shared logins instead of named accounts with audit trails.
- Data held in the vendor's system, making exit a project.
- Institutional knowledge of your payers leaving when the vendor reassigns staff.
How much does medical billing outsourcing cost?
Three firms publish numbers: 3% to 5% of monthly collections for full transfer, $399 a week per full-time equivalent at 45 hours falling to $299 at ten or more people, and $10.00 to $12.65 an hour for staffing. Four quote on request.
The comparison that matters is total cost per dollar collected including your own supervision time, which the percentage model reduces and the staffing model does not. A practice collecting $80,000 a month pays roughly $2,400 to $4,000 at 3% to 5%, comparable to a full-time biller at an hourly rate but with the vendor absorbing management. At $200,000 a month the percentage becomes $6,000 to $10,000 while staffing has barely moved, so the answer genuinely reverses as a practice grows. Decide which side of that crossover you'll be on in two years, not today. Rates move, so confirm before you sign.
Which medical billing decisions stay yours after outsourcing?
- A written list of which decisions stay yours and which become the vendor's.
- Reporting definitions agreed in advance, in your terms.
- Named experience in your specialty and payer mix.
- Pricing modelled at your volume and at double.
- Who contacts patients about money, and in whose name.
- Delivery location and coder credentials, in writing.
- A signed BAA and the specific safeguards behind it.
- Named individual logins with audit trails.
- Exit terms, data export format, and transition cost.
Which medical billing numbers should you baseline before outsourcing?
- Record your days in AR, clean claim rate, denial rate, and net collection rate as a baseline.
- Write down the billing decisions you're unwilling to delegate.
- Decide whether you want labor, defined stages, or the whole function.
- Send one identical scope document to every vendor.
- Test specialty knowledge with your own hardest payer scenario.
- Agree reporting definitions before signing anything.
- Settle who talks to patients about balances.
- Start with claims and posting, and hold patient collections back.
- 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 how much of the function transfers, what the practice retains, published pricing, named specialty and client-type fit, 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 staff certification, are labeled company-reported. Where nothing is published 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 keeping control is the priority, our virtual medical billing page sets out what a placed biller owns.
If you're weighing what to delegate first, our tasks to delegate to a medical biller guide is the practical starting point.