Last updated: 2026-08-21
Honest Taskers, Transcure, and Neolytix lead this year's shortlist of virtual medical biller companies, seven firms ranked on how they submit claims, work denials, post payments, and chase aging accounts receivable, all inside your practice management system and under a signed BAA. The companies here split into two camps, which are staffing firms that place a biller you manage and outsourced services that take a cut of what they collect. Below we set out what you stop seeing, what the work costs, whether you are buying labor or an outcome, and which three 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.
At a glance
- 1Honest Taskers
- 2Transcure
- 3Neolytix
- 4Medusind
- 5Coronis Health
- 6AGS Health
- 7Staffingly
On this page
- How we chose the best virtual medical biller companies
- Staffing or outsourced billing, which one you need?
- Best virtual medical biller companies compared
- The 7 companies
- What do you stop seeing when a virtual medical biller takes over?
- How much do virtual medical billers cost?
- Are you buying labor or an outcome from a virtual medical biller company?
- Which three numbers should you baseline before a virtual medical biller starts?
- Methodology and sources
How we chose the best virtual medical biller companies
We looked at the work a biller owns, which is charge entry, claim submission and scrubbing, denial and appeal follow-up, payment posting, patient balance questions, and working an aging accounts receivable report until it shrinks. From there we compared five things across every firm, which are what each company verifiably does, the buyer it's built for, the purchase model and published price, delivery location and staff credentials, and HIPAA posture including whether a BAA is signed.
Every company here publishes billing as a named service on its own site. We left out firms that place general administrative assistants without describing billing work, because a claim denied for a modifier error isn't a task you hand to a generalist. We also left out the enterprise-only revenue cycle firms that sell to hospital systems rather than practices, since their pricing and onboarding don't fit a group of three physicians. Anything a company says about itself is labeled company-reported, and where a figure isn't published we say "not publicly listed" instead of guessing.
For wage context if you're weighing a local hire instead, the U.S. Bureau of Labor Statistics publishes pay data for billing and posting clerks, and AAPC is the certifying body whose credentials most billing staff hold. In the May 2025 Occupational Employment and Wage Statistics release, billing and posting clerks have a national median of $23.32 an hour, about $48,500 a year.
Staffing or outsourced billing, which one you need?
This is the decision that matters, and most comparisons skip it. A staffing firm places a biller who works in your system on your schedule, and you still own the strategy, the payer relationships, and the result. You pay by the hour, so the cost is predictable whether collections are up or down. That suits a practice with someone competent overseeing revenue who simply needs more hands.
An outsourced billing service takes the function off your plate and charges a percentage of what it collects, usually in the low single digits. The incentive is aligned, since the firm earns more when you collect more, and you get a team that already knows the payers. The trade is less direct control and a cost that scales with your revenue, which can end up above a salaried biller once volume grows. That suits a practice with nobody senior watching claims, or one where accounts receivable has already slipped.
A practical rule is that if you can name why your denial rate is what it is, staffing is usually the cheaper answer. If you can't, an outsourced service is buying you expertise as well as labor.
Best virtual medical biller companies compared
| Company | Billing focus | Delivery location | Published pricing | Purchase model | HIPAA posture (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Virtual medical billers placed in your system | US clients; recruiting in the Philippines, Latin America, India and Pakistan | $10.00 to $12.65/hr | Staffing, per hour | Compliance verified by Accountable; BAA when PHI is accessed |
| Transcure | Full revenue cycle, billing and coding | Texas, New Jersey, Florida offices; 1,100+ certified billers and coders | 3% to 5% of monthly collections | Outsourced service | ISO 27001; HIPAA stated (company-reported) |
| Neolytix | Billing, coding audit, AR, with small-practice tiers | Not publicly listed (Chicago headquarters) | Not publicly listed | Outsourced service | ISO 27001 certified; HIPAA stated |
| Medusind | Medical and dental billing, AR, payment posting | Not publicly listed | Not publicly listed | Outsourced service | Not publicly listed |
| Coronis Health | Billing and coding across many specialties | Not publicly listed | Not publicly listed | Outsourced service | Not publicly listed |
| AGS Health | Claims, AR, denial management, coding | Washington DC headquarters; Chennai, India delivery | Not publicly listed | Outsourced service, enterprise | Cybersecurity designation cited; no SOC 2 or ISO named |
| Staffingly | Billing and prior authorization staffing | India, Pakistan, Bangladesh | $399/wk at 45 hours | Staffing, per week | SOC 2 Type II, ISO 27001, signed BAA (company-reported) |
1. Honest Taskers
Best for: practices that want a dedicated biller working their claims and AR inside their own system, at a predictable hourly cost.
Pricing: $10.00–$12.65/hrModel: Staffing, per hourLocation: US clients; PH, LatAm, India and Pakistan recruitingFirst hire: Two-week working trial
Honest Taskers places virtual medical billers who work inside your practice management system rather than running billing at arm's length. The work covers charge entry, claim submission, denial follow-up, payment posting, and steady accounts receivable clean-up, and because the biller is yours you keep control of payer strategy and write-off decisions. Candidates train on HIPAA and data privacy under a dedicated compliance officer, sign a Business Associate Agreement when they'll access PHI, and work your hours, with HIPAA compliance verified by Accountable. Rates run $10.00 to $12.65 an hour depending on role and background, every client gets a Customer Success Advocate, and the first hire comes with a two-week working trial. Honest Taskers reports 99.6% average monthly retention, which matters more in billing than most roles because payer knowledge walks out the door with turnover. See the full virtual medical billing service for scope.
Limitation: this is staffing, so your team still owns denial strategy and payer escalation rather than handing the outcome to a vendor.
2. Transcure
Best for: practices that want the billing outcome owned by a vendor with a published percentage and certified staff.
Pricing: 3%–5% of monthly collectionsModel: Outsourced serviceLocation: TX, NJ, FL officesStaff: 1,100+ certified billers and coders
Transcure is one of the few firms in this category that publishes its rate, charging 3% to 5% of monthly collections with no per-claim fee. It runs full revenue cycle work, so billing, coding, audits, MIPS consulting, and eligibility verification sit under one contract, and it reports serving small and independent practices as well as hospitals across 40-plus specialties. Its billers and coders are AAPC-certified by the company's account, it reports ISO 27001 for information security, and it publishes operating figures including a 98% first-pass clean claim rate and 24-day accounts receivable. For a practice whose AR has drifted, buying a team that already knows the payers is often faster than training one.
Limitation: percentage pricing means your cost grows as collections grow, which can overtake a salaried biller at higher volumes.
3. Neolytix
Best for: small practices that want an outsourced service which has a small-practice tier.
Pricing: Not publicly listedModel: Outsourced serviceLocation: Not publicly listedScale: 270+ organizations, 40 states
Neolytix is unusual in publishing separate small-practice and mid-market service tiers, which matters because most revenue cycle firms are built for groups large enough to have a billing manager. It covers billing, coding audits, and accounts receivable, and also runs credentialing, provider enrollment, and licensing, so a practice can consolidate the administrative work that usually sits with three different vendors. The company reports 270-plus healthcare organizations across 31 specialties and 40 states, and it holds ISO 27001 certification for information security. Because it also places virtual assistants, it's one of the few firms here that can move you between staffing and full service without changing vendor.
Limitation: no pricing is published, so a cost comparison takes a quote.
4. Medusind
Best for: groups that need one vendor across both medical and dental billing, or an unusual specialty mix.
Pricing: Not publicly listedModel: Outsourced serviceLocation: Not publicly listedScale: $3B+ charges billed last year
Medusind runs medical and dental billing under one roof, along with coding, credentialing, accounts receivable follow-up, payment posting, and denial management. Its published scale is the draw, reporting more than $3 billion in charges billed in the last year and support for over 70 practice management systems, which means your existing software is unlikely to be a problem. The client list it describes spans physician groups, federally qualified health centers, behavioral health facilities, home health providers, and dental practices including DSOs, across 30-plus specialties. For a multi-site organization with both medical and dental revenue, that combination is genuinely hard to find elsewhere.
Limitation: neither pricing, delivery location nor any security certification is published.
5. Coronis Health
Best for: behavioral health practices and community health centers that want a firm familiar with their payer mix.
Pricing: Not publicly listedModel: Outsourced serviceLocation: Not publicly listedFocus: Billing, coding, AR follow-up
Coronis Health handles medical billing, coding, claims management, and accounts receivable follow-up, and the client types it names are more specific than most, covering behavioral health, community health centers, hospitals, hospital-affiliated practices, and physician groups including anesthesiology, orthopedics, primary care, and hospitalists. Behavioral health and community health center billing carry payer rules that catch out generalist firms, so a vendor naming them explicitly is worth a conversation. The company also describes process design and financial strategy work alongside the transactional billing, which suits a practice that wants the workflow examined rather than just staffed.
Limitation: it publishes neither pricing, delivery location nor a named security certification.
6. AGS Health
Best for: hospitals and large groups that need denial management and AR at scale rather than a single biller.
Pricing: Not publicly listedModel: Outsourced service, enterpriseLocation: Washington DC; Chennai, IndiaFocus: Claims, AR, denials, coding, CDI
AGS Health runs claims management, accounts receivable, denial management, coding, clinical documentation integrity, prior authorization, and provider enrollment, and the clients it names are large, including Banner Health, Baylor Scott & White Health, and Richmond University Medical Center. Work is delivered from a US headquarters in Washington DC alongside a delivery center in Chennai, India. For an organization drowning in aged AR across multiple facilities, this is the tier of vendor that can put dozens of people on the problem, which is a different purchase from hiring one biller.
Limitation: it's built for health systems, so a small practice is unlikely to be the right fit.
7. Staffingly
Best for: practices that want per-week staffing costs and documented security certifications.
Pricing: $399/wk at 45 hoursModel: Staffing, per weekLocation: India, Pakistan, BangladeshTrial: Advertises a two-week trial (company-reported)
Staffingly staffs billing and prior authorization work at $399 a week per person for 45 hours, dropping to $349 at five or more and $299 at ten or more, which is the clearest volume pricing on this list. It's the most documented option here on security, reporting SOC 2 Type II, ISO/IEC 27001:2022, a signed BAA before work starts, and a $5 million errors-and-omissions and cyber liability policy, all company-reported. Its staff work from stated secured facilities in India, Pakistan, and Bangladesh, and it advertises a two-week trial at the same rate.
Limitation: its workflow is AI-assisted with a person verifying output, rather than fully human.
What do you stop seeing when a virtual medical biller takes over?
- Losing visibility. If nobody on your side reads the AR report monthly, problems compound quietly for a year.
- Percentage pricing at scale. A 4% fee is cheap at $40,000 a month in collections and expensive at $400,000.
- Write-off authority. Be explicit about who can adjust a balance and at what threshold, in writing.
- Credential gaps. Ask whether the people on your account hold AAPC or AHIMA credentials, since "certified" is used loosely.
- PHI handling offshore. Confirm the BAA, where data physically sits, and what access controls apply.
- Payer specificity. A firm strong in orthopedics may be weak in behavioral health, where the rules differ sharply.
- Exit cost. Ask what happens to open claims and your data if you leave, before you sign.
How much do virtual medical billers cost?
The two models price differently, which is why a straight comparison misleads. On staffing, Honest Taskers publishes $10.00 to $12.65 an hour and Staffingly charges $399 a week for 45 hours, working out near $8.90 an hour before volume discounts. On outsourced service, Transcure publishes 3% to 5% of monthly collections, and Neolytix, Medusind, Coronis Health, and AGS Health all quote on request.
To compare them honestly, convert the percentage to a monthly figure at your own collections. A practice collecting $60,000 a month pays roughly $1,800 to $3,000 at 3% to 5%, against about $1,700 to $2,200 for a full-time hourly biller at these rates. The percentage looks close at that size and gets worse as you grow, but it buys expertise and accountability the hourly hire doesn't include. Rates change, so treat every figure here as a dated reading and confirm before you sign.
Are you buying labor or an outcome from a virtual medical biller company?
- A named purchase model, so you know whether you're buying labor or an outcome.
- Certification you can check, ideally AAPC or AHIMA credentials on the people assigned to you.
- Experience in your specialty and payer mix, named specifically rather than claimed generally.
- A signed BAA and a clear answer on where PHI is stored and who can reach it.
- Practice management system experience, since a biller who knows your software starts faster.
- Reporting you'll receive, including denial rate, days in AR, and first-pass clean claim rate.
- Escalation terms, so a stuck claim reaches a person with authority.
- A trial or short exit, because billing errors are expensive to unwind.
Which three numbers should you baseline before a virtual medical biller starts?
- Pull your current denial rate, days in AR, and clean claim rate, so you have a baseline to judge against.
- Decide whether you're buying hands or an outcome, using the staffing-versus-service test above.
- Shortlist three firms whose model and specialty experience fit, and get pricing in writing.
- Ask each one how it would work your oldest AR bucket, and compare the answers.
- Sign the BAA and set system access to the minimum the role needs.
- Start with a defined scope, usually new claims and payment posting, before handing over aged AR.
- Review at 30 and 90 days against your baseline numbers, not against how busy the team feels.
If coding is the actual bottleneck rather than billing, our virtual medical coder service covers that role separately, since a claim denied for coding won't be fixed by faster submission.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording its billing services, client types, delivery location, published pricing and purchase model, staff credentials, and HIPAA posture. Wage context comes from the U.S. Bureau of Labor Statistics occupational profile for financial clerks, and AAPC is the certifying body referenced for billing credentials. Rates are volatile and were captured as dated points, not permanent quotes, so re-check before you buy. Where a company didn't publish a fact, we marked it "not publicly listed", and self-stated claims are labeled company-reported. Firms that place general administrative staff without describing billing work were excluded, as were enterprise-only revenue cycle vendors that don't sell to individual practices.
Related medical billing staffing guides
If you're still deciding which part of the revenue cycle to hand over first, our virtual medical billing service page breaks the work into charge entry, claim submission, denial follow-up, and payment posting, so you can hand over one piece and keep the rest in house.
Coding and billing get conflated constantly, and they're different hires. Our virtual medical coder service page explains where coding ends and billing begins, which helps you work out whether your denials are a coding accuracy problem or a follow-up problem.