Last updated: 2026-08-21
Honest Taskers, Staffingly, and Transcure lead this year's shortlist of charge entry specialist companies, seven firms ranked on how they get charges into the billing system accurately and on the same day, catch missing charges before the claim goes out, and keep the lag between service and submission short, all under a signed BAA. Charge entry looks like data entry and isn't, because everything downstream inherits its errors. Below we set out why the role decides your denial rate, what happens to a charge nobody enters, what it costs per encounter, whether reconciliation runs daily against the schedule, and how many days of lag you have today.
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
- 2Staffingly
- 3Transcure
- 4Neolytix
- 5Medusind
- 6AGS Health
- 7Coronis Health
On this page
- How we chose the best charge entry specialist companies
- Why does a charge entry specialist decide your denial rate?
- Best charge entry specialist companies compared
- The 7 companies
- What happens to a charge the specialist never enters?
- What does a charge entry specialist cost per encounter?
- Does the specialist reconcile daily against the appointment schedule?
- How many days of charge lag will the specialist inherit?
- Methodology and sources
How we chose the best charge entry specialist companies
Charge entry is high-volume, deadline-driven work where accuracy compounds, so we looked at the things that determine quality, which are same-day or next-day turnaround, charge reconciliation against the schedule so nothing goes unbilled, accuracy checking before submission, and how each firm handles the practice management systems charges land in. From there we compared five things, which are stated charge entry capability, delivery model and published pricing, turnaround commitments, delivery location, and HIPAA posture.
This is the one role in the revenue cycle where staffing usually beats outsourcing, because the work is continuous, rules-based, and benefits from someone who knows your fee schedule and your providers' habits. That's why the two staffing options sit at the top here. The outsourced services all perform charge entry inside broader revenue cycle contracts, which works but rarely gets priced or measured separately. We say which is which per entry, mark unpublished facts "not publicly listed", and label self-stated claims company-reported.
For wage comparison against a local hire, the U.S. Bureau of Labor Statistics publishes pay data for billing and posting clerks, and AAPC is the body whose credentials indicate someone understands what they're entering rather than just typing it. The May 2025 Occupational Employment and Wage Statistics release puts the national median for billing and posting clerks at $23.32 an hour, about $48,500 a year.
Why does a charge entry specialist decide your denial rate?
Because two numbers downstream of the role decide it, and both are set at entry. The first is charge lag, which is the gap between the date of service and the date the charge enters the system. Every day of lag pushes payment later and pushes you closer to timely filing limits, and once a filing deadline passes the claim is dead regardless of merit.
The second is charge capture completeness. Charges that never get entered are invisible, because there's no denial to investigate and no claim in the aging report. The only way to find them is reconciling entered charges against the appointment schedule, which is exactly the task most practices skip when the front office is short-staffed. A specialist who reconciles daily typically finds revenue nobody knew was missing, which is a different kind of win from appealing denials.
So when you're comparing vendors, ask about lag and reconciliation rather than volume. Typing quickly is the easy part. Fewer will tell you what they found that wasn't there.
Best charge entry specialist companies compared
| Company | Charge entry capability (as stated) | Delivery location | Published pricing | Purchase model | HIPAA posture (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Specialists placed to enter and reconcile charges 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 |
| Staffingly | Billing staffing covering charge entry work | India, Pakistan, Bangladesh | $399/wk at 45 hours | Staffing, per week | SOC 2 Type II, ISO 27001, signed BAA (company-reported) |
| Transcure | Charge entry inside full revenue cycle | Texas, New Jersey, Florida offices | 3% to 5% of monthly collections | Outsourced service | ISO 27001; HIPAA stated (company-reported) |
| Neolytix | Billing operations with small-practice tiers | Not publicly listed | Not publicly listed | Outsourced service | ISO 27001 certified; HIPAA stated |
| Medusind | Billing operations including payment posting | Not publicly listed | Not publicly listed | Outsourced service | Not publicly listed |
| AGS Health | Claims management within enterprise RCM | Washington DC; Chennai, India | Not publicly listed | Outsourced service, enterprise | Cybersecurity designation cited; no SOC 2 or ISO named |
| Coronis Health | Billing and claims management | Not publicly listed | Not publicly listed | Outsourced service | Not publicly listed |
1. Honest Taskers
Best for: practices that want same-day charge entry plus daily reconciliation against the schedule.
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 healthcare-trained specialists who enter charges in your own system on your schedule, which is what keeps charge lag to a day rather than a week. Because the person is dedicated rather than working a vendor queue, daily reconciliation against the appointment schedule becomes routine, and that's where unbilled charges surface. Candidates train on HIPAA and data privacy under a dedicated compliance officer and sign a Business Associate Agreement when they'll access PHI, with compliance verified by Accountable. Rates run $10.00 to $12.65 an hour, the first hire includes a two-week working trial, and reported retention of 99.6% average monthly matters because someone who knows your fee schedule makes fewer errors than a rotating team. See the virtual medical billing service page for how charge entry fits the wider cycle.
Limitation: not the lowest hourly rate here, and a single placement gives less surge capacity than a vendor bench.
2. Staffingly
Best for: high-volume practices wanting the lowest per-hour staffing cost with documented security.
Pricing: $399/wk at 45 hoursModel: Staffing, per weekLocation: India, Pakistan, BangladeshTrial: Advertises a two-week trial (company-reported)
Staffingly is the cheapest staffing option here at $399 a week per person for 45 hours, which works out near $8.90 an hour, falling to $349 at five or more and $299 at ten or more. For charge entry specifically, volume pricing matters because the work scales with encounter count rather than complexity, so a busy practice can add a second person without renegotiating. It's also the most documented option 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.
Limitation: its workflow is AI-assisted with a person verifying output, so ask what the reviewer checks on each batch.
3. Transcure
Best for: practices that want charge entry handled inside a full revenue cycle contract with published pricing.
Pricing: 3%–5% of monthly collectionsModel: Outsourced serviceStaff: 1,100+ certified billers and codersSecurity: ISO 27001
Transcure performs charge entry as part of whole-cycle revenue cycle work priced at 3% to 5% of monthly collections, and it's the only firm here that publishes figures bearing on charge quality, reporting a 98% first-pass clean claim rate and 24-day accounts receivable, both company-reported. With 1,100-plus AAPC-certified billers and coders, entries are made by people who understand the codes rather than transcribing them, which reduces the rework that shows up later as denials. It serves small and independent practices as well as health systems across 40-plus specialties.
Limitation: charge entry isn't priced separately, so you can't buy it without the rest of the revenue cycle.
4. Neolytix
Best for: small practices wanting billing operations from a firm that sells at their size.
Pricing: Not publicly listedModel: Outsourced serviceScope: Billing operations, coding auditSecurity: ISO 27001
Neolytix runs billing operations with explicit small-practice and mid-market tiers, which is unusual because most revenue cycle firms want groups big enough to have a billing manager. It reports 270-plus organizations across 31 specialties and 40 states and holds ISO 27001 certification. Its coding audit service is worth noting here, because charges entered against the wrong codes look fine at entry and fail later, and an audit tells you whether your problem is entry accuracy or code selection. It also places virtual staff, so you can move between models without changing vendor.
Limitation: charge entry isn't named or priced as a standalone service.
5. Medusind
Best for: multi-line groups wanting charge entry and payment posting across medical and dental.
Pricing: Not publicly listedModel: Outsourced serviceScope: Billing operations, payment posting, fee schedulesScale: $3B+ charges billed last year
Medusind lists payment posting and fee schedule maintenance alongside its billing work, and fee schedule accuracy is directly relevant to charge entry because charges entered against a stale schedule underbill silently. It reports more than $3 billion in charges billed last year and support for over 70 practice management systems, so your existing software is unlikely to be an obstacle. It covers dental as well as medical across 30-plus specialties, which suits DSOs and mixed groups.
Limitation: neither pricing, delivery location nor any security certification is published.
6. AGS Health
Best for: hospitals and large groups where charge volume justifies enterprise contracting.
Pricing: Not publicly listedModel: Outsourced service, enterpriseLocation: Washington DC; Chennai, IndiaScope: Claims, AR, coding, CDI
AGS Health handles claims management within a large revenue cycle operation that also covers coding, accounts receivable, denial management, and clinical documentation integrity. Named clients include Banner Health, Baylor Scott & White Health, and Richmond University Medical Center, which tells you the volume it's built for. Work runs from a Washington DC headquarters and a delivery center in Chennai, India. Where charge volume spans several facilities, having entry sit next to coding and denial analysis in one contract removes handoffs that otherwise create lag.
Limitation: built for health systems, so a small practice is unlikely to be the right fit.
7. Coronis Health
Best for: behavioral health practices and community health centers wanting billing handled by a firm that knows the setting.
Pricing: Not publicly listedModel: Outsourced serviceScope: Billing and claims managementFocus: Named specialty and setting experience
Coronis Health runs billing and claims management for named settings including behavioral health, community health centers, hospitals, hospital-affiliated practices, and physician groups across anesthesiology, orthopedics, primary care, and hospitalists. Setting knowledge matters at entry because behavioral health charges depend on time-based units and authorization limits that a generalist enters wrongly. It also describes process design work, which is the right frame if your charge lag is a workflow problem rather than a staffing one.
Limitation: it publishes neither pricing, delivery location nor any named certification.
What happens to a charge the specialist never enters?
Nothing visible, which is the problem. An unentered charge never reaches an aging report and produces no denial to investigate, so only reconciliation finds it.
- Timely filing. Charge lag eats your filing window, and a missed deadline kills the claim outright.
- Silent missed charges. Unentered charges never appear in an aging report, so only reconciliation finds them.
- Stale fee schedules. Charges entered against an old schedule underbill without triggering anything.
- Speed over accuracy. Volume targets encourage typing rather than checking, and errors surface as denials.
- No reconciliation. If nobody compares entered charges to the schedule daily, revenue leaks quietly.
- Modifier handling. Entry staff without coding knowledge drop modifiers that determine payment.
- PHI offshore. Confirm the BAA, where data sits, and what access controls apply.
What does a charge entry specialist cost per encounter?
Price it per encounter rather than per hour, because the work scales with encounter volume. Staffing is the clearer comparison for this role. Honest Taskers publishes $10.00 to $12.65 an hour, and Staffingly charges $399 a week for 45 hours, near $8.90 an hour before volume discounts. On outsourced service, Transcure publishes 3% to 5% of monthly collections with charge entry included, and Neolytix, Medusind, AGS Health, and Coronis Health all quote on request.
Because charge entry scales with encounter volume, the useful unit is cost per encounter entered. Take your monthly encounter count and divide it into each option. A practice running 1,200 encounters a month at roughly $1,700 a month for a full-time offshore specialist is paying about $1.40 an encounter, which is usually well below what a percentage model implies once you separate entry from the rest of the cycle. Ask any outsourced vendor what share of its fee covers entry so you can compare honestly. Rates change, so treat these as dated readings.
Does the specialist reconcile daily against the appointment schedule?
Daily and reported rather than assumed, because reconciliation is the only thing that surfaces a charge nobody entered.
- A stated turnaround, ideally same-day or next-day from receipt.
- Daily reconciliation against the appointment schedule, reported rather than assumed.
- Coding literacy on the entry team, so modifiers and units survive.
- Named experience with your practice management system.
- An accuracy measure with a sampling method, not just a claimed percentage.
- Fee schedule maintenance, or a clear statement that it stays with you.
- A signed BAA and clarity on where PHI is processed.
- Cost expressed per encounter, so you can compare models.
How many days of charge lag will the specialist inherit?
Measure it from date of service to date of entry, alongside your unbilled encounter count, because those two numbers size the whole problem.
- Measure your current charge lag in days from service to entry, and your unbilled encounter count.
- Reconcile one month of entered charges against the schedule to size the leak.
- Decide between a placed specialist and an outsourced service using your encounter volume.
- Get pricing per encounter from each candidate rather than per hour or percentage.
- Sign the BAA and set system access to entry rights only.
- Run a two-week parallel period where reconciliation findings are logged.
- Review at 30 days on charge lag and charges recovered, not on volume entered.
If entries are timely but denials persist, the problem is usually code selection rather than entry, and our virtual medical coder service page covers that role.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording stated charge entry and billing operations capability, delivery model and published pricing, delivery location, and HIPAA posture. Wage context comes from the U.S. Bureau of Labor Statistics occupational profile for financial clerks, and credential references from AAPC. Rates are volatile and were captured as dated points, not permanent quotes. 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.
Related billing operations guides
Charge entry is the first step in a chain that ends in payment, so our virtual medical billing service page sets out the full sequence through submission, denial follow-up, and posting, which helps you see whether your bottleneck is at entry or later.
Where charges are entered promptly but coded loosely, denials follow anyway. The virtual medical coder service page explains what a coder owns, so you can tell which of the two roles your revenue is waiting on.