Billing Companies
Overflow capacity and credentialing for firms that already run their own billing — scoped per client, and worked as your subcontractor.
Where Firms Need Capacity
Volume Spikes
A new client onboards and the existing team cannot absorb the backlog without dropping the others.Credentialing You Do Not Want to Staff
Enrollment is specialized and low volume per client, and hard to justify a dedicated role for.Aged AR Nobody Reaches
The oldest buckets stay untouched because current claims always come first.Coverage for Absences and Turnover
A resignation on your side should not become your client's problem.A Client Outside Your Specialty Mix
A new client in a specialty your team has not worked before.Clean-Up Before a Handover
A ledger that needs triaging before you take a client on, so you know what you inherited.
What We Run for You
Credentialing and Provider Enrollment
Payer enrollment, CAQH, Medicare revalidations and re‑credentialing.Learn MoreAR Follow-Up and Recovery
Aged AR worked by bucket and payer, with recovery reported back to you.Learn MoreDenial Management
Denials worked by reason code, corrected, appealed and tracked.Learn MoreMedical Coding
Coding from your documentation, with queries back to you when the note does not support the code.Learn More
How We Work Inside Your Firm
Your Templates
Reporting in your format, on your cadence.Your Escalation Path
Anything a client would notice goes to you first, never to the client.Named Subcontractor
We work as your named subcontractor; nothing is set up in our name on a client's behalf.
How This Works for a Firm
Scoped capacity inside your arrangements, with your client relationships left where they were.
The unit of scope is one of your clients, not your firm. Each client we work on has its own written scope: the client's name, the services we run for them, the systems we work in, the reporting the firm wants and the date we take over. A second client is a second scope, agreed separately, even when it looks like the first. That is more paperwork than a single umbrella agreement, and it is deliberate. When a claim for one client is queried, the scope for that client answers who was responsible for what on that date.
Scope can be narrow. A single service for a single client, credentialing for one new practice or the over-120 AR bucket for one ledger, is a normal starting point and the cheapest way for both sides to find out whether the working relationship holds. It widens by agreement, one client or one service at a time, and it narrows the same way when the firm's own capacity recovers.
The unit of scope is one of your clients, not your firm. Each client we work on has its own written scope: the client's name, the services we run for them, the systems we work in, the reporting the firm wants and the date we take over. A second client is a second scope, agreed separately, even when it looks like the first. That is more paperwork than a single umbrella agreement, and it is deliberate. When a claim for one client is queried, the scope for that client answers who was responsible for what on that date.
Scope can be narrow. A single service for a single client, credentialing for one new practice or the over-120 AR bucket for one ledger, is a normal starting point and the cheapest way for both sides to find out whether the working relationship holds. It widens by agreement, one client or one service at a time, and it narrows the same way when the firm's own capacity recovers.
We work as a named subcontractor to your firm. The contract is between the firm and us; the firm's contract with its client is untouched, and the firm remains the client's biller of record. Where the client's agreement with the firm requires the client's consent to a subcontractor, the firm obtains it, and where a business associate agreement is needed between the firm and us, it is signed before any access is provisioned.
Inside that arrangement, the work follows the firm's process where the firm has one. Your denial workflow, your appeal templates, your write-off thresholds and your escalation rules apply, because the client is used to them and the firm has to stand behind the result. Where the firm has no process for a particular task, which is common with credentialing, we bring ours and document it so the firm can see and approve what is being done in its name.
Reporting goes to the firm, in the firm's format where it has one, on the cadence the scope sets. The firm reports to its client. We do not produce anything that goes to the client directly unless the firm asks for it and reviews it first.
The work runs in whichever system the firm uses for that client, whether the firm's own platform or the client's practice management system. Access is provisioned by whoever administers that system, per person on our side, scoped to the tasks in that client's scope, and revoked when the scope ends. We do not hold standing access across the firm's client base, and we do not take copies of the data out of the systems it lives in.
Payer portal and clearinghouse credentials follow the same rule. Where a payer portal allows delegated users, the firm creates them. Where it does not, the firm decides whether to share a credential and records that it did. Nothing is set up in our name on a client's behalf.
Every action carries the login of the person who took it, in the firm's or the client's audit trail, so the firm can answer a client's question about who did what without asking us.
With the firm. The firm signed the client, the firm holds the contract, and the firm speaks to the client. We do not contact the firm's clients, and we do not appear in the firm's communications with them, unless the firm introduces us for a specific reason and is present when we do.
The same applies at the end. When a scope closes, whether because the firm's capacity has recovered or because the client has left the firm, access is revoked, the last report is delivered to the firm, and the client's records stay in the systems they were always in. There is no handover to arrange because nothing was ever held outside them.
Capacity for Your Firm
Tell us the clients, services and systems involved. We will come back with a written scope per client.
- Overflow Capacity
- Credentialing
- AR Backlogs
- Denial Management
- Coverage for Absences