Medical Billing Company for US Practices, for a flat 2.7% of Monthly Collections
No setup fee and no long-term contract. Our HIPAA-trained team works in your EHR and handles claims, denials, A/R and credentialing, with a 98% first-pass claim rate and denials under 5%.
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Your Trusted Full-Service Medical Billing Company in the US
Providers seeking medical billing companies that perform specialized Billing, Coding, RCM and Credentialing all at one place count on BilNow. We don’t fix your billing issues with one–size-fits-all approach, instead, we align your clinic workflows and specialty-coding needs to streamline the entire billing process. This unique approach is one of the reasons 300+ providers across the US choose to outsource billing services to us.
HIPAAEvery team member trained
4.4/5on Trustpilot
Founded 2017NY HQ, VA office
Medical Billing Consulting
BilNow’s medical billing consultancy services are tailored to your specialty, so you can cut avoidable claim denials and get paid faster.
Medical Coding Services
Experienced coders at BilNow are trained to provide accurate coding services to each healthcare speciality, so that you can enjoy higher reimbursements.
Medical Billing Audit Service
Medical Billing Audit services that can find and fix all your financial loopholes, and introduce you to the new potential of your practice.
Medical Credentialing Service
We help providers get credentialed faster, and keep them compliant with latest payer guidelines.
Revenue Cycle Management
From claim submissions to denial management, we provide full-suite RCM billing services to healthcare providers.
Healthcare Digital Marketing
Compete with your competitors and get double patient bookings with proven healthcare digital marketing tactics and strategies.
QUICK ANSWER
BilNow is a New York-registered medical billing company providing outsourced medical billing and revenue cycle management services to healthcare practices across the United States. Services include patient eligibility verification, medical coding, claim submission, denial management, accounts receivable recovery, payment posting, prior authorization and provider credentialing. Pricing is a flat 2.7% of monthly collections with no setup fee and no long-term contract.
KEY TAKEAWAYS
- Outsourced medical billing for a flat 2.7% of monthly collections — transparent, no setup fee.
- Full revenue cycle management: eligibility → coding → claims → denials → A/R → payment posting.
- trained billers and experienced coders; you keep your existing EHR.
- Offices in New York and Fredericksburg, Virginia.
Trusted by 300+ providers
If you are in need of billing and credentialing services, I highly recommend BilNow Services.
Jocelyn Aleiadih
Founder Lifepath Center
What BilNow Clients Say
Verified on TrustpilotUnprompted reviews from real practices — read them all on Trustpilot.
“After an extensive search for a billing company, I landed on BilNow, and I could not be happier with my results. Their customer service is prompt, and their desire to be attentive to my particular needs is beyond compare.”
“We have been working with BilNow for our medical billing needs and we could not be more satisfied. Harris has been an absolute gem — always on top of everything, incredibly responsive, and consistently reliable. They have been instrumental in helping us navigate complex insurance billing situations.”
“Harris and his team came to my rescue when my biller of 10 plus years had to leave due to medical issues. They took time to learn about my practice and the problems that needed to be addressed within one month. Professional, responsive, proactive in problem-solving.”
“My experience with BilNow has been seamless and professional from the very beginning. They completed my credentialing in a timely and efficient manner. Harris gives me detailed information about my patients’ insurance eligibility, which has helped me improve patient retention and significantly reduce claim denials.”
“They have been an exceptional revenue cycle management partner for our growing behavioral health practice. Despite the volume and complexity of our operation, BilNow has consistently managed our revenue cycle with remarkable efficiency, accuracy, and professionalism.”
“Their team has been responsive when issues come up and has helped with payer follow-up, CAQH updates, credentialing questions, and demographic changes across multiple insurance plans. They document payer representative names and reference numbers when following up.”
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Outsourced Medical Billing & Revenue Cycle Management Services
Why practices outsource medical billing to BilNow.
Outsourcing medical billing removes the cost of hiring, training and replacing an in-house billing team while giving your practice access to trained billers, specialty coders and revenue cycle management experts. BilNow provides outsourced medical billing services and end-to-end healthcare revenue cycle management — from patient registration through final payment and accounts receivable recovery — for solo providers, private practices, multi-provider groups and hospitals.
Eligibility & Benefits Verification
Coverage, benefits and authorization requirements confirmed before the visit so claims are not denied on eligibility.
Medical Coding Services
ICD-10-CM, CPT and HCPCS coding with modifier review by experienced medical coders, in specialty-specific workflows.
Claim Submission & Scrubbing
Claims validated and scrubbed before submission, then tracked for rejections so nothing sits unresolved in a queue.
Denial Management Services
Root-cause analysis, corrections, resubmissions and appeals — with recurring denial patterns tracked by payer.
A/R Recovery Services
Aging accounts receivable prioritized by age, payer and value, with underpayments and stalled claims actively worked.
Payment Posting Services
ERA and EOB payments posted and reconciled against claims so underpayments and discrepancies surface immediately.
Prior Authorization Services
Authorization checks, requests, documentation and status tracking so a missing auth never becomes a denied claim.
Medical Credentialing Services
Provider enrollment, CAQH, Medicare, Medicaid and commercial payer applications, recredentialing and tracking.
Medical Billing Audit
A free medical billing audit identifies revenue leakage across coding, denials, A/R and payment posting.
KPI-Based Billing to Grow Your Practice
98% First Pass Claim Rate
Clean error-free medical claims that get paid the first time we submit.
Less than 5% Denial Rate
Fewer denials followed by proactive denial management to ensure faster reimbursements.
Recover Revenue You’re Leaving Behind
Unlock hidden revenue streams with our optimized medical billing and coding process.
Daily payment posting
Faster and accurate payment posting gives you financial stability and transparency in RCM.
100+ EHRs Supported
Our billers work inside the EHR you already use, so your workflow stays the same.
50+ Specialties
Billing and coding across 50+ specialties, checked against current CPT, ICD-10 and modifier guidelines before submission.
Benefits of Outsourcing Medical Billing to BilNow
If you aren’t with BilNow, you’re likely overpaying for underperformance. You deserve a medical billing company that diagnoses your revenue cycle like a specialist, not a general physician who only manages it.
Medical Billing Services for Physicians in 2026
Our nationwide billing capabilities, dedicated account management and regional payer insights are built around your practice. Instead of temporary band-aids we brought up real-time billing solutions to overcome denial and reimbursement delays for providers across the states.
Customized Medical Billing Services
BilNow offers fully customized medical billing services to meet the needs of solo and group providers, practices, hospitals, and labs, regardless of specialty and practice size. We are known for providing affordable and flexible billing solutions across the states.
- Medical Billing for Small Practices
Affordable Medical billing services tailored for small practices, dedicated to scale them.
- Hospital Billing Services
BilNow offers precision billing for high-volume healthcare systems adhering to compliance at scale.
- Private Practice Billing Services
Customized and laser-focused Billing that adapts to your private practice needs and helps it grow in no time.
Transparent and Fair Pricing
Billing for small and solo practices
Ideal for practices billing under
$300K/year.
- End-to-end billing & coding services
- One named point of contact
- Robust Denial Management
Private Practices & Multi-Provider Groups
Ideal for 3–20 providers scaling fast.
3-20 Providers scaling fast
- Everything in “Small Practices’ billing
- Custom EHR/EMR integrations
- Priority denial resolution.
Hospitals Billing Services
Ideal for 50+ providers, labs, or hospital networks.
50+ Providers
- Complete RCM Services
- monthly denial-trend reports by payer.
- HIPAA-trained team, signed BAA.
Step-By-Step BilNow’s Medical Billing Workflow
More From Our Specialized Billing Corner
Medical Billing for Practices Across the US
Every state has its own Medicaid program, payer rules and filing limits. Our team bills to them, from New York’s workers’ compensation and no-fault claims to Texas Medicaid and California’s Medi-Cal.
Medical billing company headquartered in New York
Second office in Fredericksburg, Virginia
Billing for practices across the US
Specialty-Focused Medical Billing Services
A generalist biller is a professional guesser who directly impacts your bank account.
- Clinical intuition to spot high-value revenue opportunities that look like standard entries to an untrained eye.
- Payer-trap intelligence to bypass the rules carriers use to stall niche claims.
- Tested revenue hunt expertise to recover the difficult $$$ others might write off as uncollectible.
- No administrative back-and-forth because we speak your specialty's language.
Your EHR/EMR - Our Medical Billing Services
So You Do Not Have to Break Up 💔 with Your Existing EHR
Know Your Medical Billing & Coding Team
20+ Years of Experience
Tanzeel A. 20+ years in billing and RCM RCM Growth Head @BILNOW
Knowledge Base
Last reviewed October 2026 by Harris Mahmood. A medical practice does
BilNow Editorial Team
Understanding medical billing is as crucial as medical expertise itself. An
BilNow Editorial Team
Within the medical billing industry, UB-04 claim forms are also referred
BilNow Editorial Team
The healthcare industry’s digital transformation has created unprecedented demand for skilled
BilNow Editorial Team
Last reviewed October 2026 by Harris Mahmood. You’re here because you
BilNow Editorial Team
If you are running a medical practice, you’re wearing more hats
BilNow Editorial Team
Medical billing pricing is hard to compare: ask five practice owners
BilNow Editorial Team
For physical therapists operating under Medicare Part B, the 8-Minute Rule
BilNow Editorial Team
Place of service codes are two-digit codes on a professional claim
BilNow Editorial Team
BilNow vs. a Typical Medical Billing Company
What outsourcing your medical billing to BilNow actually gets you.
| What matters | BilNow | Typical vendor |
|---|---|---|
| Pricing | Flat 2.7% of monthly collections, no setup fee, no long-term contract | Setup fees, minimums and per-claim add-ons |
| Your EHR | You keep it — we work inside your existing system | Migration to their platform |
| Who works your account | A named team: billers, experienced coders, an RCM lead and a billing manager | Rotating reps |
| Denial management | Root cause identified and recurring patterns fixed by payer | Claims simply resubmitted |
| Reporting | Clean claim rate, denial rate, A/R days and collection rate, visible any time | A monthly PDF |
| Coverage | US-registered company with offices in New York and Fredericksburg, Virginia, billing for practices across the US | Low-cost vendors with no US entity |
| Specialty coding | experienced coders assigned by specialty | Generalist coders |
Medical Billing & Revenue Cycle Management Glossary
The terms that decide whether your practice gets paid.
- Revenue Cycle Management (RCM)
- The full financial process of a patient encounter — registration, eligibility, coding, claim submission, payment posting, denial management and A/R recovery.
- Clean Claim Rate
- The percentage of claims accepted by the payer on first submission without edits. The single best predictor of cash flow.
- Denial Rate
- The percentage of submitted claims denied by payers. A rising denial rate usually signals a front-end eligibility or coding problem.
- Days in A/R
- The average number of days revenue stays outstanding after a claim is submitted. Lower is healthier.
- Timely Filing
- The deadline for submitting a claim after the date of service. It varies by state and payer — New York Medicaid is 90 days, Texas Medicaid 95 days.
- Prior Authorization
- Payer approval required before a service is delivered. A missing authorization is one of the most common avoidable denials.
- Clearinghouse
- The intermediary that validates and routes electronic claims between the provider and the payer.
- Credentialing
- The process of enrolling a provider with a payer so services can be billed and reimbursed.
- EOB / ERA
- Explanation of Benefits and Electronic Remittance Advice — the payer documents explaining what was paid, adjusted or denied.
- Underpayment
- A claim paid below the contracted rate. Identifying underpayments requires reconciling payments against the fee schedule.
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Free Billing Demo & Audit
1:1 Meeting with our billing manager
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Meet our team of experienced medical billing specialists
Detailed billing audit report
AI-supported medical billing with a person behind every claim
Our AI reads payer mail, checks eligibility, scrubs claims and drafts appeals. A BilNow biller reviews and approves every claim, appeal and adjustment before anything is sent.
$334,420 in aged A/R recovered across five practices.
Frequently Asked Questions
What type of medical billing services do you offer?
- Patient registration,
- Insurance verification,
- Medical coding,
- Claim submission,
- Denial management,
- Payment posting,
- Patient billing.
- Telehealth credentialing,
- Prior authorization support,
- Compliance audits,
- Denial and A/R reporting by payer.
How do you choose a medical billing vendor?
- Specialty Expertise (Ensure they know your field’s codes and payer rules).
- Transparency ( Real-time dashboards)
- Tech Stack (AI, automation, and EHR integration)
- Compliance( HIPAA-trained teams etc)
- Scalability (Have the ability to grow with your practice)
How is outsourcing better than in-house medical billing?
Outsourcing medical billing to BilNow removes hiring and training costs. Pricing is a flat 2.7% of monthly collections with no setup fee and no long-term contract, and one named point of contact brings customized solutions for your practice.
What Medical Billing KPIs do you track and report?
- Denial Rate
- Days in Accounts Receivable
- Clean Claim Rate
- Collection Rate
- Patient Payment Compliance
How do you charge for medical billing services?
We only charge you when you get paid. Our billing services pay a flat 2.7% of monthly collections.
What is your best pricing model for small medical practices?
Which one is better, FTE vs. the Traditional Billing Model?
Do your medical billing work with the existing EHR, or do I need to switch?
Yes, we have team of experienced medical billing specalists that have hands-on experience of working with 100+ top EHRs used by the providers across the US. So there is no need to switch systems or migrate data. Our expert billers and coders adapt to your workflow within no time.
What is the list of EHRs your medical billing company works with?
BilNow works with over 100+ EHRs including:
- Athenahealth
- NextGen
- Allscripts
- eClinicalWorks
- Practice Fusion
- DrChrono
- Tebra
- AdvancedMD
- CareCloud
- Practice Fusion
- Veradigm
- RXNT
- OpenEMR
How important is it for medical billing firms to follow HIPAA Compliance?
Is your medical billing company HIPAA Compliant?
Medical billing company in New York and Virginia
We serve practices across the US from both offices.
Medical billing services in New York | Medical billing services in Virginia