Top Medical Billing Companies in the USA

Researched by:Goodfirms Research TeamUpdated:September 14, 2026

Goodfirms has reviewed 972 Medical Billing Companies in the USA as of September 2026. The top-ranked firm is Helpware (4.9 stars, 11 verified reviews, NA, founded 2015, Lexington). Across the category, the median hourly rate is $25, median client rating is 4.7, and 30% of firms employ 50+ members. Explore the vetted Medical Billing Companies in the USA below, compare their strengths, and connect with the provider best suited to your requirements.

Goodfirms has verified 972 Medical Billing Companies in the USA - part of 1,333+ Medical Billing Companies, each passing Goodfirms' 4-step verification process (background check, client interviews, portfolio audit, ongoing quality review). Listings marked "Sponsored" are agencies that pay for premium placement - sponsorship does not affect star ratings or review content.

Top 10 at Glance

Compare the highest-ranked firms first side by side.

Rank
Company
Rating
Reviews
Hourly Rate
Team Size
Founded
Location
Action

List of Top Medical Billing Outsourcing Companies in the USA

Find a Medical Billing Companies Company Near you
Find a Medical Billing Companies Company Near you
Service
Hourly Rate
Employees
ReviewsAll Companies
Industry
Client Type
  • Using AI Tools

    • GrammarlyGrammarly
    • ChatGPTChatGPT
    • CanvaCanva

    OBS is a reputable outsourcing company that offers a wide range of specialized services to global organizations. These services include but are not limited to, accounting and bookkeeping, financial analysis and research, legal services, digital marketing services, data management services, insurance services, web development services, and administrative support services. The company provides a flexible approach ... read Outsourcing Business Solutions reviews & insights

    < $25/hr
    50 - 249
    2020
    Philadelphia, United States

    Why Outsourcing Business Solutions?

    • One Partner for Multiple Business Functions
    • Scalable Support That Grows With Your Business
    • Expert Teams Without the Cost of Hiring In-House
  • CrosLinks is a leading outsourcing and offshore company in the USA, offering high-quality and cost-effective solutions to businesses worldwide. Our extensive services include IT outsourcing, customer support, healthcare solutions, real estate lead generation, and digital marketing, all delivered by a team of skilled professionals. We leverage the latest technologies and industry best practices to provide ... read CrosLinks reviews & insights

    NA
    10 - 49
    Anaheim, United States
  • Visionet offers a comprehensive range of technology-related solutions, including Omni-Channel Retail, BPO, CPG & Distribution, Consumer Lending and other technology services. Visionet Systems, Inc. is a full-service technology consulting and digital business process management company that delivers best-in-class software a 360 Digital solutions to help our Fortune 2000 customers across the US increase operational agility, ... read Visionet Systems reviews & insights

    NA
    1,000 - 9,999
    1995
    Mercer County, United States
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GeminiGemini
    • PerplexityPerplexity
    • CanvaCanva

    At Integrate Point, we believe your focus should stay where it matters most: on your patients and your craft. We’ve built a bridge between high-impact creative growth and seamless operational efficiency, serving as your strategic partner in both the digital and medical landscapes. Our digital marketing division is dedicated to creating a standout legacy for ... read Integrate Point reviews & insights

    NA
    2 - 9
    2024
    Wylie, United States

    Why Integrate Point ?

    • Strategic marketing and healthcare management.
    • Innovative branding for medical practices.
    • Streamlined RCM and operational excellence
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GeminiGemini
    • PerplexityPerplexity
    • GitHub CopilotGitHub Copilot
    • + 5 More

    SoftLink Plus is a modern digital solutions company dedicated to turning ideas into real, scalable products. We specialize in delivering end-to-end technology and marketing services that help businesses grow, compete, and succeed in the digital world. Our expertise covers Web Development, Mobile Application Development, CMS Development, and Digital Marketing, ensuring businesses get powerful, responsive, and ... read Softlink Plus reviews & insights

    < $25/hr
    10 - 49
    2011
    Frisco, United States

    Why Softlink Plus?

    • Boost visibility & business growth
    • Results-driven digital strategies
    • High-quality & conversion-focused work
  • Flatworld Solutions (FWS) is a global company offering IT, Data Science, business consulting, and outsourcing solutions since 2002. The company was incorporated in 2004 with a focus on leveraging technology to help businesses streamline processes, enhance efficiency, boost productivity, improve effectiveness, save time, increase bottom lines, and negate global distances. Being in business for over ... read Flatworld Solution reviews & insights

    NA
    50 - 249
    2002
    Princeton, United States
  • Welcome to Cyber Hospitality LLC, where innovation meets excellence. We are your trusted IT partner, offering a wide range of services tailored to meet your business needs. Our expertise spans IT services, software development, digital marketing, hotel management, business process outsourcing, and accounting. With our IT solutions, your business will thrive in the digital age. ... read CYBER HOSPITALITY LLC reviews & insights

    < $25/hr
    10 - 49
    2021
    Sheridan, United States
  • Outstaffing Services by Outsource Work Outsource Work helps U.S. businesses quickly hire reliable remote professionals through a flexible outstaffing model. We recruit, employ, and manage top-tier specialists while you retain full operational control over their daily work. Through our outstaffing services, you can hire: Accountants and finance specialists Revenue Cycle Management (RCM) professionals Administrative and ... read Outsource Work reviews & insights

    < $25/hr
    2 - 9
    2023
    Austin, United States
  • Aklikx Technologies LLC is a US based company having it’s operations in Pakistan and providing the best one stop IT solutions at competitive prices to all. Bringing together a strong team of individuals, who are young and energetic with an experience in IT industries. Aklikx Technologies is one of the prominent software company that helps ... read Aklikx Technologies LLC reviews & insights

    < $25/hr
    10 - 49
    2021
    NYC, United States
  • Oak Street Technologies is a leading provider of comprehensive digital transformation and business process management solutions. We specialize in delivering end-to-end services that empower companies, regardless of size or industry, to streamline their operations, enhance productivity, and drive sustainable growth. With a global reach and a commitment to excellence, we are dedicated to transforming businesses ... read Oak Street Technologies reviews & insights

    $25 - $49/hr
    250 - 999
    2020
    Orlando, United States
  • XpertVA is a thriving hub for the Amazon virtual assistant services industry for online businesses. The Amazon virtual assistants at XpertVA possess an impressive variety of skills after they have done intensive training. At XpertVA, e-commerce ventures can hire Amazon virtual assistants to set up their Amazon stores and grow their Amazon businesses.

    NA
    250 - 999
    2011
    Jersey City, United States
  • At Summit RCM, we manage every step of your revenue cycle so you don’t have to. From credentialing and eligibility verification to billing & coding (medical & dental), denial resolution, emergency room and wound care claims, and virtual assistant services — we tailor support for your specialty. Our analytics-driven approach and compliance-first mindset help reduce ... read Summit SCM reviews & insights

    $100 - $149/hr
    50 - 249
    2020
    Beltsville, United States

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The Magical Quadrant

Hover any bubble for the firm's exact scores. Filter the view using the controls on the right.

360-PERFORMANCE VIEW (Y) →
0255075100
Industry ContendersIndustry LeadersUpcoming AchieversMarket Influencers
0255075100
CORE COMPETENCIES (X) →

The four quadrants explained

Each card shows the count of firms in that quadrant and the top 5 by composite score.

Industry Contenders
Top-left · Y ≥ 50, X < 50
1FIRMS

Strong execution but broader service mix. High-quality generalists - good fit if your project crosses multiple disciplines in one engagement.

Top 5 by composite score

1Vserve Ebusiness Solutions46 / 51
The Industry Leaders in detail

The 8 highest-scoring firms in the Industry Leaders quadrant. Each has both Core Competencies and 360-Performance ≥ 50. Click any card for the full profile.

How firms are placed on the matrix

Every position on this chart is the output of the Goodfirms ranking algorithm - a weighted composite of signals across two axes. The algorithm is recomputed regularly and is fully documented.

Sponsorship does not affect placement. PRO members receive visible badges and ad placements, but their algorithmic scores are calculated identically to free listings.

Read the full methodology
Algorithm at a glance
1
X-axis (Core Competencies): Service Focus Ratio + Portfolio Depth + Quality + Experience
2
Y-axis (360-Performance): Client Reviews + Market Presence + Goodfirms Score
3
Missing signals are excluded from a firm's score, not substituted with defaults - weights redistribute across remaining inputs
4
Recency decay over the last 18 months keeps stale reviews from dominating
5
Eligibility floor: ≥ 1 published review in this category scope

Where the firms are.

Bubble size shows how many firms each country has; colour shows its average hourly rate. Tap any country for its firm count, average rate, rating, and Value Score.

Loading map…

All states ranked by Value Score.

Every state in scope, ranked by Value Score.

StateFirmsAvg RateAvg RatingValue ScoreAction
USArizona81$33/hr585View firms
USNew York179$37/hr585View firms
USLouisiana25$30/hr583View firms
USOregon24$35/hr582View firms
USDelaware55$40/hr582View firms
USIllinois95$36/hr4.982View firms
USVirginia54$43/hr581View firms
USWashington74$49/hr580View firms
USMissouri59$40/hr4.980View firms
USGeorgia73$52/hr580View firms
USMontana5$33/hr580View firms
USMassachusetts49$51/hr579View firms
USCalifornia367$43/hr4.779View firms
USUtah38$51/hr579View firms
USKansas24$47/hr579View firms
USFlorida236$45/hr4.778View firms
USWyoming49$51/hr4.977View firms
USKentucky21$50/hr4.976View firms
USTennessee41$29/hr-76View firms
USTexas277$51/hr4.675View firms
USNew Jersey90$42/hr4.675View firms
USWisconsin32$32/hr-74View firms
USIowa11$25/hr-74View firms
USMaryland52$38/hr-73View firms
USIdaho8$25/hr-73View firms
USMaine11$30/hr-72View firms
USArkansas16$33/hr-72View firms
USNew Mexico20$35/hr-72View firms
USConnecticut36$39/hr-72View firms
USNebraska34$41/hr-71View firms
USOhio84$47/hr-71View firms
USOklahoma27$40/hr-71View firms
USNorth Carolina56$49/hr4.571View firms
USMinnesota49$45/hr-70View firms
USMississippi2$25/hr-70View firms
USHawaii2$25/hr-70View firms
USAlaska1$25/hr-69View firms
USIndiana40$54/hr-66View firms
USRhode Island6$44/hr-65View firms
USSouth Carolina17$56/hr-63View firms
USWashington DC14$56/hr-63View firms
USNevada57$37/hr3.862View firms
USMichigan78$33/hr3.762View firms
USAlabama8$57/hr-61View firms
USPennsylvania82$41/hr3.658View firms
USColorado78$38/hr2.948View firms
USNorth Dakota5$25/hr2.847View firms
USNew Hampshire4$125/hr-33View firms
USOntario1--8View firms
USArizona
81 firms$33/hr5
Value Score85 / 100
USNew York
179 firms$37/hr5
Value Score85 / 100
USLouisiana
25 firms$30/hr5
Value Score83 / 100
USOregon
24 firms$35/hr5
Value Score82 / 100
USDelaware
55 firms$40/hr5
Value Score82 / 100
USIllinois
95 firms$36/hr4.9
Value Score82 / 100
USVirginia
54 firms$43/hr5
Value Score81 / 100
USWashington
74 firms$49/hr5
Value Score80 / 100
USMissouri
59 firms$40/hr4.9
Value Score80 / 100
USGeorgia
73 firms$52/hr5
Value Score80 / 100
USMontana
5 firms$33/hr5
Value Score80 / 100
USMassachusetts
49 firms$51/hr5
Value Score79 / 100
USCalifornia
367 firms$43/hr4.7
Value Score79 / 100
USUtah
38 firms$51/hr5
Value Score79 / 100
USKansas
24 firms$47/hr5
Value Score79 / 100
USFlorida
236 firms$45/hr4.7
Value Score78 / 100
USWyoming
49 firms$51/hr4.9
Value Score77 / 100
USKentucky
21 firms$50/hr4.9
Value Score76 / 100
USTennessee
41 firms$29/hr
Value Score76 / 100
USTexas
277 firms$51/hr4.6
Value Score75 / 100
USNew Jersey
90 firms$42/hr4.6
Value Score75 / 100
USWisconsin
32 firms$32/hr
Value Score74 / 100
USIowa
11 firms$25/hr
Value Score74 / 100
USMaryland
52 firms$38/hr
Value Score73 / 100
USIdaho
8 firms$25/hr
Value Score73 / 100
USMaine
11 firms$30/hr
Value Score72 / 100
USArkansas
16 firms$33/hr
Value Score72 / 100
USNew Mexico
20 firms$35/hr
Value Score72 / 100
USConnecticut
36 firms$39/hr
Value Score72 / 100
USNebraska
34 firms$41/hr
Value Score71 / 100
USOhio
84 firms$47/hr
Value Score71 / 100
USOklahoma
27 firms$40/hr
Value Score71 / 100
USNorth Carolina
56 firms$49/hr4.5
Value Score71 / 100
USMinnesota
49 firms$45/hr
Value Score70 / 100
USMississippi
2 firms$25/hr
Value Score70 / 100
USHawaii
2 firms$25/hr
Value Score70 / 100
USAlaska
1 firms$25/hr
Value Score69 / 100
USIndiana
40 firms$54/hr
Value Score66 / 100
USRhode Island
6 firms$44/hr
Value Score65 / 100
USSouth Carolina
17 firms$56/hr
Value Score63 / 100
USWashington DC
14 firms$56/hr
Value Score63 / 100
USNevada
57 firms$37/hr3.8
Value Score62 / 100
USMichigan
78 firms$33/hr3.7
Value Score62 / 100
USAlabama
8 firms$57/hr
Value Score61 / 100
USPennsylvania
82 firms$41/hr3.6
Value Score58 / 100
USColorado
78 firms$38/hr2.9
Value Score48 / 100
USNorth Dakota
5 firms$25/hr2.8
Value Score47 / 100
USNew Hampshire
4 firms$125/hr
Value Score33 / 100
USOntario
1 firms
Value Score8 / 100

Match by work-hour overlap with your team.

Cost matters - but so does being able to actually talk to your developer during your workday. Here are the best destinations for each major hub.

If you're in US (PT/ET)Recommended

Look for nearshore LATAM partners - same-day collaboration, similar time zones, and 50-60% cost savings vs domestic.

MXMexico~7h overlap
ARArgentina~6h overlap
BRBrazil~5h overlap
CACanada~8h overlap
If you're in Europe (CET/GMT)Recommended

Eastern Europe is your sweet spot - 1-2h time zone shift, EU GDPR alignment, and 40-50% lower rates than Western Europe.

PLPoland~8h overlap
UAUkraine~7h overlap
RORomania~7h overlap
ZASouth Africa~8h overlap

How firms are placed on the matrix

Every position on this chart is the output of the Goodfirms ranking algorithm - a weighted composite of signals across two axes. The algorithm is recomputed regularly and is fully documented.

Sponsorship does not affect placement. PRO members receive visible badges and ad placements, but their algorithmic scores are calculated identically to free listings.

Read the full methodology
Algorithm at a glance
1
X-axis (Core Competencies): Service Focus Ratio + Portfolio Depth + Quality + Experience
2
Y-axis (360-Performance): Client Reviews + Market Presence + Goodfirms Score
3
Missing signals are excluded from a firm's score, not substituted with defaults - weights redistribute across remaining inputs
4
Recency decay over the last 18 months keeps stale reviews from dominating
5
Eligibility floor: ≥ 1 published review in this category scope

Found your target region?

Browse all firms in your chosen country - or let us hand-pick matches based on your project, budget, and time-zone preference.

Get matched firms

States with the best Value Score for bpo services hiring.

Ranked by a composite score blending firm count (supply), average rating (quality), and median hourly rate (cost). Affordability is weighted highest (50%), so this list surfaces actually affordable destinations rather than just-big markets.

Budget leader
California · $0-24/hr

153 firms in this tier - more than any other state, averaging 4.6 ★. Top picks: OBI Services LLC, CallZent, Virtual Assistant India.

Mid-tier leader
California · $50-99/hr

30 firms in this tier - more than any other state, averaging 5.0 ★. Top picks: App Maestros, Information Process Solutions, Magellan Solutions Outsourcing.

Top tier leader
California · $150+/hr

8 firms in this tier - more than any other state. Top picks: Collective Solution, Leads Janitorial, Beyond Codes.

Loading heatmap…
Cell intensity (firm density):
Low
High
Best Value marks the densest, highest-rated, most-affordable cell per row

How the heatmap is built

Every cell in the grid above is the count of firms in (place × hourly-rate tier). Firms are placed by their published hourly rate; those without a disclosed rate are not plotted.

Top company names per cell are surfaced by Value Score - a weighted blend of affordability (50%) + rating (35%) + review volume (15%).

The "Best" ribbon marks the cell in each row where firm density, ratings, and affordability line up best - the densest, highest-quality combination.

Read the full methodology
Value Score · per firm
ValueScore = 0.50 × Affordability
+ 0.35 × Rating
+ 0.15 × Review Volume
// All sub-scores normalized 0-100
// Affordability = (1 - rate/$200) × 100
// Rating = (rating - 3) / 2 × 100
// Volume = log10(reviews+1)/log10(200) × 100

Found your target region?

Browse all bpo services firms in your chosen country - or let our AI hand-pick 3 matches based on your project, budget, and time-zone preference.

Get 3 AI-Matched Firms