Top Medical Billing Companies in Saint Louis

Researched by:Goodfirms Research TeamUpdated:September 23, 2026

Goodfirms has reviewed 10 Medical Billing Companies in Saint Louis as of September 2026. The top-ranked firm is Total RCM Solutions (0.0 stars, 0 verified reviews, < $25/hr, St. Louis). Across the category, the median hourly rate is $25, median client rating is 5, and 23% of firms employ 50+ members. Explore the vetted Medical Billing Companies in Saint Louis below, compare their strengths, and connect with the provider best suited to your requirements.

Medical billing services in St. Louis follow the latest guidelines issued by the governing authorities regarding medical billing and insurance payouts. By outsourcing your billing to a medical billing services provider in St. Louis, you can rest assured that you are following proper billing protocol and avoid any delay in insurance claims submissions and payouts. Goodfirms has compiled a list of the top-rated medical billing companies in St. Louis that you can refer to below when choosing your outsourcing partner. Our researchers have mentioned all essential information about all medical billing services companies in St. Louis in their profile, along with their client reviews and ratings so that you can make your hiring decision quickly.

Goodfirms has verified 10 Medical Billing Companies in Saint Louis - part of 1,341+ 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 Services in Saint Louis

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
  • Total RCM Solutions is a St.Louis, MO-based company that has been providing exceptional medical billing and coding services to specialty physician practices and ambulatory surgical centers. We were founded by healthcare executives as a solution to their on-going billing and coding problems. For over 15 years, we have been working to provide our clients with ... read Total RCM Solutions reviews & insights

    Total RCM Solutions is a St.Louis, MO-based company that has been providing exceptional medical billing ... read Total RCM Solutions reviews & insights

    < $25/hr
    10 - 49
    St. Louis, United States
  • Every day, physicians depend immensely upon the proper billing and coding of services in order to earn the reimbursement to which they are entitled. Yet, every day, physicians around the nation lose money that is owed to them because their internal billing staff, or third party billing company, is not performing at the level required.

    Every day, physicians depend immensely upon the proper billing and coding of services in order ... read GBS reviews & insights

    < $25/hr
    10 - 49
    St. Louis, United States
  • We code, create, and file medical insurance claims – quickly and correctly – so your practice receives the maximum reimbursement for your services. Then, we take care of billing patients directly for any remaining balances. You get prompt, professional, personal service. And we NEVER outsource any of our work to offshore companies.

    We code, create, and file medical insurance claims – quickly and correctly – so your ... read Reimbursement reviews & insights

    < $25/hr
    10 - 49
    1997
    St. Louis, United States
  • As re-sellers for Aprima PRM, we have a fully-hosted electronic health record. Aprima PRM is a fully-integrated electronic health record. There is no separate practice management system. Aprima PRM has robust rural health clinic and federally-qualified health center functionality. We can easily handle the new line item billing requirement for rural health clinics and provider-based ... read North American Healthcare reviews & insights

    As re-sellers for Aprima PRM, we have a fully-hosted electronic health record. Aprima PRM is ... read North American Healthcare reviews & insights

    < $25/hr
    10 - 49
    1992
    St. Louis, United States
  • Associated Management Services is a full-service medical billing company, providing outstanding comprehensive accounts receivable management and credentialing for physician practices.

    Associated Management Services is a full-service medical billing company, providing outstanding comprehensive accounts receivable management ... read AMS reviews & insights

    < $25/hr
    10 - 49
    St. Louis, United States
  • Midwest Core Billing provides medical billing and coding solutions to healthcare practices throughout St. Louis, Ferguson, Clayton, and Fenton, MO. We take pride in customizing simple, realistic strategies for your medical practice—from identifying faulty claims, to a new focus on revenue cycle management. Insurance verification, balance collection, credentialing, contracting, staff training, EHR implementation and more—we ... read MCB reviews & insights

    Midwest Core Billing provides medical billing and coding solutions to healthcare practices throughout St. Louis, ... read MCB reviews & insights

    < $25/hr
    10 - 49
    St. Louis, United States
  • Precision offers a variety of coding and auditing services to assist Providers with their documentation of professional services. Our name says it all...Precision! Accurate and reliable coding can be expected when enlisting the assistance of the PPM coding team. Our team members are advanced, talented coders with experience in 30+ medical specialties. Utilizing PPM for ... read PPM reviews & insights

    Precision offers a variety of coding and auditing services to assist Providers with their documentation ... read PPM reviews & insights

    < $25/hr
    50 - 249
    St. Louis, United States
  • TRE Medical Solutions, Inc. understands that Physicians want to concentrate on providing the highest quality medical care possible to patients, while at the same time, ensuring that their practice thrives as a business. TRE Medical Solutions, Inc. offers cost-effective solutions for accurate, timely and effective billing and record-keeping processes, all of which translates into increased ... read Tre Medical Solutions reviews & insights

    TRE Medical Solutions, Inc. understands that Physicians want to concentrate on providing the highest quality ... read Tre Medical Solutions reviews & insights

    < $25/hr
    10 - 49
    2005
    St. Louis, United States
  • We fill in that gap. We take your non profitable tasks such as Data Entry, Bookkeeping, Customer Relationship Management, Transcription, Medical/Dental Billing and many more and ensure that they are completed in an accurate and timely manner. Plus, our License Office Division will keep your fleet management simple for you and keep your employees working ... read Beacon Virtual Assistants reviews & insights

    We fill in that gap. We take your non profitable tasks such as Data Entry, ... read Beacon Virtual Assistants reviews & insights

    < $25/hr
    2 - 9
    2009
    St. Louis, United States
  • At Precision, we believe best-in-class technology and revenue cycle processes are essential in order for hospitals and medical practices to succeed in the healthcare industry of tomorrow. Precision provides software solutions that have been carefully tested and successfully deployed at many hospitals and medical practices across the country, and Precision applies its proven medical billing ... read Precision Practice Management reviews & insights

    At Precision, we believe best-in-class technology and revenue cycle processes are essential in order for ... read Precision Practice Management reviews & insights

    < $25/hr
    50 - 249
    St. Louis, United States

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1 cities with the best Value Score for hiring.

Ranked by a composite blending firm count (supply), average rating (quality), and average hourly rate (cost). Affordability is weighted highest (50%), so this surfaces genuinely affordable destinations - not just the biggest markets.

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.

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All cities ranked by Value Score.

Every city in scope, ranked by Value Score.

CityFirmsAvg RateAvg RatingValue ScoreAction
USSt. Louis26$40/hr581View firms
USSt. Louis
26 firms$40/hr5
Value Score81 / 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

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Cities 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
St. Louis · $0-24/hr

19 firms in this tier - more than any other city. Top picks: Thumbs Up Marketing, RainMaker, Customer Direct.

Mid-tier leader
St. Louis · $50-99/hr

1 firms in this tier - more than any other city. Top picks: Abstrakt Marketing Group.

Top tier leader
St. Louis · $150+/hr

1 firms in this tier - more than any other city, averaging 5.0 ★. Top picks: LeadValets.

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

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