RCM · AR RECOVERY · CREDENTIALING · PRIOR AUTHORIZATION · ELIGIBILITY · DENIAL MANAGEMENT · VIRTUAL ASSISTANTS · FRONT DESK · SCHEDULING · CHARGE ENTRY · PAYMENT POSTING · PATIENT COORDINATION · RCM · AR RECOVERY · CREDENTIALING · PRIOR AUTHORIZATION · ELIGIBILITY · DENIAL MANAGEMENT · VIRTUAL ASSISTANTS · FRONT DESK · SCHEDULING · CHARGE ENTRY · PAYMENT POSTING · PATIENT COORDINATION ·
Operational infrastructure for healthcare

Your practice should grow without the operational chaos.

Hired Billing Support is the remote team behind growing practices — RCM specialists, billers, AR experts, and virtual medical assistants embedded into your workflow. So you can stop firefighting and start practicing.

98%Clean-claim rate
22dAvg. days in AR
$1.2M+Recovered for clients in '25
LIVE · CLIENT WORKSPACE14 MAY · 09:42
$47,820
Collections this week
186
Claims submitted
12
Denials flagged for appeal
98.2%
First-pass clean rate
— Team activity
Maya · Posted 34 payments (Aetna ERA)+ $8,420
Jordan · Resolved 6 denied claims+ $2,180
Sara · Verified eligibility for tomorrow's schedule28 patients
Ali · Obtained 4 prior auths (orthopedic)approved
HIPAA COMPLIANT · SOC 2 ALIGNED · US TIME-ZONE COVERAGE · EHR-AGNOSTIC · ATHENA · ECW · KAREO · DRCHRONO · ADVANCEDMD · NEXTGEN · EPIC · CERNER · HIPAA COMPLIANT · SOC 2 ALIGNED · US TIME-ZONE COVERAGE · EHR-AGNOSTIC · ATHENA · ECW · KAREO · DRCHRONO · ADVANCEDMD · NEXTGEN · EPIC · CERNER ·
Trusted by physicians, clinic owners, and practice managers across
Primary CareBehavioral HealthUrgent CareDentalOrthopedicsCardiology
The state of practice operations

Your doctors are charting after hours. Again.

Even in the age of AI, providers are drowning. The cost of running a practice has never been higher — and the people you've hired to fix it are burning out too.

01
Front desk is overwhelmed
Phones don't stop. Verifications pile up. No-shows go uncalled. Schedules leak revenue.
+34% call volume
02
Claims are aging
Claims sit in 60+ buckets. AR keeps growing. Cash flow is unpredictable.
$1 in $4 lost
03
Denials are increasing
Payer rules shift weekly. Coding errors slip through. Appeals never get filed.
~18% denial rate
04
Staff costs are rising
W-2s, benefits, turnover, training, PTO. Salaries outpacing reimbursement, every year.
+11% YoY overhead
05
Doctors are doing admin
Charting after hours. Chasing prior auths. Doing the work two people should be doing.
2 hrs / day lost
06
Hiring is broken
90 days to fill a billing seat. 6 months to train. 14 months to lose them.
$22k cost / hire
A different model

Not outsourcing. Operational infrastructure.

We don't sell hours. We embed trained healthcare specialists directly into your workflow — operating inside your EHR, your communication tools, and your standards. You get the throughput of a 12-person back office without hiring one.

— 01 / EMBEDDED TEAMS

A back office that shows up on Monday morning.

Pre-vetted billers, AR specialists, virtual assistants, and front desk talent — onboarded into your EHR, your SOPs, and your standards. They report to you. They feel like yours. Because operationally, they are.

RCMARVAFRONTMJSA
— 02 / AI + HUMAN

AI does the lifting. Humans do the judgment.

Eligibility checks, claim scrubbing, denial categorization — automated. The complex appeals, payer calls, and patient conversations — handled by trained specialists.

— 03 / RCM, NOT HOURS

A percentage model. Aligned incentives.

For full RCM engagements, we charge a percentage of collections. We only win when you do — and we don't get paid for claims that don't.

— 04 / SCALES WITH YOU

Add capacity in days, not quarters.

Open a new location? Doubled patient volume? We scale your team within a week — without W-2s, benefits, recruiting cycles, or hiring risk.

What we operate

The full operational stack.

Pick the layers you need. Run one service, or hand us the entire back office. Every engagement is shaped around your specialty, EHR, and growth stage.

Revenue Cycle Management

End-to-end ownership of your collections — coding, claim submission, AR follow-up, denials, payment posting, patient billing. One team, one accountable scorecard.

Explore RCM

AR Recovery & Follow-Up

We hunt aging claims — 30, 60, 90, 120+ days. Payer calls, status checks, resubmissions, appeals. Most clients see AR days drop below 30 within 90 days.

AR services

Medical Billing

Specialty-trained coders and billers. CPT, ICD-10, HCPCS, modifier accuracy. Clean-claim submission as a discipline, not an afterthought.

Billing services

Prior Authorization

Pre-cert submission, payer follow-up, peer-to-peer prep. We shorten time-to-approval and stop the auth bottleneck from holding up patient care.

Prior auth

Insurance Verification

Real-time eligibility and benefits checks before the patient walks in. Co-pays, deductibles, coverage limits — clarified, documented, in the chart.

Verification

Virtual Medical Assistants

Charting support, message triage, refill management, referrals, lab follow-up. A clinical extension of the provider — quiet, accurate, always there.

Virtual MAs

Front Desk Support

Phones answered. Patients greeted (virtually). Schedules managed. We absorb the noise so your in-clinic team can focus on the patient in front of them.

Front desk

Scheduling & Coordination

Appointment scheduling, reminders, recall, no-show recovery. We protect the calendar — the single most expensive asset in your practice.

Scheduling

Healthcare Operations Mgmt

For larger practices: an operations lead embedded in your team. Workflows, dashboards, KPIs, vendor management. The COO-layer you don't have yet.

Operations
The AI + human advantage

AI does the lifting. People do the thinking.

We pair trained healthcare specialists with AI-assisted workflows. Eligibility checks, claim scrubs, and denial categorization happen in seconds. Specialists focus on the work that actually requires a human — payer escalations, complex appeals, and patient relationships.

  • 01
    Automated eligibility & scrubbingEvery claim is validated against payer rules before submission. First-pass rate above 98%.
  • 02
    AI-triaged denialsDenials are categorized, prioritized, and routed to the right specialist queue within minutes — not weeks.
  • 03
    Human-led appealsTrained appeals specialists write payer-specific responses. Higher overturn rates, less staff time.
  • 04
    Real-time visibilityYou see everything we see — KPIs, queues, payments, denials — in a shared dashboard.
— LAYER 01 / INTAKE
Eligibility · Auth · Demographics
— LAYER 02 / AI SCRUB
Claim validation · Payer rules
— LAYER 03 / SPECIALIST QUEUE
Triaged · Routed · Tracked
— LAYER 04 / HUMAN JUDGMENT
Appeals · Calls · Resolution
— OUTCOME
Faster reimbursement. Cleaner books.
By the numbers

What it looks like after 90 days.

+27%
Average collections lift within the first quarter of full RCM engagement.
22d
Average days in AR for active clients — down from a 47-day baseline.
98%
First-pass clean-claim rate across all submitted claims, all specialties.
60%
Lower operating cost versus building the equivalent in-house team.
Case study

A 4-physician primary care group, after 6 months.

Primary care · 4 providers · Texas

From 47 days in AR and burnout, to a calmer practice and 31% more revenue.

The practice was running on two in-house billers, a stretched-thin front desk, and a $180k AR backlog. We embedded a 3-person remote team: one biller, one AR specialist, one verification VA. We took over the AR aging report on day one.

By month six: AR days under 25, denials cut in half, the in-house team redeployed to patient experience, and the lead physician home for dinner.

Read the full case →
+31%
Monthly collections lift
-47%
Denial rate reduction
22d
Days in AR (from 47)
$112k
AR recovered in 90 days
In their own words

From physicians who got their evenings back.

Partnering with Hired Billing Support gave us peace of mind. Our billing is cleaner, our staff works on patient care instead of paperwork, and we are now capturing more appointments than ever.
RE
Dr Ruth - Edwin DMD/MS
Diplomate of American Board of Periodontology
Working with HBS has been a game-changer. The team is professional, responsive, and has streamlined our billing operations seamlessly.
HM
Herma Thompson PMHNP-BC
Nurse Practitioner - Psych/Mental Health
HBS identified three payers underpaying our E&M claims for over a year. Recovered $40,000 in one quarter.
JW
James Whitfield MBA, CMPE
Certified Medical Practice Executive
Prior auth denials dropped from 11% to under 3% in 60 days. HBS tracks every authorization before it expires.
RM
Dr. Rehan Malik MD, FACC
Interventional Cardiologist
Partnering with Hired Billing Support gave us peace of mind. Our billing is cleaner, our staff works on patient care instead of paperwork, and we are now capturing more appointments than ever.
RE
Dr Ruth - Edwin DMD/MS
Diplomate of American Board of Periodontology
Working with HBS has been a game-changer. The team is professional, responsive, and has streamlined our billing operations seamlessly.
HM
Herma Thompson PMHNP-BC
Nurse Practitioner - Psych/Mental Health
HBS identified three payers underpaying our E&M claims for over a year. Recovered $40,000 in one quarter.
JW
James Whitfield MBA, CMPE
Certified Medical Practice Executive
Prior auth denials dropped from 11% to under 3% in 60 days. HBS tracks every authorization before it expires.
RM
Dr. Rehan Malik MD, FACC
Interventional Cardiologist
Security & compliance

Built for healthcare. Auditable by design.

We operate to HIPAA standards across our entire stack — workstations, networks, communications, and access controls. Every team member is BAA-bound, background-checked, and trained on PHI handling before they touch your data.

Read the security overview →
HIPAA Compliant

Full administrative, physical, technical safeguards.

SOC 2 Aligned

Trust service criteria mapped across operations.

Encrypted End-to-End

At rest, in transit, in storage. AES-256.

Vetted Personnel

Background-checked. BAA-bound. Continuously audited.

Frequently asked

Questions we hear often.

How is this different from a typical VA or outsourcing company?+
VAs sell hours. We deliver outcomes. Our team is healthcare-trained — not generalist — and embedded directly into your EHR and SOPs. For RCM, we work on a percentage-of-collections model, meaning we only get paid when you do. You're hiring an operational system, not a contractor.
Which EHRs and PM systems do you work in?+
We're EHR-agnostic. Active client work spans Athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, NextGen, Practice Fusion, Epic, and Cerner. If you're on something newer or niche, we'll learn it during onboarding.
How fast can a team be live?+
Most engagements go live within 10–14 business days. That includes vetting, EHR access provisioning, SOP intake, BAA execution, and a phased takeover so nothing falls through the cracks during transition.
How are you HIPAA compliant?+
Every team member operates from a controlled workstation with enforced access policies, end-to-end encryption, no local storage of PHI, and continuous monitoring. We sign a BAA, complete role-based training quarterly, and align our administrative, physical, and technical safeguards to HIPAA and SOC 2 trust criteria.
What does pricing look like?+
For full Revenue Cycle Management: percentage of net collections (typically 3–7% depending on specialty and volume). For dedicated remote staff (VA, front desk, AR-only): flat monthly per seat. No long-term contracts — we earn renewals month over month.
Can we start with just one service?+
Yes. Most clients start with one bottleneck — usually AR recovery or insurance verification — and expand once they see the throughput. You're never locked into the full stack.
Will the team really feel like ours?+
Yes. Your team uses your email domain, joins your standups, follows your SOPs, and reports to your practice manager. To your patients, they're staff. To us, they're accountable to outcomes you define.
Let's talk

More patient care. Less administrative burden.

Book a 30-minute discovery call. We'll audit your current operations and show you exactly where time and revenue are leaking — no pitch, no obligation.

Chat with HBS Support