Clutch 2025 Global Award Winner · Top 15 Worldwide in Customer Support Outsourcing · Managed Virtual Medical Assistants
Medical billing & claims processing

Medical billing & claims processing. Clean. Accurate. Fast.

End-to-end medical billing: coding, claims submission, denials management, and AR follow-up. HIPAA-compliant, specialty-trained, and measured against your clean-claim rate and A/R aging - not just hours billed.

From $8/hr·HIPAA + BAA at company level·87% first-appeal success·Live in ~2 weeks
Recognized by Clutch
Top 2025 awards for Customer Support, Virtual Assistants, and E-commerce Call Centers
Top Clutch Customer Support Outsourcing Company US 2025Top Clutch Virtual Assistant Company US 2025Top Clutch Call Centers E-commerce 2025
Why HelpSquad medical billing

Cleaner claims. Faster cash.

Four pillars that separate HelpSquad revenue cycle from a freelance biller or a generic BPO.

01

Accurate coding, specialty-specific.

CPT, HCPCS, ICD-10, and modifier accuracy. Dental CDT codes. Hospital UB-04. Our coders are trained per specialty - not a single flat rate for every chart.

02

Clean claims, faster reimbursements.

Claims scrubbed and submitted through your clearinghouse with fewer rejections on the first pass. Less rework, faster cash, cleaner A/R aging.

03

87% first-appeal success on denials.

Denials worked aggressively. Root-cause analysis, payor-specific appeals, and sustained A/R follow-up. We document the outcome so your team sees what moved.

04

Patient-responsibility with empathy.

Statement management, payment plans, and patient-responsibility collection calls - handled with empathy, consistency, and documented outcomes.

Medical billing team
Six lanes of the revenue cycle

End-to-end coverage. Not just claims entry.

HelpSquad runs the full revenue cycle, not a single step. Most practices start with denials and aged-AR work (the highest leverage), then expand to coding, claims, and patient-responsibility over time.

  • Specialty-specific coding (CPT, HCPCS, ICD-10, CDT, UB-04).
  • Claims scrubbed before submission; cleaner first-pass rate.
  • Root-cause denial analysis and payor-specific appeals.
  • Documented patient-responsibility workflow with empathetic collection calls.
What we handle, day-to-day

Six lanes of revenue cycle work.

Start with the lane that's costing you the most today. Expand as the engagement earns its keep.

01

Coding & charge entry.

CPT, HCPCS, ICD-10, CDT (dental), and UB-04 (hospital). Charge entry from your EHR into your billing system, specialty-specific modifier accuracy.

02

Claims submission & scrubbing.

Claims scrubbed for eligibility, modifier, and payer-specific rules before submission. Cleaner first-pass rate, fewer rejections.

03

Payment posting & reconciliation.

ERA/EFT posting, manual EOB posting where needed, and payment reconciliation against your ledger. Variances flagged, not buried.

04

Denial management & appeals.

Root-cause analysis on every denial. Payor-specific appeal templates, documentation chased from clinicians, and appeals filed within deadlines. 87% first-appeal success rate.

05

Accounts receivable follow-up.

Aging AR worked by payor and by aging bucket. Sustained cadence instead of quarterly sprint-clean-up. Cleaner A/R aging within 90 days.

06

Patient statements & payment plans.

Statement generation, patient-responsibility collection calls, payment-plan management, and financial-assistance screening. Empathetic and compliant.

Services at a glance

Billing expertise by specialty.

Specialty-specific coding accuracy and payor-specific appeal templates across every major specialty.

01

Primary Care Billing

CPT/HCPCS coding, E/M modifier accuracy, clean claims submission, denial appeals, and AR follow-up. Integrated with Athena, eClinicalWorks, NextGen, Epic, and more.

02

Specialty Practice Billing

Surgical, cardiology, orthopedic, ophthalmology, dermatology, GI - specialty-specific coding accuracy with payor-specific appeal templates.

03

Dental Billing & Insurance

CDT ortho and general dental coding, pre-auths, secondary-insurance chase, and aging A/R. Integrated with Dentrix, Eaglesoft, Open Dental, and more.

04

Behavioral Health Billing

CPT/HCPCS, EAP verification, sliding-scale documentation, and telehealth coding. Integrated with SimplePractice, TherapyNotes, Valant, and more.

05

Home Care & Hospice Billing

Authorization management, visit-billing accuracy, Medicare hospice benefit claims, and EVV compliance. Integrated with WellSky, AlayaCare, MatrixCare.

06

Hospital Billing & Claims

UB-04 facility claims, CPT professional claims, denial appeals, and aging AR at hospital scale. Integrated with Epic, Cerner, Meditech, and clearinghouses.

Clearinghouses we work in

Clearinghouse coverage. Already integrated.

Integrated with every major clearinghouse. Pick yours, we'll work inside it.

WaystarChange HealthcareAvailityOffice AllyTrizettoRelayHealthEmdeonClaimMDExperian HealthNantHealth+ custom clearinghouse
Transparent pricing

Simple rates. Nothing to hide.

We publish our rates because we're proud of them. No hidden fees. No surprise minimums. No bait-and-switch. You only pay for hours worked.

$8-$12/hour.
That's it. That's the whole range.
$0
Upfront cost
$0
Implementation fees
$0
Replacement costs
Back Office
$ 8-10
per hour · billing, claims, data entry
  • Insurance verification
  • Medical billing & AR
  • Claims processing & appeals
  • Pre-qualified candidates
  • HIPAA BAA included
Get started
Managed Team
Custom
team lead + multiple VAs + QA
  • Full managed service
  • Workforce management & QA
  • Monthly analytics reporting
  • Ideal for 3+ seats or 24/7
  • US-based operations lead
Request a quote
In their words

What clients say about working with us.

H.E.R. Accessories
Having a real person is what we were looking for. HelpSquad has provided a good business model and support over the past 3 years.
Mason Bottle
The price is excellent for the quality of the service. Agents and coaches learn quickly and give customers an authentic experience with our brand.
VELLO
Within the first 3 months we expanded our hours of active guest communication by about 25% and delivered approximately 33% labor cost savings.
MultiSoft Corporation
They handle all of our live support 24x7x365. Awesome customer service.
Kofile Technologies
Professionals who have always proven themselves trustworthy and beneficial to our support staff.
N.J. Hair Center
It's like having someone there 24/7 to answer questions.
Simple Agency
Agents learn how to answer the top questions prospects ask, custom to YOUR business.
Spark Orthodontics
Good communication between company and customer.
Frequently asked

Answers before you ask.

What does HelpSquad medical billing cover?
End-to-end revenue cycle: coding, claims submission, payment posting, denial appeals, AR follow-up, patient statements, and payment-plan management. Specialty-specific coding and payer-specific appeals across every major specialty.
How is your first-pass clean claims rate?
Our target is consistent clean-claim rate above 95% after the first 60 days on an engagement. We also document an 87% first-appeal success rate on denied claims.
Are your billers HIPAA-compliant?
Yes. BAA signed at the company level, secure virtual desktop for every billing-system session, encrypted channels, no copy / paste / download of PHI. Continuous HIPAA training and audited access logs.
Which billing systems and clearinghouses do you support?
Epic, Cerner, Athena, eClinicalWorks, NextGen, Allscripts, AdvancedMD, Kareo / Tebra, SimplePractice, Dentrix, Eaglesoft, WellSky, and others. Clearinghouses: Waystar, Change Healthcare, Availity, Office Ally, and more.
How much does medical billing cost?
$8-10/hour for back-office billing team work. Volume-based team pricing for medical groups, DSOs, and hospital systems. See full pricing →
Can you handle specialty-specific coding?
Yes. Primary care E/M, surgical CPT with modifier accuracy, cardiology, orthopedic, ophthalmology, dermatology, GI, pediatrics, OB/GYN, dental CDT, and hospital UB-04. Coders are trained by specialty, not a flat rate.
What is your approach to denials?
Root-cause analysis on every denial, payor-specific appeal templates, and documentation chased from clinicians. Appeals filed within deadlines. 87% first-appeal success rate.
Do you handle patient-responsibility collections?
Yes. Statement generation, payment plans, empathetic patient calls, and financial-assistance screening. Documented outcomes in your billing system.
Can you work aged A/R from our current backlog?
Yes. Aged-AR cleanup engagements are common. We work aged A/R by payor and by aging bucket, document every follow-up, and report progress weekly.
How quickly can you stand up a billing team?
About two weeks from discovery call to go-live for a pilot specialty or service line. Larger multi-specialty or hospital rollouts ramp in waves.
Verified client reviews

What clients say on Clutch.

Unfiltered, third-party-verified reviews pulled live from our Clutch profile.

Ready to clean up A/R?

Let's build the squad your revenue cycle needs.

A 30-minute call. We'll scope your A/R aging, clean-claim rate, and go-live timeline.

877-775-3667 · info@helpsquad.com · Hatboro, PA