Outsourced Medical Billing Services for US Practices
Vector Medical Billing prepares, submits, and follows claims so providers get paid. Coding, scrubbing, denial appeals, and accounts receivable — inside the EHR you already use. The fee is a percentage of net collections, with no setup fee and no long-term contract.
What a Medical Billing Company Actually Does
Medical billing is preparing, submitting, and following insurance claims so a provider is paid for care already delivered. It covers eligibility, ICD-10 / CPT / HCPCS coding, charge entry, claim scrubbing, clearinghouse submission, payment posting, denial appeals, and aging accounts receivable.
The Same Five Steps on Every Claim
Billers log into your practice management system. You do not switch software, and the clinical workflow stays yours.
What In-House Billing Actually Costs
A salary is the wrong comparison. These figures are published US industry benchmarks, not a promise about your practice.
A Fixed Payroll, or a Fee on What Is Collected
A skilled US medical biller earns about $42,000–$65,000. Payroll tax, benefits, software, training, and workspace put the fully loaded cost at $58,000–$80,000. Two or three in-house billers run $120,000–$240,000 a year, and that cost does not fall in a slow month. Outsourcing turns it into a percentage of net collections.
One In-House Biller
Salary is only the starting line. Benefits, software licences, and training sit on top of it every month.
A Small Billing Team
Two or three billers are a fixed cost. Volume can drop. The payroll does not.
Charges Written Off
US practices write off an estimated 5–10% of billed charges each year to denials and claims nobody followed. On $2 million billed, that is $100,000–$200,000 earned and never collected.
Primary Care
Simpler coding and a steadier payer mix. The written rate follows visit volume.
Complex Specialties
Cardiology, orthopedics, surgery, facility claims, and behavioral health carry more modifiers, prior auths, and denial work.
Per-Claim Fees
Some companies charge a flat fee per claim. It can look cheaper, and it removes the reason to chase a hard denial. Vector Medical Billing stays on net collections.
Your Rate Is Quoted in Writing
It depends on claim volume, specialty, and how much of the revenue cycle you hand over. A free audit sets the number before you commit.
Review PricingThe Revenue Cycle We Run
The monthly billing cycle, plus the work that is quoted on its own.
Medical Billing & Coding
ICD-10, CPT, and HCPCS by certified coders assigned to your specialty, with a scrub before the claim leaves.
Medical billing and coding
Credentialing Services
Payer enrollment, CAQH maintenance, and re-credentialing. A new payer typically takes 60–120 days, and claims to that payer wait until it is done.
Credentialing services
AR Management
Daily follow-up on aging AR. Days in AR under 35 is a strong benchmark; over 50 usually means follow-up, not the payer, is the problem.
Accounts receivable follow-up
Denial Management
Every denial is sorted by root cause, appealed when it can be, and fixed upstream so the same code does not bounce next month.
Denial management
Eligibility Verification
Coverage and prior authorization before the visit. That is the cheapest denial you will ever stop, because the claim never goes out wrong.
Eligibility verification
EOB / ERA Posting
EOB and ERA posting so the books match what the payer actually remitted, including patient statements when that is in scope.
Payment postingSpecialty Billing, Not a Generic Queue
Coders are assigned by specialty. A cardiology claim and a mental-health claim fail for different reasons.
Tell Us the Specialty and the EHR
We work inside Athenahealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, DrChrono, NextGen, CareCloud, Practice Fusion, CureMD, and Office Ally. Another system is confirmed before you commit.
Cardiology
Diagnostic and interventional coding
Orthopedics
Procedure-heavy claim management
Mental Health
Behavioral health and therapy billing
Physical Therapy
PT, OT, and rehab billing
Chiropractic
98940–98943 with the AT modifier
Urgent Care
High volume and shifting payer mix
Questions Practices Ask Before They Switch
Answers from how Vector Medical Billing actually works. Benchmarks are labeled as benchmarks.
How much does outsourced medical billing cost?
The fee is a percentage of money that actually lands, not a percentage of gross charges. There is no setup fee and no long-term contract. The written rate follows a look at volume and specialty.
Is outsourcing cheaper than hiring in-house?
Usually, because salary is not the full cost. A skilled US biller earns about $42,000–$65,000. Fully loaded, with payroll tax, benefits, software, and training, that is about $58,000–$80,000. Two or three billers run $120,000–$240,000 a year as a fixed cost. Outsourcing moves that to a variable fee tied to collections.
Do you work inside our EHR?
Yes. Billers log into the system you already use. Published platforms include Athenahealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, DrChrono, NextGen, CareCloud, Practice Fusion, CureMD, and Office Ally. If yours is not on that list, compatibility is confirmed before you commit.
What is a clean claim rate, and what are days in AR?
A clean claim is accepted and paid on the first submission. The industry benchmark is about 95%. Below 90% usually means avoidable errors. Days in AR is how long it takes to get paid after the claim goes out. Under 35 days is considered strong. Over 50 days usually points to follow-up, not the payer. Vector Medical Billing reports days in AR, first-pass resolution, denial reasons, and net collections every month. The published net collection rate is 98%, and charges are submitted within 24 hours on average.
How long do credentialing and a billing switch take?
Credentialing — getting a provider enrolled with a payer — typically takes 60 to 120 days per payer. Until it is done, that payer generally cannot be billed. Switching billing companies typically takes two to four weeks, run in parallel so submissions do not stop. If you leave, the billing data and open AR go with you. There is no multi-year lock-in.
Is Vector Medical Billing HIPAA certified?
No organization is HIPAA certified. HHS does not certify billing companies. Vector Medical Billing runs HIPAA-compliant workflows, signs a Business Associate Agreement with every client, limits PHI to assigned staff, and carries errors and omissions insurance. A HIPAA Security Risk Analysis for your own practice can be scoped separately.
What a Free Billing Audit Actually Returns
Your current denial rate and the top reasons behind it. Recoverable dollars sitting in aging AR. Clean claim rate and days in AR, set next to your specialty’s benchmark. A written recommendation, with no contract attached.
Payers on the Panel
Medicare, Medicaid, Cigna, Healthfirst, Fidelis Care, Emblem Health, and Molina — plus the commercial plans on your contracts.
SpecialtiesWho the Work Fits
Solo providers, private practices, urgent care, diagnostic labs, multi-location groups, and hospitals. Same company, workflow sized to the organization.
About Vector Medical BillingMonthly Numbers
Days in AR, first-pass resolution, denial reasons, and net collections. One account manager who knows the practice, not a ticket queue.
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