Medical Billing Services
Medical billing turns a finished visit into a paid claim. Vector Medical Billing, in Jamaica, New York, runs eligibility, coding, clearinghouse submission, posting, denials, and accounts receivable inside the EHR you already use.
Why outsource medical billing to a billing company
A medical billing company is paid when the claim is accepted and the money is posted. Vector Medical Billing does that from Jamaica, NY, for practices in all 50 states.
The operating cycle is eligibility, charge entry, ICD-10 / CPT / HCPCS coding, a scrub against payer edits, electronic claim submission, payment posting, denial management, and accounts receivable follow-up. Professional claims are built for the CMS-1500 and sent as an 837P. Facility claims are built for the UB-04 and sent as an 837I. The remittance that comes back is an 835. Posting has to match that file, not a guessed amount.
Billers log into the practice management system you already use: Athenahealth, eClinicalWorks, Tebra, AdvancedMD, DrChrono, NextGen, CareCloud, Practice Fusion, CureMD, or Office Ally — see EHR integration. If yours is not on that list, compatibility is confirmed before you commit. Moving off another medical billing company takes two to four weeks. Claims keep going out during the overlap, and the aged AR file is worked, not written off at the handoff.
What sits on this monthly fee
- Medicare, Medicaid, Cigna, Healthfirst, Fidelis Care, Emblem Health, Molina, plus the commercial contracts the practice already holds
- HIPAA workflows, a signed BAA, and PHI limited to the staff assigned to the account. HHS does not certify billing companies
- Credentialing, a coding audit, transcription, MIPS, and out-of-network disputes are quoted separately. They are not silent add-ons
What the practice hands over
Login to the EHR, the fee schedule, the payer mix, and the open accounts receivable if you are leaving another biller. The front desk keeps scheduling and checking patients in. Vector Medical Billing does not install a new practice-management system to start medical billing services.
The revenue cycle report
Each month you get days in A/R, first-pass resolution, denial reasons by CARC, and net collections — see RCM reporting. One account manager holds those numbers. The billing data stays the practice’s. The agreement is month to month, so the file is not held if you leave.
Not inside the billing percentage
Provider credentialing and CAQH, a retrospective coding audit, HIPAA security risk analysis, medical transcription, MIPS / QPP reporting, underpayment recovery, and out-of-network negotiation are separate scopes. The percentage of net collections covers the claim cycle above, not those projects.
What end-to-end medical billing services include
Full-cycle medical billing means one team carries the claim from eligibility verification through payment posting and accounts receivable follow-up. These six steps are the service.

Eligibility verification
Eligibility and benefits verification happens before the visit: active coverage, copay, deductible, and whether the plan on the card is the plan that will actually pay. A wrong payer ID is a denial you can stop at the front desk.
Read eligibility verification
Charge entry and medical coding
Charge entry is taken from the note, not from memory. AAPC and AHIMA certified coders assign ICD-10-CM for the diagnosis, CPT for the service, and HCPCS for drugs and supplies CPT does not cover — see medical coding. The coder queries the provider when the note cannot support the code.
Read charge entry
Claim scrubbing and submission
Claim scrubbing catches edits before the payer does: missing modifiers, bundled CPT pairs, and a diagnosis that does not support the procedure. Clean claims then go to the clearinghouse. Vector Medical Billing submits within 24 hours of receiving the charge, on average. A day unsubmitted is a day added to days in A/R.
Read claims submission
Payment posting
Payment posting applies the 835 line by line: allowed amount, contractual write-off, patient responsibility, and any takeback. If the books do not match the EOB, the A/R balance is fiction. Patient statements go out only when that work is in the scope.
Read payment posting
Denial management and A/R follow-up
Denial management sorts each rejection by reason code, appeals what the payer will reopen, and corrects the claim that was billed wrong. Accounts receivable follow-up keeps the aging buckets moving. Over 50 days in A/R usually means the follow-up stopped, not that the payer is slow. Under 35 days is the benchmark Vector Medical Billing uses when it reads a practice.
Read A/R follow-up
RCM reporting
The monthly revenue cycle report is four figures: days in A/R, first-pass resolution, denial reasons, and net collection rate. Vector Medical Billing publishes 98% as its net collection rate. A clean claim rate near 95% is the industry benchmark, not a promise that every new client starts there.
Read RCM reportingHow much medical billing services cost
Vector Medical Billing charges a percentage of net collections — dollars that land — not a percentage of gross charges. No setup fee. Month to month. The written rate follows volume and specialty.
| Situation | Published range |
|---|---|
| US market, monthly collections | 4% – 9% |
| Primary and family medicine | 4% – 6% |
| Small to mid-size practices | 5% – 8% |
| Cardiology, orthopedics, behavioral health | 7% – 9% |
| Vector Medical Billing setup fee | $0 |
| Vector Medical Billing contract | Month to month, on net collections |
A flat fee per claim can look cheaper, and it removes the reason to chase a hard denial. Vector Medical Billing does not use that model. A skilled US biller earns about $42,000–$65,000. Fully loaded, that is about $58,000–$80,000. Two or three in-house billers run $120,000–$240,000 a year. Those are 2026 US benchmarks, not a forecast for your practice.
What “good” looks like on a billing report
Vector Medical Billing’s published net collection rate is 98%. A clean claim is one the payer accepts and pays on the first submission. The industry benchmark is about 95%. Under 90% usually means coding or eligibility errors are still leaving the office. Days in A/R under 35 is a strong result. Over 50 points at follow-up. Your practice’s write-off and denial leakage are measured in the free audit — we do not invent a nationwide write-off percentage for your book on this page.
Get a written rateMedical billing services for small practices, groups, and hospitals
Same cycle. The claim form changes with the setting. Office and professional claims use CMS-1500. Facility claims use UB-04.
Medical billing for small practices
A solo or two-provider office often compares a billing percentage with one salary. The loaded cost of one US biller is about $58,000–$80,000 a year, and it does not drop in a slow month. Small-practice volume usually prices toward the higher end of a percentage of net collections.
Groups, urgent care, and hospitals
Multi-specialty groups, multi-location groups, urgent care, emergency centers, diagnostic labs, and hospitals. Office visits stay on the CMS-1500. Facility and hospital outpatient claims move to the UB-04. Eligibility verification is the step that fails first when the payer mix changes every shift.
Medical billing services across the US
The office is 15717 85th St, Jamaica, NY 11414-2620. Work is remote in all 50 states. Medicare timely filing is generally 12 months from the date of service. Many commercial plans are shorter. A correct code filed late is still a lost claim, which is why submission is not left until month-end.
What switching medical billing companies looks like
Most practices switch in two to four weeks. System access, payer enrollment details, and the open A/R file move in parallel, so claim submission does not stop. The free audit, before that, shows the denial rate and the top reasons, recoverable dollars in aging A/R, and clean claim rate plus days in A/R against the specialty benchmark. Written. No contract attached.
Medical billing services questions
Straight answers a practice can check against the sections above.
What is included in medical billing services?
Eligibility and benefits verification, charge and demographic entry, ICD-10, CPT, and HCPCS coding, claim scrubbing, electronic submission through a clearinghouse, payment posting, denial management and appeals, accounts receivable follow-up, patient statements when they are in scope, and a monthly report of days in AR, first-pass resolution, denial reasons, and net collections. Vector Medical Billing submits within 24 hours of receiving the charge, on average.
How much do medical billing services cost?
Vector Medical Billing’s fee is a percentage of net collections, not gross charges. There is no setup fee. The agreement is month to month. The written number comes after volume and specialty are reviewed.
Which mistakes does this service exist to stop?
Incorrect or outdated coding, missed timely-filing deadlines, incomplete clinical documentation, unverified eligibility, and weak follow-up after submission. Four of those five can be stopped before the claim leaves. That is why verification and scrubbing sit at the front of the workflow.
Do we have to change our EHR?
No. Billers log into the system the practice already uses — see EHR integration. If the system is not on the published list, compatibility is confirmed before you commit. The clinical workflow does not change.
How fast can a practice switch billing companies?
Typically two to four weeks. The clock depends on system access, payer information, and the open AR handoff. Claims keep going out during the overlap, and aged accounts receivable stay on the follow-up list instead of being dropped at the vendor change.
Who owns the billing data?
The practice does. The file and the open AR go with you if you leave. The agreement is month to month.
Where does Vector Medical Billing provide medical billing services?
The office is 15717 85th St, Jamaica, NY 11414-2620. Billing is remote for practices in all 50 states. Timely-filing rules still follow the payer and the state on each claim.
Is Vector Medical Billing HIPAA certified?
No organization is. HHS does not certify billing companies. Vector Medical Billing uses HIPAA-compliant workflows, signs a Business Associate Agreement with every client, limits PHI to assigned staff, and carries errors and omissions insurance.