Top Medical Billing Outsourcing Companies

A major primary driver of the global medical billing outsourcing market is the escalating complexity of healthcare reimbursement frameworks. Continuous updates to coding systems like ICD-10, evolving payer-specific rules, and stricter compliance mandates create significant challenges for in-house billing teams. These teams often lack the specialized expertise needed to manage frequent regulatory changes, resulting in coding errors, higher denial rates, delayed reimbursements, and financial uncertainty for healthcare providers. As this administrative burden intensifies, organizations increasingly turn to professional outsourcing firms that possess advanced knowledge, automation tools, and compliance capabilities. This shift enables faster claims processing, improved revenue cycle efficiency, and reduced operational pressure.

Industry Overview

According to SkyQuest Technology “Global Medical Billing Outsourcing Market” By Service (Front-End, Middle-End, Back-End), By Type of Deployment (On-Premise, Cloud-Based), By End User, By Region - Industry Forecast 2025-2032,” Global medical billing outsourcing market is projected to grow at a CAGR of over 12.03% by 2032, on account of urgent need for automating quantified data. A key factor fueling the growth of the medical billing outsourcing market is the rapid adoption of digital health technologies across healthcare systems. The widespread use of electronic health records (EHRs), telemedicine platforms, remote patient monitoring tools, and AI-driven coding systems generates vast amounts of clinical and administrative data.

Top 10 Global Medical Billing Outsourcing Companies

1. R1 RCM

R1 RCM is a leading provider of technology-driven revenue cycle management solutions, helping healthcare organizations improve financial performance, enhance patient experience, and streamline billing operations. Founded in 2003 and headquartered in Murray, Utah, the company serves hospitals, physician groups, and large health systems across the U.S. Its services span medical billing, coding, denial management, and patient access, supported by advanced automation and analytics platforms. R1 RCM continues to expand its presence in the global medical billing outsourcing landscape through strategic partnerships, digital transformation initiatives, and end-to-end revenue cycle optimization solutions.

2. Change Healthcare

Change Healthcare is a prominent healthcare technology and revenue cycle management provider known for advancing the efficiency, accuracy, and connectivity of medical billing operations. Established in 2007 and headquartered in Tennessee, the company supports hospitals, insurers, and physician practices with solutions that streamline claims processing, payment accuracy, and clinical data exchange. Its platforms leverage analytics, AI, and interoperability tools to reduce denials, accelerate reimbursements, and improve financial outcomes. In the global medical billing outsourcing market, Change Healthcare plays a key role by enabling digital transformation and optimizing end-to-end revenue cycle performance for diverse healthcare organizations.

3. Optum / Optum360

Optum, through its Optum360 division, is a major global force in healthcare billing, analytics, and revenue cycle management. Formed in 2011 under UnitedHealth Group and headquartered in Eden Prairie, Minnesota, the company delivers integrated solutions that enhance financial performance, streamline administrative workflows, and improve patient engagement. Optum360 specializes in medical billing, coding, auditing, claims processing, and advanced analytics powered by AI and automation. Its expansive network and deep payer–provider expertise position it as a key contributor to the global medical billing outsourcing market, driving efficiency, compliance, and digital transformation across healthcare systems.

4. Conifer Health Solutions

Conifer Health Solutions is a leading revenue cycle management and patient communications provider, supporting hospitals, health systems, and physician groups in optimizing financial and operational performance. Founded in 2008 and headquartered in Frisco, Texas, the company offers end-to-end services including medical billing, patient access, health information management, and value-based care coordination. Conifer leverages advanced analytics, automation, and industry expertise to reduce denials, accelerate reimbursements, and improve patient financial experiences. Its strong partnerships and technology-driven approach position it as a significant player in the global medical billing outsourcing market, helping organizations enhance efficiency and long-term revenue outcomes.

5. GeBBS Healthcare Solutions

GeBBS Healthcare Solutions is a prominent provider of technology-enabled revenue cycle management and medical billing services for healthcare organizations worldwide. Founded in 2005 and headquartered in New Jersey, the company supports hospitals, physician groups, and healthcare outsourcing partners with solutions spanning medical coding, billing, audit and compliance, and telehealth documentation. GeBBS leverages automation, AI-driven workflows, and robust quality systems to improve accuracy, reduce denials, and enhance financial outcomes. Its scalable delivery model and global workforce make it a strong contender in the global medical billing outsourcing market, offering cost-efficient, high-performance revenue cycle support.

6. Medusind Solutions

Medusind Solutions is a well-established provider of comprehensive medical and dental billing services, supporting healthcare organizations with efficient, technology-driven revenue cycle management. Founded in 2002 and headquartered in Miami, Florida, the company delivers solutions including medical billing, coding, provider credentialing, A/R follow-up, payment posting, and practice management support. Medusind combines specialized expertise with automation tools and scalable delivery centers to boost claim accuracy, reduce denials, and enhance reimbursement speed. Its strong operational capabilities and industry focus position it as a competitive player in the global medical billing outsourcing market.

7. athenahealth

athenahealth is a leading healthcare technology and revenue cycle management provider known for its cloud-based platforms that streamline clinical, financial, and administrative operations. Founded in 1997 and headquartered in Watertown, Massachusetts, the company offers integrated solutions including medical billing, EHR, practice management, patient engagement, and claims optimization. Its technology leverages automation, real-time analytics, and extensive payer connectivity to reduce administrative burden and improve financial outcomes for healthcare practices. As a key participant in the global medical billing outsourcing market, athenahealth continues to drive digital transformation, operational efficiency, and scalable revenue cycle performance across diverse healthcare settings.

8. Kareo

Kareo, now part of Tebra, is a prominent provider of cloud-based medical billing and practice management solutions designed specifically for independent healthcare practices. Founded in 2004 and headquartered in Irvine, California, the company offers services including medical billing, EHR, claims processing, scheduling, and patient engagement tools. Kareo’s intuitive platform and integrated workflows help providers simplify administrative tasks, improve billing accuracy, and accelerate reimbursements. With its digital-first approach and strong focus on small to mid-sized practices, Kareo plays a meaningful role in the global medical billing outsourcing market, supporting efficient, technology-driven revenue cycle operations.

9. eClinicalWorks

eClinicalWorks is a major healthcare IT and revenue cycle management provider offering integrated solutions that support both clinical and financial operations. Founded in 1999 and headquartered in Westborough, Massachusetts, the company delivers services such as medical billing, EHR, practice management, population health tools, and telehealth. Its billing solutions leverage automation, real-time analytics, and extensive interoperability to reduce claim errors, enhance reimbursement speed, and improve practice efficiency. As a key participant in the global medical billing outsourcing market, eClinicalWorks continues to expand its capabilities through digital innovation and end-to-end revenue cycle support.

10. Greenway Health

Greenway Health is a well-recognized provider of healthcare IT and revenue cycle management solutions designed to improve financial and clinical performance for medical practices. With roots dating back to 1977 and headquartered in Tampa, Florida, the company offers integrated services including medical billing, EHR, practice management software, documentation tools, and revenue cycle optimization. Greenway leverages analytics, automation, and interoperability to reduce billing errors, accelerate reimbursements, and enhance operational efficiency. As an active participant in the global medical billing outsourcing market, Greenway Health helps practices streamline workflows and achieve more predictable, sustainable financial outcomes.

Other Leading Global Medical Billing Outsourcing Companies

• DrChrono
• AdvancedMD
• NextGen Healthcare
• CareCloud
• PracticeSuite
• CureMD
• Availity
• Cognizant
• Sutherland
• HGS

Conclusion

The global medical billing outsourcing market continues to expand as healthcare organizations seek relief from rising administrative complexity, regulatory changes, and growing data volumes. Outsourcing has become a strategic necessity, enabling providers to improve billing accuracy, reduce denials, and secure faster reimbursements while focusing more on patient care. With digital health adoption accelerating, advanced technologies such as AI-driven coding, automation, and analytics further enhance the value proposition of outsourcing partners. Leading companies are strengthening their capabilities through innovation, scalability, and end-to-end revenue cycle solutions. As a result, the market is positioned for sustained growth, operational transformation, and long-term efficiency gains.