Medical Billing Services

Your billing staff calls in sick. Your revenue doesn’t have to.

Get paid faster. Deny fewer claims. Without changing a single system.

MedLedger is a dedicated medical-billing team that plugs into your existing EHR and runs your entire revenue cycle — eligibility, coding, submission, denials, AR. Same systems you use today. Fewer denials. Faster payments.

  • HIPAA compliant
  • BAA included
  • Month‑to‑month
  • SOC 2 aligned
98%
Clean‑claims rate, first pass
11.4
Avg. days to first payment
99%
Client retention
70+
Specialties covered
50+
EHR platforms supported

Trusted by independent practices across the U.S.

The problem

You went to medical school to treat patients. Not to chase insurance companies.

01

15–20% of your claims get denied on the first pass.

That’s the national average (MGMA). Half of denied claims are never reworked. That’s revenue disappearing, every month.

02

After 120 days, your odds of collecting drop below 25%.

Every day a denial sits untouched, money evaporates. If nobody is working AR daily, you’re losing thousands you’ll never see.

03

A single in-house biller costs $50–65k a year.

And when they quit, take PTO, or fall behind, claims stop. Cash flow stops with them. You need coverage that doesn’t call in sick.

MedLedger billers reviewing claim dashboards
Inside MedLedger

Every claim, worked by a real person on your team.

A small group of dedicated billers and coders assigned to your account — not a queue, not a call center. They learn your practice, your payers, your workflows.

What MedLedger does

A full billing team. Not a software subscription.

We don’t sell you a platform and wish you good luck. We put trained billers and coders on your account who work your claims, every single day.

Full revenue‑cycle management

Coding, charge entry, claims submission, payment posting, denial management, AR follow‑up, appeals, secondary billing. The complete cycle, handled.

Eligibility & prior auth

We verify insurance before the patient walks in. Prior auths submitted in real time. No more surprise denials because someone forgot to check coverage.

AR recovery & denial mgmt

We chase the money your old biller left behind. Aging AR cleanup, denial appeals, underpayment recovery. Every dollar owed, we go and get it.

Credentialing & enrollment

CAQH setup, payer enrollment, NPI management, Medicare/Medicaid revalidations. We handle the paperwork so you can start seeing patients faster.

Analytics & reporting

Monthly performance reports in plain English. Denial trends, AR aging, payer performance, collection rates. You always know where your money is.

Patient billing support

Patients call with billing questions. Someone answers. Professional, clear, HIPAA-compliant. No more patient complaints about billing confusion.

How it works

From first call to first clean claim in under two weeks.

  1. 01

    Free billing audit

    We pull your last 30 days of claims and show you exactly what’s going wrong: denial rate, AR aging, recoverable revenue — in dollars, not percentages. No charge, no obligation.

  2. 02

    Custom game plan

    Based on the audit, we build a billing plan specific to your practice, your payers, and your EHR. Not a cookie-cutter package — a plan built around your actual numbers.

  3. 03

    Team assignment & onboarding

    We assign dedicated billers and coders to your account. They learn your workflows, get access to your systems, and start working. Typical onboarding: 7–14 days.

  4. 04

    Claims flow. Revenue follows.

    Claims go out clean. Denials get worked the same day. AR gets chased weekly. You get a monthly report showing every dollar collected, every denial resolved, every improvement made.

Why MedLedger

Built by people who’ve been doing this for two decades.

MedLedger is backed by the same RCM infrastructure that processes millions of claims a year across 70+ specialties. Not a startup figuring things out — a proven operation, available to your practice.

98%

First‑pass clean‑claims rate

Our claim scrubbing catches errors before submission. Fewer rejections, faster reimbursement.

+20%

Avg. revenue improvement

Clients typically see a 20% increase in collections within the first 90 days.

−30%

Reduction in AR aging

We follow up on every claim. Weekly AR reviews, daily denial work, timely appeals.

99%

Client retention

Practices that start with us, stay with us. The numbers speak louder than any pitch.

“We were sitting on 90 days of aged AR and didn’t know where to start. MedLedger pulled in $112k in the first 60 days — just from re‑working claims my old biller had given up on.”
DM Dr. Maya Okafor, MD
Northgate Internal Medicine · 4‑provider practice
Who we work with

Built for practices too busy treating patients to fight with payers.

An independent medical practice reception desk
Client snapshot

Oakview Medical Practice

3 providers · family medicine · client since 2023

AR > 90 days −42%
Collections lift +28%
01 / Solo & small group

Solo & small group practices

A complete billing team for a fraction of what one U.S. hire costs — no department overhead.

02 / Behavioral health

Mental health & behavioral

Auth requirements, session-based coding, telehealth modifiers. We know the payer rules cold.

03 / Chiropractic

Chiropractic clinics

High-volume, repetitive claims processed by a team so your front desk doesn’t have to.

04 / New practices

New practices (< 12 months)

Professional billing, proper credentialing, clean claims from your first patient onward.

Plain talk

Read it like a ledger. What’s out, and what takes its place.

MedLedger · Standard engagement Folio No. 0001
What you won’t get
+ What you get instead
  • 01
    Hidden fees
    Transparent pricing You know exactly what you pay before we start. Line‑item invoice, every month.
  • 02
    Setup charges
    Onboarding on us We invest in getting it right because we plan on working together for a long time.
  • 03
    Long-term contracts
    Month to month If we’re not performing, you can walk. That’s on us, not you.
  • 04
    Generic call center
    Dedicated billers, by name A small team assigned to your account. They know your practice, your payers, your workflows.
  • 05
    Third-party outsourcing
    In-house, HIPAA‑certified Every person working your claims is on our team — trained, vetted, and accountable.
FAQ

Questions we hear on every first call.

How long does onboarding take?

Most practices are fully onboarded within 7 to 14 days. We work inside your existing EHR and PM system, so there’s no migration, no downtime, and no gap in claims submission.

Do you work with my EHR?

We bill on 50+ platforms including Kareo, eClinicalWorks, Epic, NextGen, AdvancedMD, DrChrono, Practice Fusion, Allscripts, and WebPT. If you use it, we probably already work on it.

Is my patient data safe?

Every member of our team works behind a VPN, uses encrypted systems, and has completed HIPAA training. We sign a Business Associate Agreement before touching any data. Your patients’ information is protected by the same standards you follow in your own practice.

What if I want to leave?

No long-term contracts. We earn your business every month. If you want to part ways, we’ll make sure the transition is clean and nothing falls through the cracks.

How do you charge?

We offer both percentage-of-collections and flat monthly pricing depending on your practice size and needs. No hidden fees. No setup charges. We’ll walk you through the options on our call.

Next step

Your next billing cycle could look completely different.

Book a 15‑minute call. We’ll pull your numbers, show you what you’re leaving on the table, and give you a real plan to fix it. No pitch — just math.

No commitment. No credit card. Just a conversation about your revenue.

Book your free billing audit

Tell us about your practice and we’ll be in touch within 24 hours.