Medical Billing Company
Complete Medical Billing Services for Healthcare Providers Across the USA
Edge RCM is a trusted medical billing company helping physicians and healthcare practices across the USA simplify billing and coding through proven revenue cycle management strategies. We work with providers who are ready to hand off billing and coding to a dependable, specialty-trained team.
Our certified coders and billing specialists focus on recovering aging receivables and resolving denied insurance claims, keeping your revenue cycle running smoothly.
- 1500+ Satisfied Providers
- Serving More Than 75 Specialties
- 70+ Billing and Coding Experts
Comprehensive Electronic Medical Billing Solutions
Edge RCM has modernized healthcare billing by moving practices away from outdated, manual processes and into efficient, technology-driven medical billing and account management systems built for every specialty.
The outcome is quicker reimbursements, precise claim filing, a better patient experience, and steady cash flow, all while staying fully aligned with HIPAA regulations. Our full range of medical billing management services covers everything a practice needs, including:
Medical Billing Services
Our experienced billing team manages the complete patient billing cycle, from check-in and check-out to claims filing, payment posting, and denial follow-up.
Medical Coding Services
Certified coding specialists convert clinical documentation into accurate ICD-10 and CPT codes, producing a clean superbill ready for insurance submission.
Credentialing Services
Our credentialing team enrolls providers with leading insurance networks, securing strong privileges and faster approval timelines.
Healthcare RCM Services
Every revenue cycle management plan is tailored to the specialty, giving each physician a dedicated billing expert who understands their unique workflow.
Medical Claims Processing That Maximizes Reimbursements
We help healthcare practices secure fast, complete payments for every claim submitted.
Advanced encryption keeps every patient record safe throughout the entire billing process.
Collect full reimbursements without unnecessary deductions from insurance payers.
Claims are transmitted electronically the moment they’re ready, speeding up every payment.
We track down denied claims, fix the underlying errors, and resubmit them until they’re paid in full.
A Medical Billing Partner Built Around Timely Claims Processing
Submitting claims on time and collecting full payment for services rendered is a constant challenge for healthcare providers. Our specialized medical billing services are built to take that burden off your plate.
We streamline every stage of the billing process using clinical expertise and a strong commitment to accuracy. Our cloud-based systems verify patient insurance eligibility instantly and transmit claims electronically to speed up reimbursement. Our billing team follows each claim through to completion so providers receive what they are owed.
Why Settle for Average When You Can Have Specialized Billing Experts
As a leading name in medical billing services, we monitor every client’s billing cycle around the clock to capture every dollar owed. Our team has deep experience working with major commercial payers such as Aetna and Blue Cross Blue Shield, along with government programs including Medicare and Medicaid.
We collaborate closely with payers to keep provider reimbursement forms, including CMS-1500, CMS-1450 (UB-04), and CMS-1728-20, accurate and fully compliant. Edge RCM’s medical billing and transcription services are built with one goal: getting claims paid.
Trust Your Billing To The Company That Ranks In
“Top 10 Medical Billing Companies”
Almost 99%
Clean
claim ratio
About 97.35%
1st submission pass rate
Up to 30%
Revenue Increase
One Medical Billing Partner Combining Technology and Real Expertise
Our U.S.-based revenue cycle management team supports both individual practices and larger healthcare institutions, guiding them through the complexities of patient billing and coding with modern, technology-driven billing services.
- Patient Verification
- Claim Scrubbing
- Claim Submission
- Revenue Cycle Management
- A/R Recovery
- Fast Reimbursement
96%
Based on a 4.8-star rating from more than 350 providers nationwide.
70+
CMRS, RHIA, and CPB-certified billers and coders covering every specialty.
See What Our Medical Billing Services Can Do, Starting at Just 2.49%
More than 114 medical practices already trust Edge RCM. Let's talk about how we can help yours too.
- Real-time verification of patient insurance coverage.
- HIPAA-compliant systems that keep patient data secure.
- Round-the-clock billing support for every claim submission.
- A 98% reimbursement rate that keeps your cash flow healthy.
Dedicated Account Managers and Expert Billers for Your Health Center
Our U.S.-based team supports both independent providers and larger institutions, helping them work through the toughest parts of patient billing and coding with modern, reliable billing solutions.
- Traditional billing agencies fall short nearly half the time on provider credentialing and accurate patient billing.
- With Edge RCM, credentialing and patient billing are handled accurately, backed by real expertise and proven processes.
Which of These Billing Challenges Sounds Familiar?
Specialty Medical Billing
Our specialty-focused billing teams understand the ICD-10 coding rules unique to each medical field, helping practices increase reimbursements. We also configure your EHR to fit your specialty’s specific workflow.
Nationwide Availability
Edge RCM is one of the top medical billing companies serving providers across the United States. Our American-based team understands payer requirements in all 50 states, helping practices maximize reimbursement no matter where they are located.
- Maryland
- Los Angeles
- Alabama
- California
- Indiana
- New york
Affordable Pricing
Cut costs compared to in-house billing with our 2.49% collection rate, pay-only-when-paid model, complimentary EMR software, scalability, and free appeals on denied claims. Partnering with us also includes:
- Billing Software
- Denial Management
- Accounts Management
- Electronic Statements
- Clearinghouse Services
- 1:1 Technical Support
In-House Billing Costs
*calculations based on a medium-scale practice with $100,000 collections
Annual Salary
$30,000
Overheads
$20,000
Total
$50,000
EDGE RCM Full Service Medical Billing Costs
*calculations based on a medium-scale practice with $100,000 collections
Billing Service Rates
as low as 2.49% of the collections
Total
$2,490
Annual Savings with EDGE RCM
$30,000
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Dr. Nicole
Some billing companies bill once they submit a claim, but Edge RCM only bills for claims that are paid. We are very satisfied with the billing services provided to date.
YOUR ONE STOP SOLUTION
Whether you’re an individual physician looking for reliable billing support or a hospital that needs full-cycle revenue cycle management, Edge RCM handles it all, from billing to clearinghouse solutions and everything in between. You’re also free to use your preferred billing software, or choose our in-house platform, which comes with free EHR access and other tools built to simplify your entire RCM process.
Quick Answers to Common Billing Questions
FAQs
Why should a healthcare practice outsource its billing to Edge RCM?
Handing billing off to a specialized team lightens the administrative load, reduces operating costs, and cuts down on claim denials. It frees healthcare providers to focus on patient care while our team manages the entire revenue cycle.
How long does the medical provider credentialing process take?
Credentialing generally takes 60 to 120 days, depending on the insurance network, state regulations, and how complete your documentation is. Our credentialing team stays on top of payers throughout the process to avoid unnecessary delays in your reimbursements.
Are your medical billing and credentialing services HIPAA compliant?
Yes, without question. We follow HIPAA regulations closely to make sure your patients’ Protected Health Information (PHI) stays fully secure. Data privacy, encrypted communication, and security are always our top priorities.
How do you handle claim denials and rejections?
We take a proactive approach to denial management. As soon as a claim is rejected or denied, our team investigates to find the root cause, corrects any coding errors, attaches missing documentation, and resubmits the appeal quickly to help you recover the maximum revenue.
Which EMR/EHR software platforms do you work with?
Our billing specialists are experienced across all major EMR and EHR platforms and integrate smoothly with whatever system your practice already uses, so there’s no need to switch software to work with us.
Can I monitor the performance and quality of the medical billing service I hire?
Absolutely, transparency matters to us. We share clear, easy-to-read financial reports regularly, so you always have full visibility into your practice’s financial health, including claim statuses, collections, denial rates, and overall revenue trends.
How does your team handle aging Accounts Receivable (A/R) and old unpaid claims?
We run a dedicated accounts receivable recovery process to clear out old backlogs. Our team actively follows up on aging accounts, digs into why claims went unpaid or underpaid, and appeals them systematically. We stay on it until your practice recovers every dollar it has earned, cutting down your A/R days significantly.
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