Most “best medical billing companies” lists are written by the billing companies themselves. This one is too — but we’re going to be direct about what each option actually costs, what they don’t publish, and who each one is actually built for.
We’ve included ourselves in this list. We’ve also included our direct competitors with honest assessments of their strengths. If Dr. Billerz isn’t the right fit for your practice, one of these options might be.
How We Ranked These Companies
Four criteria: pricing transparency (do they publish rates publicly?), model clarity (do you know what you’re getting?), pilot or trial availability (can you test before committing?), and specialty depth (do they actually know your billing type?). Any company that hides pricing entirely scores lower.
The Top Medical Billing Companies for Small Practices — 2026
1. Dr. Billerz — Best for Dedicated Offshore Billing Staff at Transparent Pricing
Pricing: $7/hr ($1,120/month full-time). Published publicly. No surprises.
Model: Dedicated biller assigned exclusively to your account. Works inside your EHR. Free RCM manager included on every engagement.
Free trial: Yes — 4 weeks at no cost. Your biller works your real claims before you pay anything.
Contract: None. Month to month.
Specialties: 18 specialties including EMS/ambulance, mental health, physical therapy, cardiology, neurology, oncology, gastroenterology, and GLP-1/weight loss billing.
Best for: Small practices, billing companies that need to scale capacity, and EMS billing operations that want a dedicated specialist rather than a shared service.
The honest tradeoff: We’re offshore. If dedicated offshore staffing doesn’t fit your model, one of the options below may be a better fit. We address the offshore concern directly on our HIPAA compliance page.
2. DrCatalyst — Best Established Offshore Staffing at Premium Price
Pricing: $13–14/hr. Not published publicly — requires a consultation call to confirm.
Model: Dedicated remote billing staff with multi-tiered supervision. 2,300+ providers served.
Free trial: No. 90-day cancellation window, but you pay throughout.
Contract: 6–12 months required.
Best for: Practices that want an established offshore staffing provider with a longer track record and are willing to pay nearly double Dr. Billerz’s rate for that assurance.
The honest tradeoff: Strong track record, but the contract requirement and 2x price make it harder to justify for small practices evaluating whether offshore staffing works for them.
3. My Mountain Mover — Best for General Virtual Assistant + Billing Hybrid Roles
Pricing: Not published. Requires a call. Typically $2,500+/month based on market research.
Model: Virtual assistants who handle billing alongside other admin tasks. 580+ Google reviews, strong reputation.
Free trial: No.
Contract: Unknown from public information.
Best for: Practices that want a VA who handles both billing and front-office tasks rather than a billing-only specialist.
The honest tradeoff: Strong reputation and reviews. The model is general VA rather than billing specialist — if your denial rate is a specific problem or you need specialty-deep expertise, a billing-focused placement likely outperforms.
4. Staffingly — Best for Healthcare VA Services Across Billing and Clinical Admin
Pricing: Published as “save 70% on staffing costs.” Approximately $10/hr based on their positioning.
Model: Virtual assistants for medical billing, prior authorization, and clinical documentation.
Free trial: Not publicly offered.
Best for: Practices that need billing plus prior auth coverage plus scribing under one vendor relationship.
The honest tradeoff: Broader service offering but less specialty-specific depth than a dedicated billing staffing company. Limited verifiable reviews publicly available.
5. Transcure — Best Full-Service RCM Outsourcing at Scale
Pricing: Percentage of collections. Rate not published publicly.
Model: Full-service RCM with 1,100+ certified coders and billers. AI-assisted claim scrubbing and denial management.
Free trial: No.
Best for: Mid-to-large practices or multi-specialty groups that want a full outsourced RCM partner rather than a staffing placement.
The honest tradeoff: Strong technology and scale. Not designed for small practices or billing companies that want a dedicated person in their system — designed for full outsourcing engagements.
6. MedicalBillersandCoders.com — Best for Specialty-Specific Full-Service Billing
Pricing: Percentage-based. Not published publicly.
Model: Full-service billing company with deep specialty expertise across 30+ specialties and all 50 states.
Free trial: No.
Best for: Practices that want full-service outsourcing with demonstrated specialty depth, especially in complex coding specialties.
The honest tradeoff: 25+ years of history and the most comprehensive content library in the space. Percentage-based model means costs scale with collections — can become expensive as practice grows.
Side-by-Side Comparison
| Company | Pricing | Model | Free Trial | Contract |
|---|---|---|---|---|
| Dr. Billerz | $7/hr ($1,120/mo) | Dedicated staff, your EHR | Yes — 4 weeks | None |
| DrCatalyst | $13–14/hr (~$2,240/mo) | Dedicated staff | No | 6–12 months |
| My Mountain Mover | ~$2,500+/mo (not published) | General VA + billing | No | Unknown |
| Staffingly | ~$10/hr (estimated) | VA billing + admin | No | Unknown |
| Transcure | % of collections | Full outsourced RCM | No | Unknown |
| MBC | % of collections | Full outsourced RCM | No | Unknown |
What to Look For That This List Doesn’t Cover
Any list — including this one — should be a starting point, not a final decision. Three things matter that no list tells you:
Specialty match: Does the company have billers who specifically know your specialty — not just billers who claim they can learn it? Ask for the specific denial codes they’ve resolved in your specialty in the last 90 days.
Actual HIPAA infrastructure: A signed BAA is table stakes. Ask specifically: Are devices encrypted? Is PHI stored locally on the biller’s device? What happens to PHI if the engagement ends? Most offshore vendors can’t answer these questions concretely.
What the pilot actually costs: A “trial” that requires a 3-month paid commitment is not a trial. A genuine pilot lets you see results before you pay. That’s the standard we hold ourselves to — and what you should require from any vendor you evaluate.
Frequently Asked Questions
What is the cheapest medical billing company for small practices?
Dr. Billerz at $7/hr ($1,120/month full-time) is the lowest-cost option with verified HIPAA infrastructure, specialty expertise, and a free RCM manager. MyOffshoreEmployees advertises ~$3/hr but has no verifiable compliance infrastructure. The price-to-quality sweet spot is in the $7–10/hr range.
Should I use a billing company or a dedicated biller?
A billing company takes a percentage of collections and manages claims for many practices at once. A dedicated biller works exclusively on your account inside your EHR. For practices billing under $2M/year, a dedicated biller at $7/hr typically costs less than a percentage-based company and provides more accountability. For practices over $5M/year, a full-service RCM company often makes more sense.
What is the best medical billing company for EMS?
For EMS billing, specialty depth matters more than anywhere else. PCR review before submission, ALS vs BLS determination, and mileage documentation require specific training. Dr. Billerz places dedicated EMS billing specialists trained on ImageTrend, ESO, and Traumasoft with PCR pre-submission review built into every workflow. See our EMS billing services page for specifics.
Do any medical billing companies offer a free trial?
Dr. Billerz offers a 4-week free pilot — your dedicated biller works your real claims at no cost. No other company on this list offers a genuinely free trial. DrCatalyst offers a 90-day cancellation window, but billing at full rate throughout.
Want to compare Dr. Billerz against your current billing setup? Book a free 15-minute call — we’ll tell you honestly whether we’re the right fit.