Starting a medical billing company can be a rewarding and lucrative opportunity for many different types of professionals. Whether you have medical billing and coding credentials or you’re working to achieve them, you have the chance to start an independent or at-home business. You can also start a company by hiring and building a team of professional billers. Either way, the medical billing industry is a promising industry that’s  growing year over year .

    At the same time, starting a medical billing business requires capital investment, time, and effort. You will want to first make sure it’s the best fit for you! If you are interested in starting your own medical billing company, get familiar with these steps to establishing a business in medical billing and coding.

    1. Understand the market

    The first step to starting your own medical billing company is getting familiar with the industry. This will help you feel confident that it is the right industry to enter, and that there will be a demand for your services.

    According to Kareo, it’s a great time to start a medical billing company. The industry is expected to grow over the next few years, with more practices considering  the pros of outsourcing medical billing.  Additionally, The  U.S. Bureau of Labor Statistics  predicts medical billing jobs to grow by 15% between 2014-2024, which is much faster than the national average for job growth. Since medical billing services are more in demand than ever, there is a promising opportunity for you to expand your company in the upcoming years. To get started, 

    Research the industry holistically

    Download and take a look at  Kareo’s industry report.  This will give you a sense for the medical billing and coding industry as a whole.Look into your competition, as well. Do some research about other outsourced medical billing services in the area. See who their clients are, and whether or not there will be new clients who need your service.

    You can also reach out to local medical practices. Ask them about their medical billing needs. For instance, are currently outsourcing? Would they consider outsourcing down the line? This will help you understand the local demand for outsourced billing services.

    Investigate sub-sectors

    Then, dive deeper into the medical billing industry’s sub-sectors. For instance, the following types of medical billing jobs are in high demand:

    • Dental billing jobs will grow by 10% between 2018-2028.
    • Mental health and psychiatric billing  is projected to become more complicated. This may cause more mental health professionals to outsource billing in the coming years.
    • Family practices  are outsourcing medical billing more often to improve cash flow, avoid errors, and earn more revenue.

    Remember that each medical sub-sector will have its own billing and coding guidelines and procedures.  AAPC  is a good resource to explore the fundamentals and training necessities for each sub-sector. This research should give you a better idea about the need for your services within the local market.

    2. Learn about start-up costs

    As with any business, there will be capital investment involved with getting started. Depending on the size and scope of your new company, you may spend anywhere from $1,000’s to $10,000’s to kickstart your business. However, no matter what size your company will be, there’s several things you will need to get started:

    • Medical billing software and licensing
    • Computer equipment, plus a  multi-function commercial copier
    • Technical support
    • A reliable  business phone system
    • CMS 1500 forms

    As you  grow your business , you will most likely spend additional costs. However, if you’re just getting started, these start-up costs should put you in a good position to get going!

    3. Acquire medical billing credentials

    If you don’t already have your medical billing credentials, you will need to enroll in a training course. Becoming a professional medical biller requires in-depth knowledge of billing for medical practices (including any specialty practices you may service) as well as managing insurance claims. This is very important, since medical professionals will be trusting you with the  process of managing their revenue !

    To acquire credentials, you can enroll in online or in-person courses. Typically, this can take you about a year or more to complete. There will also be exams you need to pass from major medical organizations, such as  The American Medical Billing Association . Additionally, if you want to get certified in medical coding, you should pursue credentials from the  American Academy of Professional Coders  and the  American Health Information Management Association .

    4. Map out your business plan

    Coming up with a business plan is important when starting a medical billing company. In order to acquire new customers seamlessly, you will want to consider which medical billing services you want to specialize in. Think about the things your target market will look for when  choosing the best medical billing company.  For instance, when getting started, ask yourself logistical questions such as:

    • Do you want to set up a solo practice or partner with other medical billers?
    • What is your ideal company size?
    • What types of medical billing services will you specialize in?
    • Which kinds of practices will you help?
    • How will you structure your fees?
    • Do you need to partner with an accountant to manage finances and taxes?

    All of these are important questions to think through before getting started. Preparing your business from a practical standpoint will help you provide the  best medical billing for physicians’  needs, and be successful in the long run.

    5. Apply for a business license 

    To establish a legal medical billing business, no matter whether it’s an at-home business or larger company, you will have to  apply for a license  before accepting new clients. Depending on your business plan (see above), you can choose to form an LLC or a Corporation.

    You will also need to register for taxes before accepting new clients. To this you will need to apply for an  Employer Identification Number  (EIN), which should be simple and straight-forward. However, make sure you don’t overlook this step – it’s very important in order to follow legal guidelines.

    6. Choose a medical billing software

    There are many different ways to manage your medical billing, including electronic and paper-based. Since technology in the medical billing industry can change so quickly, we recommend using electronic-based billing software.

    Since there are many types of medical billing software these days, it can be tricky to choose one. Some things to consider when making your decision are:

    • Ease of use
    • Compatibility and integrations with back-end tasks
    • Built-in,  unified communication system
    • Device compatibility and mobile options
    • Cost
    • And more 

    We recommend taking these factors into consideration, and coming up with your top priorities as a team. Then, do some  research  about different medical billing software and how each can help you meet your needs.

    7. Partner with a clearinghouse

    Even once you’ve purchased and become comfortable using your billing software, you will still need to work with a clearinghouse to complete your billing work. A clearinghouse is a third-party company that acts as the “middle man” between the medical biller and insurance company. In order for a clearinghouse to suit your medical billing service, you will have to consider the following:

    • Does the clearinghouse work with organizations nationwide? Do they service your area?
    • Do you work with the same insurance companies?
    • How do they keep you up-to-date on the progress of insurance claims?
    • If a claim is rejected, will they show you why?
    • Is there a good customer support system?
    • What are their contract options?
    • Will you be able to switch to a different clearinghouse if they end up not being the right fit?
    • What is their fee structure?

    As you can see, there are many questions involved with this process! Make sure to do  thorough research  and interview a handful of companies before choosing.

    8. Develop Marketing and Sales Strategies

    Once you have laid all the groundwork to start a medical billing company, the next step is developing a marketing and sales strategy to win new business.

    There are tons of ways you can market your company to your prospects. For starters:

    • Take a look at these  7 ways to get more billing clients .
    • Come up with a  customer acquisition marketing strategy.
    • Nurture all prospects  that have expressed any interest in your service.
    • Stay determined to reach  unresponsive prospects.
    • Try a  non-branded approach  in your digital marketing efforts.

    And don’t forget about sales! Even once you’ve generated interest in your medical billing services through your marketing efforts, you have to use superior sales strategies to grow your business:

    • Build a  stellar sales team.
    • Always monitor your  sales funnel.
    • Follow-up with every prospect using  winning sales email templates .
    • Make sure your marketing and sales teams are on the same page .

    9. Build a Professional Network

    Lastly, once you’ve got your foot in the door of the medical billing industry, you need to grow your network! There are many different ways you can do this

    • Join  LinkedIn groups  to network with other professional medical billers.
    • Become a member of professional organizations, such as the  American Medical Billing Association (AMBA) ,  American Health Information Management Association (AHIMA) , and the  Healthcare Financial Management Association (HFMA)

    We’re here to help as well! To discuss how we help medical billing companies like yours,  set up a time with us to talk ! Our Revenue Growth Program helps medical billing companies across the country find new, true-intent prospects and grow revenue.

    How do I register a medical bill Company in USA?
    Here are a few more things you will need to accomplish before starting your medical billing company:
    1. Apply for a business license.
    2. Register for taxes.
    3. Set up a business bank account.
    4. Set up accounting.
    5. Obtain necessary permits and licenses.
    6. Get business insurance.
    7. Start an LLC. Here are some free guides.
    What is difference between bill purchase and bill discounting?
    Bill discounting is like a loan. The financier offers a percentage of the unpaid invoices, which are paid once the business receives money from the customer. In bill purchase, funds are exchanged only once between the company and the financial body. more
    Who named USA?
    Thomas Jefferson is credited as being the first person to come up with the name, which he used while drafting the Declaration of Independence. more
    What happens if I dont pay my hospital bill USA?
    When you don't pay your medical bills, you face the possibility of a lower credit score, garnished wages, liens on your property, and the inability to keep any money in a bank account. Any one of those things can stifle you financially. more
    Is USA beautiful?
    Say hello to the tenth most beautiful country in the world. Each state's varying and characteristic beauty earned US the ninth spot on the list. Hawaii's vertical Na'Pali Coast, Denali National Park in Alaska, Yosemite and Grand Canyon National Park are only some of the highlights of USA. more
    Does a mobile phone bill count as a utility bill?
    Is a phone bill a utility bill? Typically, phone bills are considered to be utility bills. However, this only refers to landlines rather than mobiles. The invoices sent out by telephone companies are utility bills, and they provide a service to the public at large, much like energy suppliers. more
    How many military bases does USA have outside of USA?
    Despite recently closing hundreds of bases in Iraq and Afghanistan, the United States still maintains nearly 800 military bases in more than 70 countries and territories abroad—from giant “Little Americas” to small radar facilities. more
    Is mobile phone bill a utility bill?
    Is a phone bill a utility bill? Typically, phone bills are considered to be utility bills. However, this only refers to landlines rather than mobiles. The invoices sent out by telephone companies are utility bills, and they provide a service to the public at large, much like energy suppliers. more
    Who Ruled USA?
    Between 1776 and 1789 thirteen British colonies emerged as a newly independent nation, the United States of America. more
    Who decides whether a bill is a money bill or not?
    4. A Money Bill can be introduced in Lok Sabha only. If any question arises whether a Bill is a Money Bill or not, the decision of Speaker thereon is final. more
    Can a mobile phone bill be used as a utility bill?
    Is a phone bill a utility bill? Typically, phone bills are considered to be utility bills. However, this only refers to landlines rather than mobiles. The invoices sent out by telephone companies are utility bills, and they provide a service to the public at large, much like energy suppliers. more


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