Medical billing agency with a small team

Multi-provider clinics, specialty practices and urgent care or physical therapy groups that want to outsource billing.

Typically a percentage of collections or a monthly fee per provider. Revenue grows as you add clients and hire billers to handle the volume.

• Billing and coding experience
• Managing and training staff
• Client relationships and reporting
• Organizing workflows and deadlines

• HIPAA compliance, business associate agreements and staff training on patient privacy
• Workers' compensation insurance and payroll rules once you hire, so check your state's requirements
• Professional liability (errors and omissions) and cyber insurance
• Losing one large client can cut revenue sharply, so avoid relying on only one or two
• Check whether your state or any payers require specific registration or credentials

Startup costs are typically around $3,000 to $15,000, depending on your software, insurance and how many billers you bring on at the start. These are estimates, so price out each item before you begin.

Monthly revenue is typically around $4,000 to $20,000, depending on how many practices you serve and the size of your team. These are estimates, and relying on one or two large clients can make income swing sharply.

Check HIPAA compliance, business associate agreements and staff privacy training. Also look at workers' compensation and payroll rules once you hire, professional liability and cyber insurance, and whether your state or any payers require registration or credentials.