Medical billing & revenue cycle management

Medical Billing and RCM Built Around Your Practice

Somebody has to turn every patient visit into a paid claim. That’s us. We code the visit, send the claim, post whatever comes back and chase the ones that stall, so your front desk can stop sitting on hold with insurance companies.

  • Claims checked before they go out
  • Denials traced back to why they happened
  • Reports a normal person can read

How we work with practices

Front to back

We don’t just send claims. Eligibility, coding, posting, denials, old A/R: it’s one job, and we treat it that way.

Transparent reporting

Every month you see where A/R stands, what came in, and which denials we’re still fighting.

HIPAA-aware handling

Patient privacy shapes how we work. Ask how we handle data and we’ll walk you through it.

The revenue problem

Where practice revenue gets stuck

Practices rarely lose money in one big hit. It leaks out a little at a time, in the gaps between the front desk, the coder and the insurance company.

Claim denials

A denied claim isn’t just late money. Someone has to work out what went wrong, fix it and send it back, and that someone is usually already busy.

A/R aging

Old balances don’t get easier to collect. Past 90 days, filing and appeal deadlines close in, and some of that money is just gone.

Administrative burden

If one person in the office really understands billing, what happens when they’re on vacation? Usually, nothing gets billed.

What the industry data shows

41%

of providers surveyed said they face denial rates of 10% or higher.

Experian Health, State of Claims 2025

48%

of medical group leaders named denials and appeals their largest source of revenue leakage (MGMA Stat poll, January 2026).

MGMA Stat

50%

of providers surveyed pointed to missing or inaccurate data as the top cause of denials.

Experian Health, State of Claims 2025

How Jupiter RCM helps

One team across the whole revenue cycle

Every step feeds the next one. A typo at check-in turns into a denial six weeks later. When the same team handles the whole chain, we catch that kind of thing at the start, where it’s cheap to fix.

Front endMid-cycleBack end

Patient registration

Demographics and insurance captured accurately.

Eligibility verification

Coverage and benefits checked before the visit.

Coding

CPT, ICD-10 and HCPCS codes assigned from documentation.

Claim preparation

Claims scrubbed against payer rules and edits.

Claim submission

Clean claims sent electronically and tracked.

Payment posting

ERA/EOB payments posted and reconciled.

Denial management

Denials corrected, appealed and root-caused.

A/R follow-up

Unpaid claims worked by age and value.

Reporting

Trends and KPIs shared with your team.

Services

Billing and RCM services for independent practices and groups

Medical billing and coding services, credentialing, old A/R. Hand us the whole revenue cycle, or just the part that’s giving you headaches right now. Either works.

Medical Billing

Charge entry, claims, posting and follow-up, done every day instead of whenever someone gets to it.

Revenue Cycle Management

One team from eligibility to reporting. No finger-pointing between vendors.

Medical Coding

ICD-10, CPT and HCPCS codes pulled from what your providers actually documented.

Claim Scrubbing

We run claims past payer edits before they go out. Cheaper than fixing them later.

Denial Management

Every denial gets worked, corrected and traced back to whatever caused it.

Appeals

Written appeals with the records to back them up, followed until the payer answers.

Payment Posting

ERAs and EOBs posted, matched to your deposits and checked for underpayments.

A/R Recovery

Old and unpaid claims, sorted by age and dollar value, then chased.

Credentialing

Credentialing, CAQH profiles and re-credentialing, so nobody loses network status over a missed email.

Payer Enrollment

Medicare, Medicaid and commercial enrollment applications, start to finish.

EHR/EMR Integration

We work in the system you already have. No migration project.

Reporting & Analytics

A/R aging, collections, denials and revenue, in reports you’ll actually open.

Why Jupiter RCM

An extension of your practice, not a black box

Handing off your billing shouldn’t mean losing sight of it. You should know more about your money after hiring us, not less. We’ll tell you what we find, including the stuff you might not want to hear.

We’re a medical billing company in Duluth, Georgia, in the Atlanta area, and we work with practices all over the US.

Transparency you can check

You see claim status, denials and A/R aging. The actual work, not just our invoice.

Accuracy before speed

A claim that pays the first time is the fastest claim there is. So we check before we send.

Root causes, not just rework

Three denials for the same reason? That’s a pattern. We go find the registration, coding or documentation step behind it.

Credentialing alongside billing

Plenty of claims never pay because a provider wasn’t enrolled. Credentialing sits in the same workflow as billing here, so it doesn’t slip.

Long-term partnership

We’d rather keep a client for ten years than win one with a big promise. Steady, honest work is the whole plan.

How it works

Getting started with Jupiter RCM

Switching billing teams makes people nervous, and fair enough. So we do it in a set order, and nothing gets dropped on the way over.

Understand

First we look at how billing works today: your workflow, payers, systems and reports.

Identify

Then we find what’s holding up payment. Usually a denial pattern, old A/R, missed charges or an enrollment gap. Sometimes all four.

Implement

We set up the right processes, inside your existing systems wherever we can.

Monitor

Claims, denials, payments, A/R. We watch all of it and follow up when something stalls.

Improve

Regular reports show what changed, and where to look next.

Denial impact calculator

What are unworked denials costing you?

Enter a few numbers from your practice management reports to see how much billed revenue is tied up in denials that never get reworked.

  • Runs in your browser, so nothing is sent to us
  • Uses only the numbers you enter
  • An illustration, not a prediction or guarantee

Enter your total billed charges per month. Billed charges usually run higher than allowed amounts.

Enter the share of claim dollars denied on first submission.

Give your best estimate of the denied dollars that are written off or left untouched.

Enter insurance balances that have been outstanding for more than 90 days.

Enter your monthly charges, denial rate and the share of denials that go unworked to see an illustrative estimate.

Illustrative estimate, not a guarantee. Figures are based only on the numbers you enter and are calculated on billed charges, not expected reimbursement. Actual recoverable revenue depends on payer contracts, timely-filing limits, denial reasons and documentation. Nothing you type here is sent to us.

Discuss Your Revenue Cycle

Pricing

How medical billing is usually priced

There’s no one-size price. It depends on your specialty, claim volume, payer mix and what you need from us. These are the usual models, and we’re happy to talk through any of them.

Percentage of collections

The billing team gets a share of what it actually collects. If you don’t get paid, neither do they.

Per claim

A set fee for each claim. Easy to predict if your volume is steady and high.

Flat monthly fee

One fixed amount each month for an agreed scope. Common with smaller or very stable practices.

Hybrid

Some mix of the above. Say, a percentage with a monthly minimum, or a flat fee plus a one-time A/R cleanup.

ROI calculator

Is outsourcing worth it for your practice?

Plug in your own numbers. It compares what billing costs you in-house today with the fee in any proposal you’re looking at, ours or someone else’s.

  • You enter every number yourself
  • Shows the result even when outsourcing costs more
  • Runs in your browser, so nothing is sent to us

What your practice collects from payers in a typical month.

Billing staff wages and benefits, software, clearinghouse and statement costs.

The percentage of collections quoted in a proposal you have received.

Leave this at 0 unless you have a specific reason to expect a change.

Enter your monthly collections, your current in-house billing cost and the fee you are comparing to see an illustrative comparison.

Illustrative estimate, not a guarantee. The result uses only the numbers you enter. A real comparison also depends on what each proposal includes, your contract terms and how your payer mix changes over time. Nothing you type here is sent to us.

Request a Proposal

Client results

The results we track and report for every client

Every practice starts somewhere different. In the first review we set a baseline. After that we report on the same numbers each month, so you can see what actually changed.

A/R aging

How much insurance money is still out there, and how long it’s been waiting, by payer and by age.

Collection trends

What came in, month over month. Is cash flow getting steadier? You’ll see it here.

Revenue performance

Collections next to what you billed and what you’re owed, so gaps show up early.

FAQ

Common questions about medical billing and RCM

What is medical billing?

It’s how a patient visit turns into money. The services get documented and coded, a claim goes to the patient’s insurance, the payer processes it, the payment gets posted, and whatever the patient still owes gets billed to them.

What is revenue cycle management?

Revenue cycle management (RCM) is the whole financial side of a patient visit, not just the claim. It starts before the visit, with registration and an eligibility check, and keeps going through coding, claims, posting, denials, A/R follow-up and reporting. Billing is one piece of it.

How does outsourced medical billing work?

An outside team logs into your practice management or EHR system (or gets charge data from it). They send and track claims, post payments, work denials and unpaid claims, and report back to you. You still own your data and your payer relationships.

What does a medical billing company do?

Most take care of charge entry, claim scrubbing and submission, clearinghouse rejections, payment posting, denials and appeals, A/R follow-up, patient statements and reporting. Plenty also do coding and credentialing.

How does denial management work?

Each denial gets read for its reason code. Then it’s corrected or appealed and sent back before the payer’s deadline. The more useful part is tracking denials by cause, so whatever went wrong at registration, in coding or in the notes actually gets fixed.

What is A/R recovery?

It’s chasing unpaid claims, especially the old ones. We sort them by age and dollar value, call the payers, fix and resubmit what we can, and appeal when it’s worth it.

How does credentialing work?

Credentialing checks a provider’s qualifications with each insurance plan. Payer enrollment is what lets that provider actually bill the plan. You’ll need an NPI, a current CAQH ProView profile and each payer’s own application, and the whole thing can take a few months.

Can a medical billing company work with our EHR?

Usually, yes. Billing teams normally work right inside your existing EHR or practice management system, with logins you control. We’ll confirm the details for your system during the review.

How is medical billing pricing determined?

Mostly by specialty, claim volume, payer mix, how much old A/R there is, and which services you need. The common models are a percentage of collections, a per-claim fee, a flat monthly fee, or a mix. Our pricing page walks through each one.

How do you protect sensitive healthcare information?

Patient information should only move through secure channels you’ve agreed to, never through a website form. Ask us about our security practices and our Business Associate Agreement when we talk.

Let’s take a closer look at your revenue cycle

Tell us what’s getting stuck. Denials, old A/R, credentialing, reports nobody reads? We’ll look at how you work now and tell you straight what we’d change, and why.