Strengthen revenue with medical billing outsourcing from $1,400 a month, all in

Medical billing outsourcing with Sourcefit means dedicated billing staff working for you full time from the Philippines, South Africa, the Dominican Republic or Madagascar. Rates start at $1,400 per month, all in, which already includes salary, benefits and our flat management fee. You direct the work; we employ, equip and support the people, and the team is yours.

17 years · ISO 27001 and SOC 2 · Rates reviewed by Andy Schachtel, CEO

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    Sourcefit helped us streamline our billing operations with strong communication, accurate documentation, and reliable turnaround times. Their team strengthened our payment processing and improved claim visibility.

    From $1,400 a month, all in
    Higher clean claim rates and improved processing consistency
    Teams in the Philippines, South Africa, the Dominican Republic and Madagascar
    ISO 27001, ISO 27701, PCI DSS and SOC 2
    17 years of outsourcing experience
    Supporting Icon Supporting Icon Call center operator in headset — Business process outsourcing & offshore staffing | Sourcefit Confident call center agent engaging with customer — Business process outsourcing & offshore staffing | Sourcefit

    How medical billing outsourcing improves accuracy and timeliness

    Medical billing requires precise documentation, accurate coding information, and timely follow up. Backlogs, incomplete data, or limited internal bandwidth affect revenue cycle performance and patient experience.

    Sourcefit provides structured medical billing outsourcing for claims assistance, charge entry, payment posting, insurance verification, denial management, and documentation support. Our teams manage recurring billing tasks with clear quality controls and reliable communication.

    For a full breakdown of how outsourcing works end-to-end, see our complete guide to outsourcing medical billing in 2026.

    Supporting Icon Supporting Icon Portrait of a businessman customer support worker — Business process outsourcing & offshore staffing | Sourcefit Shot of a young woman using a headset — Business process outsourcing & offshore staffing | Sourcefit

    Reliable and transparent medical billing support

    We provide flexible billing outsourcing that scales from individual billing specialists to full revenue cycle teams. Structured onboarding, documented workflows, and defined QA steps maintain accuracy across claims processing, patient information updates, and payment posting. Client success managers ensure alignment with your billing practices and healthcare system requirements.

    Our HIPAA-compliant delivery centers and secure workflows protect patient information and financial records. With 17 years of outsourcing experience and teams in the Philippines, South Africa, the Dominican Republic and Madagascar, Sourcefit provides medical billing support that is consistent, accurate, and trusted across healthcare providers and medical groups.

    Medical billing services we provide

    Claims submission and charge entry — Business process outsourcing & offshore staffing | Sourcefit

    Claims submission and charge entry

    We prepare claims, verify codes, enter charges, and ensure documentation is complete before submission.

    Payment posting and reconciliation — Business process outsourcing & offshore staffing | Sourcefit

    Payment posting and reconciliation

    Teams post payments, verify transaction accuracy, record adjustments, and reconcile accounts for clean financial tracking.

    Insurance verification and eligibility checks — Business process outsourcing & offshore staffing | Sourcefit

    Insurance verification and eligibility checks

    We confirm coverage, update records, gather required information, and reduce claim delays caused by incomplete verification.

    Denial management and corrected claims processing — Business process outsourcing & offshore staffing | Sourcefit

    Denial management and corrected claims processing

    Our specialists track denials, identify root causes, prepare corrected claims, and support faster resolution.

    Patient information updates and documentation support — Business process outsourcing & offshore staffing | Sourcefit

    Patient information updates and documentation support

    Agents update patient details, maintain accurate records, and ensure documentation remains complete and compliant.

    Accounts follow up and billing communication — Business process outsourcing & offshore staffing | Sourcefit

    Accounts follow up and billing communication

    We support structured communication, follow-ups, and status tracking that strengthen billing visibility and workflow continuity.

    How our medical billing process works

    1

    Discovery and planning

    Define billing workflows, documentation requirements, system access, and compliance standards.

    2

    Specialist recruitment

    Match claims processors, payment posters, verification staff, and denial management specialists to your requirements.

    3

    Onboarding and setup

    Align billing system access, documentation templates, coding workflows, and reporting processes.

    4

    Execution and QA

    Complete claims, verification, posting, and follow up tasks with defined accuracy checks and compliance steps.

    5

    Delivery and reporting

    Provide recurring updates, claims summaries, denial reports, and workflow visibility.

    • HIPAA-compliant revenue cycle operations for a leading healthcare network

      HIPAA-compliant revenue cycle operations for a leading healthcare network

      Overview A multi-specialty healthcare network partnered with Sourcefit to expand its revenue cycle management (RCM) operations after reaching capacity internally.…

    • Data processing and billing operations for a US insurance group

      Data processing and billing operations for a US insurance group

      Overview A US-based insurance provider partnered with Sourcefit to optimize its billing, renewals, and data management processes. The company faced…

    Supporting Icon Supporting Icon Confidently helping clients — Business process outsourcing & offshore staffing | Sourcefit Two Asian business women — Business process outsourcing & offshore staffing | Sourcefit

    Why companies choose Sourcefit for medical billing

    Experienced revenue cycle and billing teams

    17 years supporting claims processing, payment posting, verification, denial workflows, and documentation

    Flexible engagement options

    Cost-plus structure with transparent billing and scalable team sizes

    Structured and measurable QA

    Defined metrics for accuracy, documentation completeness, and clean claim performance

    Secure and compliant delivery

    HIPAA-compliant facilities protect patient records and billing data

    Seamless integration with billing systems

    Teams work inside your EMR, EHR, billing platform, and claims management tools

    

    Medical billing outsourcing pricing

    Monthly rate per full-time employee, work from home. Office-based staff add $100 a month.

    Position requirement Outsourcing
    Entry $1,400
    Mid $1,850
    Senior $2,300

    What the rate includes. Every rate above is all in. It is the employee’s salary and statutory benefits, passed through at cost and itemized on your invoice, plus our flat $395 management fee. The fee covers legal employment and an HR team on the ground, recruitment, an i5 computer with dual monitors and headset, 24/7 IT support and a secure managed network, security certifications and insurance, training and quality, client success management and the Knit workforce platform. There are no setup, recruitment, workstation, exit or team transfer fees. Where the work suits it, output-based pricing is also available, built on the same transparent framework with the unit price calculation shown.

    That is typically 50 to 70 percent below the fully loaded cost of the same role in the US.

    See the full rate card | What the management fee covers

    Rates reviewed November 2026 by Andy Schachtel, CEO

    Frequently asked questions

    • How much does medical billing outsourcing cost?

      Sourcefit’s medical billing rates are $1,400 a month for entry level, $1,850 for mid level and $2,300 for senior billing staff, per full-time employee working from home. Office-based staff add $100 a month. Each rate is all in: salary and benefits at cost plus the $395 management fee. There are no setup, recruitment or exit fees. Where the work suits it, output-based pricing is also available, built on the same transparent framework: we show how the unit price is calculated, so you know exactly what you are paying for.


    • Is the management fee added on top of these rates?

      No. The fee is already inside every rate on this page and on every quote. A $1,400 rate is about $1,005 of salary and benefits at cost plus the $395 fee. You will never see the fee added to a rate you were quoted.


    • What is included in the monthly rate?

      Legal employment and compliance with an HR team on the ground, recruitment, an i5 computer with dual monitors and headset, a 24/7 IT help desk, a secure managed network, our security certifications and insurance, training and quality, client success management and the Knit workforce platform. For office-based staff it also covers the seat, office network and utilities.


    • How quickly can Sourcefit build a medical billing team?

      Most medical billing roles are recruited, interviewed and onboarded in two to three weeks. Certified coders and specialty billers can take longer. You interview and choose the billing staff.


    • Who manages the team day to day?

      That is your choice. Most clients manage the team directly: the billing staff report to your managers and work inside your processes and tools, with Sourcefit handling employment, HR, equipment, IT and quality support behind them. If you would rather not manage day to day, our Sightline model builds an autonomous team with its own Sourcefit team lead and quality layer that delivers against agreed SLAs, while still reporting directly to you and working to your KPIs, not ours. Sightline is quoted separately.


    • Can the team work inside our existing systems?

      Yes. Billing staff work in your practice management, EHR and clearinghouse systems, such as Athena, Tebra, eClinicalWorks, NextGen, AdvancedMD, Epic, Availity or Office Ally, under your access rules. You keep ownership of every account, and access is revoked the day someone leaves.


    • Is medical billing outsourcing secure?

      Sourcefit holds ISO 27001:2022 and ISO 27701 certification directly, is PCI DSS validated, has a SOC 2 report, signs HIPAA business associate agreements where needed and operates GDPR-aligned data handling. Home-based staff work on company-managed computers over a VPN with traffic routed through Cloudflare.


    • What happens if we want to bring the team in house?

      The team is yours. If you decide to move them to your own entity or take them with you, they go with you. There is no transfer fee, buyout or conversion charge.


    • How does a dedicated offshore biller compare with a billing company that charges a percentage of collections?

      Billing companies typically charge 4 to 10 percent of collections, with no ceiling as your collections grow, plus setup and per-claim fees. A dedicated biller is a flat monthly rate of $1,400 to $2,300, all in, working inside your own practice management system. The break-even depends on your collections volume, but most practices above a few hundred thousand dollars a year in collections pay less with dedicated staff and keep full visibility of every claim.


    • Is it legal to have offshore staff work with PHI, and will Sourcefit sign a BAA?

      HIPAA does not prohibit offshore access to PHI; it requires that the vendor is a business associate under a signed agreement with safeguards in place. Sourcefit signs business associate agreements, operates ISO 27001:2022 and ISO 27701 controls, and your billers work inside your systems under named logins with local storage locked down where your data policy requires it. Some payer contracts and state Medicaid programs do restrict offshore PHI, so check your payer agreements before moving a book of business; we will tell you what to look for.


    • What billing work can be done offshore, and what should stay onshore?

      Charge entry, claim scrubbing and submission, eligibility verification, payment posting, denial work, AR follow-up and payer calls all move offshore well, and so do the senior roles: certified coders, denial and appeals specialists, billing team leads and revenue cycle managers who own the metrics. Coding decisions that need a provider query, final write-off authority, and anything a payer contract or state program bars from offshore work stay with your office.


    • What qualifications do your billers have?

      Prior US billing experience is the baseline, with specialty experience matched to your practice where possible, and certified coders (AAPC CPC or CPB) for coding roles. You interview the shortlist and can set a test on your payer mix and system.


    • Can offshore billers call payers and patients?

      Payer calls for claim status, eligibility and prior authorization follow-up are standard offshore work and our billers handle them in English. Patient-facing calls depend on your practice policy and your state’s rules; many practices keep them onshore or route them through a script you approve.


    • How do you measure billing quality?

      Clean claim rate, first-pass acceptance, denial rate, days in AR and payment posting accuracy, all taken from your own system so you see the same numbers the billers do. Sourcefit’s training and quality team, included in the fee, samples work and coaches against those targets with your billing manager.


    • How do time zones work for a US practice?

      Philippine billers can work your business hours or an overnight model where claims and postings are worked before your office opens. The Dominican Republic offers same-day overlap in US Eastern time. Escalation during non-overlap hours is defined with you at onboarding.


    • Is AI going to replace offshore billers?

      AI and automation now handle eligibility checks, claim scrubbing and some routine status calls, and your billers should be using them. Denials, appeals, payer exceptions and anything that needs judgment still take a person. The role is shifting toward exception handling and supervising automation, and fewer people are needed per thousand claims over time. WorkingAI, our managed AI service, also consults on process optimization for revenue cycle teams: mapping the claim lifecycle, identifying the steps that can be automated or AI-assisted, and sizing the billing team around the exceptions and follow-up that still need people.


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