How to Start a Medical Billing Business

Updated on February 17, 2021

There is no doubt that medical billing can be a great opportunity for individuals interested in starting a business. Did you know that medical billing services are in high demand? This is why setting up a new medical billing business is a smart and lucrative business move. 

Also, it is worth noting that the US Bureau of Labor Statistics revealed that employment for medical records as well as health information technicians—under which most medical billers are usually classified—will likely grow 11% between 2018 and 2028.  

Did you know that this growth rate is considerably faster compared to the national average for all occupations? If you are an experienced professional, building a reliable and profitable medical billing business from your home office is an achievable goal. It is no secret that the healthcare industry in the US is growing rapidly, and the demand on in-house office staff is increasing. 

As a result, many doctors and healthcare professionals are outsourcing medical billing tasks to independent medical billing professionals. You will be happy to know that a medical billing business is quite easy to set up as a startup business. 

U control billing is a medical billing company, which runs a medical billing company with complete medical billing services along which also offers improved financial profits, outstanding client service.

Did you know that it is one of the few businesses in the healthcare sector that you can operate without hefty investments in expensive medical equipment and several years of education? 

Follow these steps to start your medical billing business.


Note that it is important to be educated in medical billing and medical coding procedures as well as guidelines if you are looking to start a billing company and offer medical billing services. Did you know that lots of online as well as face-to-face programs are available? It is worth noting that these programs prepare you for the medical billing and coding certification exams.

You should know that education programs are often available and range from one year to 4 years, depending on your education level. Keep in mind that longer programs are usually available through conventional colleges and universities usually as part of degree programs. On the other hand, shorter programs are usually available online and through community colleges.

Get Medical Billing Training

The best thing about medical billing training courses is that they not just train you on the medical billing practice, but they also prepare you fully to run your billing business.

 As medical billers in the US directly impact how much, and when doctors get paid by insurance providers, you will likely win clients once you have gained some practical experience. Also, it is worth noting that before enrolling in a medical billing training program, you should make a comprehensive list of your priorities and then choose a program that best suits your needs. 

Gain Experience 

You likely know that starting a medical billing business requires that you be a dedicated and self-motivated person who can make detailed plans and follow through with them. It is important to gain some experience in the field by working at a hospital or doctor’s office. 

This is crucial as it allows you to gain experience working with patients, insurance companies and filing the billing and insurance paperwork. Typically, you would benefit considerably from doing this under somebody else’s management before deciding to do it on your own. 

Develop a Business Plan 

You should outline your business objectives and goals as well as the steps you will take in order to reach them. There is no doubt that a clear plan is important for success if you are an entrepreneur. Note that the plan will help you map out all the specifics of your medical billing business and also discover some unknowns.  

For instance, you may want to land your first client within the first three months of getting your business license and have six clients by the end of the first year.

Procure a Business License

You should know that you will have to get a business license in order to run a medical billing business and offer medical billing services, regardless of how small you would like to start. You should get a business license as soon as possible to avoid fees, fines, and regulatory challenges in the future.  

However, note that before applying for a medical billing license, you should conduct thorough and detailed research on what specific business requirements the state and city you want to operate in requires you to complete.

Estimate Startup Costs

Did you know that one of the best things about starting a medical billing business is that usually, its startup costs are quite low? For example, you have the advantage of running your business from home, which lowers office lease expenses. Also, it is worth noting that you will have almost no inventory.

However, keep in mind that your major financial outlay will likely go towards office equipment and your business software. It is no secret that expenses can vary considerably based on many factors. Some of them are size, scope, location, and more. 

Some typical startup capital expenditures that you should consider when creating your budget are:

  • Computers, faxes, printers, and other ancillary hardware 
  • Medical billing software and accounting software for your business 
  • Billing regulations and coding manuals 
  • Furniture and fixtures 

Get a Small Business Loan 

After determining your startup costs and funding needs, you should get a loan to start your medical billing business. 

While you might have sufficient savings in order to fund your company, you will likely be better off if you keep your personal finances separate. Also, note that before approaching a bank or other lender for a loan, you should create a business plan to establish your ability to repay the debt. 

Select Medical Billing Software

There is no doubt that medical billing software is a crucial tool for operating a billing company. If you already have a computer and other hardware, one of the most significant expenses you will incur in starting your medical billing company will probably be the medical billing software. 

Set your Fees and Rates

It is important to determine if you’ll charge a flat rate or an hourly rate for your medical billing services. Note that before you decide, it is best to find out how your competitors in the billing business in your region or area are charging for their services. 

Choose a Medical Billing Clearinghouse

Regardless of the software you choose, you will not like to submit medical claims directly to insurance providers, Medicare, or Medicaid. Keep in mind that you will have to pass your medical claims via a medical billing clearinghouse. 

Did you know that these clearinghouses identify errors and mistakes and keep you from resubmitting bills to payers, which may delay payments for many months? Note that the cost of a clearinghouse membership may vary from about $100 to several hundred dollars.


It is important to make industry contacts to run and grow your business. You can do it by joining professional organizations and talking with your family doctors. It is no secret that attending local physician and provider functions and seminars to network with local providers is an effective and low-cost marketing strategy.

Market Your Business 

You probably know that client acquisition is important to the success and profitability of any new billing company. Keep in mind that the aim of marketing is to make potential clients aware of your billing company and its medical billing services.  

You will have to employ multiple marketing strategies and plans to achieve this, and the first one is to develop a professional website for your business. Note that a professional-looking site and related social media accounts, such as on Facebook, are essential so that providers can find your business. 

Also, it is worth noting that you should create and publish marketing collateral, such as leaflets, brochures, and flyers to distribute to both physicians and practices. Use your marketing materials to differentiate your company from your competitors in order to gain a loyal base of clients.

Your website, marketing materials, and social media pages should contain open and updated contact information through which all interested clients can easily reach your billing company.

Manage Your Online Reputation

Did you know that your billing company’s online reputation can significantly affect your client acquisition ability? This is why you should audit your online reputation by looking for profiles and mentions of your billing company on the internet. It is also important to leverage positive reviews in order to get referrals and address any negative reviews as soon as possible. 

Final Thoughts 

There is no doubt that establishing your own medical billing business can be lucrative, fulfilling, and enjoyable. Note that this business is ideal for people who are passionate and dedicated to running a business in the US healthcare industry and would like to help patients and healthcare providers make the medical billing process easier, simpler, and more streamlined.  

You should know that as a business owner, you should be a detail-oriented and task-focused thinker. It is no secret that medical billing is all about processes, systems, and completing tasks in a particular order to comply with all federal regulations and the internal policies of the healthcare provider. This is why running a medical billing business requires dedication, commitment, and organization. 

The Editorial Team at Healthcare Business Today is made up of skilled healthcare writers and experts, led by our managing editor, Daniel Casciato, who has over 25 years of experience in healthcare writing. Since 1998, we have produced compelling and informative content for numerous publications, establishing ourselves as a trusted resource for health and wellness information. We offer readers access to fresh health, medicine, science, and technology developments and the latest in patient news, emphasizing how these developments affect our lives.