Start a Medical Billing Service

It sounds technical and boring, so few people compete; practices quietly lose money on billing and will pay to fix it.

1. 1

   Pick one billing specialty

   Choose dental, mental health, chiropractic, or another single specialty. Each has its own CPT codes and payer quirks, and 'I bill for therapists' wins trust faster than 'I bill for everyone'.

2. 2

   Get certified and trained

   Earn a CPB through the AAPC or a CMRS credential, then master one billing platform your niche actually uses, like Tebra, AdvancedMD, or TherapyNotes.

3. 3

   Set up HIPAA-compliant operations

   Form an LLC, buy errors and omissions insurance, and put a Business Associate Agreement template and encrypted email in place before you touch a single patient record.

4. 4

   Price on collections, not hours

   Charge 4 to 9 percent of what you collect, or a flat monthly fee for small practices. Percentage pricing aligns you with the practice and scales your income with theirs.

5. 5

   Pitch with a denied-claims audit

   Offer three local practices a free review of their last 90 days of denials. Showing a practice $8,000 in recoverable claims sells the service for you.

6. 6

   Land one practice and over-deliver

   Work one client's aging report hard for 60 days, document the collections lift, and turn that number into a case study for the next five pitches.