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Billing and revenue cycle management

The complete platform for modern medical practices

Run a thriving practice, not a billing department.

Optimus brings together expert revenue cycle management, credentialing, a virtual front desk and patient engagement. We work inside your EHR, and billing starts as low as 2.9%*.

  • Onboarded in 5–7 days
  • HIPAA-compliant by design

Sample · illustrative

First-pass claims

98%clean claims
Denial rate
1.8%
Turnaround
24 hr

Every claim is scrubbed before it leaves, so payers see clean data the first time.

A/R days

4821

“I can open the numbers any day of the week.”
Dr. Amanda Green, MDNY Internal Medicine Group
Sample dashboard · illustrative data

Monthly collections

$184,920

+12.4% month on month
Month 1Month 6
Revenue recovered+$27,640

Works inside every major EHR and PM system. No migration.

  • Kareo (Tebra)
  • AdvancedMD
  • Practice Fusion
  • NextGen Healthcare
  • Office Ally
  • athenahealth
  • eClinicalWorks
  • OpenEMR
  • OpenMRS
  • CareCloud
  • Oracle Cerner
  • CollaborateMD
  • PrognoCIS
  • Greenway Health
  • GE Healthcare
  • Altera
  • eMDs
  • NueMD
  • WebChart
  • ZipChart EMR
  • and every other major system
30+
Specialties served
98%
Clean claim rate
2.9%*
Billing from
24 hr
Average turnaround

One connected platform

Everything your practice needs, finally connected

Billing, credentialing, front-desk work and patient engagement run as one team, so a problem found in one place is fixed in all of them.

01 / 04

Billing & Payments

Revenue cycle management that runs every day, not every month

We check eligibility, scrub every claim, submit electronically, post payments and chase denials. You see the result in your collections.

  • 98% clean claim rate and a 1.8% denial rate
  • Online and text-to-pay for patient balances
  • Automated patient statements
  • Billing from 2.9%* of monthly collections
See medical billing

02 / 04

Credentialing & Compliance

Get providers enrolled before the first visit, not after

We handle payer applications, CAQH profiles and PECOS enrollment, then keep them current so enrollment never lapses.

  • Government and commercial payer enrollment
  • NPI, CAQH and PECOS handled
  • From $100 per payer plan, known before you start
  • HIPAA-compliant by design, BAA signed
See credentialing

03 / 04

Virtual Front Desk

Front-desk work done by a dedicated agent

Scheduling, insurance verification, prior authorizations and intake, handled remotely by one dedicated agent who learns your practice.

  • Appointment scheduling and reminder calls
  • Insurance verification and prior authorizations
  • Patient registration, intake and referrals
  • $1,750 per dedicated agent
See the virtual front desk

04 / 04

Patient Engagement

Fewer no-shows and an easier way to pay

Reminders, online self-scheduling, recall campaigns and two-way texting keep the schedule full and the balance paid.

  • Smart appointment reminders
  • Online self-scheduling
  • Automated recall campaigns
  • Two-way texting
See practice growth
Professional working on a laptop in a bright, modern office

5–7 days

To onboard most practices

Your billing team

Certified billers, working inside your EHR

You keep your system and your staff. We log in, work every claim and report back, so you stop chasing payers and get back to patients.

  • Certified billers and coders work your claims every day
  • They log in to your EHR directly, so nothing is migrated
  • A live dashboard shows collections, A/R and denials
See how billing works

Security and compliance

We protect your patients’ data the way you are required to

01

HIPAA-compliant by design

Access controls, encryption and training built into how we work.

02

Business Associate Agreement

We sign a BAA before we touch your data.

03

Built to SOC 2 and HITRUST standards

Security practices follow these frameworks.

04

You keep your system

Certified billers log in to your EHR. No data migration.

How it works

From scattered to streamlined in four steps

  1. 1

    Connect your practice

    We work inside your existing EHR or PM system, or set you up on a cloud platform. Most practices are onboarded in 5–7 days.

  2. 2

    Automate the revenue cycle

    Eligibility checks, claim scrubbing, ERA auto-posting and denial appeals run on a daily schedule.

  3. 3

    Engage patients and grow

    Reminders, online scheduling, payment links and review requests bring patients in and keep balances moving.

  4. 4

    Track and optimize

    Real-time dashboards show denial patterns, A/R trends and collections, so you see what we see.

Measurable outcomes

Numbers you can check against your own reports

  • +5–10%

    increase in collections

    Reported by practices that switch

  • Up to 3x

    faster claims processing

    Claims processing speed

  • 98%

    claim accuracy

    First-pass clean claim rate

  • 35%

    faster turnaround

    Claim turnaround improvement

Results reported by Optimus Billing Solutions. Individual practice results vary with specialty, payer mix and starting position.

Solution suite

Simple, transparent pricing. No hidden fees.

Works with your stack

Works inside every major EHR and PM system

Certified billers log in to your system directly. No migration, no retraining and no new software for your staff.

  • Kareo (Tebra)
  • AdvancedMD
  • Practice Fusion
  • NextGen Healthcare
  • Office Ally
  • athenahealth
  • eClinicalWorks
  • OpenEMR
  • OpenMRS
  • CareCloud
  • Oracle Cerner
  • CollaborateMD
  • PrognoCIS
  • Greenway Health
  • GE Healthcare
  • Altera
  • eMDs
  • NueMD
  • WebChart
  • ZipChart EMR
  • and every other major system
See how it works in your system

System names are trademarks of their owners and are listed for compatibility information only. No endorsement or partnership is implied.

What physicians say

Doctors who handed billing over and got their evenings back

+18% revenue in 90 days

“Psychiatry billing has a lot of moving parts: time-based session codes, prior authorizations, units that have to match the note. Optimus follows up on every one of them. Revenue is up and my evenings go to charting, not claims.”
Dr. Brian Patel, MDMedical Director, Optimal Psychiatry & Wellness

A/R days 48 to 21, 98.8% first-pass clean claims

“Our A/R was sitting at 48 days and denials kept stacking up. It is now 21 days, almost every claim goes through clean on the first submission, and I can open the numbers any day of the week.”
Dr. Amanda Green, MDManaging Partner, NY Internal Medicine Group

14 payers approved in 45 days

“Getting each provider in-network used to mean months of chasing forms. Optimus took over CAQH, PECOS and our commercial plans and kept us posted every week until the approvals landed.”
Dr. Lisa Montgomery, FAAPLead Pediatrician, North Shore Pediatrics

FAQ

Answers before you ask

How much does medical billing cost?

Billing starts at 2.9%* of collections. Final pricing is based on your average monthly collections, number of providers and number of locations. Credentialing is from $100 per payer plan and a virtual front desk agent is $1,750 per dedicated agent. There is no software to buy.

Do I have to change my EHR?

No. Optimus works inside all major EHR and practice management systems. Our certified billers log in to your system directly, so there is no migration and no retraining for your staff.

How long does onboarding take?

Most practices are onboarded in 5–7 days. We connect to your system, review your payer mix and open claims, and start submitting.

Is Optimus HIPAA-compliant?

We are HIPAA-compliant by design and sign a Business Associate Agreement (BAA) with every practice. Our security practices are built to HIPAA, SOC 2 and HITRUST standards.

What specialties do you bill for?

More than 30, including orthopedics, cardiology, psychiatry and behavioral health, pediatrics, dermatology, gastroenterology, OB/GYN, neurology, podiatry and ambulatory surgery centers.

When is Optimus not the right fit?

If you only want billing software and plan to keep billing in-house, or your own team already runs at a 98% clean claim rate and 21 A/R days, you may not need us. Call (888) 603-0228 and we will tell you honestly.

Insights

Plain-English guides for practice owners

All articles

Ready when you are

Give your practice the revenue cycle it deserves

Book a demo or get a free, no-obligation billing audit. We will show you where revenue is leaking and what it would take to fix it.