With over 17,000 active healthcare providers, Iowa supports a broad network of physicians, nurse practitioners, hospitals, and clinics across both rural and urban communities. But even with this strong provider base, billing and revenue cycle issues are a growing concern. From claim denials to regulatory compliance, medical practices in Iowa are facing serious challenges in getting paid accurately and on time.
The reality is, most healthcare teams are stretched thin. Administrative overload, outdated billing workflows, and complex payer rules are eating into valuable time and revenue. Nearly 22% of healthcare spending now goes toward administrative costs, and up to 48% of denied claims never get recovered, leaving clinics across Iowa with cash flow gaps they can’t afford.
But there is a solution: by outsourcing billing to expert billing companies, providers can reduce claim errors, increase clean claim rates, and expedite payments, often resulting in 15–20% revenue increases and 30% fewer delays in the process.
In this blog, we’ve listed the Top 10 Medical Billing Companies in Iowa for 2026. Whether you’re a small practice or a multi-specialty group, these companies offer the technology, expertise, and personalized service to help you eliminate billing headaches and maximize reimbursements, so you can focus on what truly matters: patient care.
Quick-Glance Comparison Table of the Top-Rated Medical Billing Companies in Iowa
MedCare MSO is one of the largest medical billing companies in Iowa, serving healthcare providers since 2012. With a team of nearly 1,200 certified billers and coders, they have the expertise to handle high-volume and complex billing needs. Their annual revenue of $107 million reflects the trust they’ve built in the industry. MedCare MSO supports more than 80,000 providers, including physicians, specialists, and nurse practitioners, while using their proprietary software, Maximus, to track claims and payments efficiently. With 5-star ratings on Google, Yelp, and Clutch, they have earned a reputation as a trusted Iowa medical billing company.
Experience: 13+ Years
Location: United States
MedCare MSO is recognized as one of the top medical billing companies in Iowa because of its speed, accuracy, and results. They process 88% of claims correctly on the first submission, reducing delays and ensuring faster payments. On average, providers see a 15–20% revenue increase and a 30% reduction in billing delays when working with them. Most claims are resolved within 7 to 14 days, and their collection rate stays above 90%. Their Maximus dashboards provide real-time insights, helping you address potential issues before they become problems. For providers comparing top billing companies near Iowa or searching for the best medical billing services in Iowa, MedCare MSO delivers an all-in-one solution that lets you focus more on patient care and less on administrative work.
Physician Management Services of Iowa is one the best medical billing companies in Iowa that began in 1996 as a one-person, home-based service and grew into a trusted family business. They focus only on physician and practitioner billing and coding for practices in Iowa, Illinois, and nearby states. PMSI has fewer than 25 employees and under $5 million in annual revenue. It has a 4.5 rating on Google Reviews, Yelp, and Clutch. PMSI offers hands-on, personal help with medical coding, medical billing, oncology services, practice management, and accounts receivable management so you can spend more time with patients.
Experience: 20 Years
Location: Iowa
PMSI stands out because it provides small and medium physician groups with the personal care that larger firms often overlook. They are family-owned and take pride in accurate, honest coding and billing. PMSI helps you capture all appropriate revenue by cleaning up claims, managing accounts receivable, and handling specialty work like oncology coding. Their staff keeps up with the latest rules, so your billing stays right. For providers checking top billing companies near Iowa, PMSI is a local, focused option that promises to “take care of the details so you can take care of your patients.”
Oakville Billing Services is an Iowa medical billing company based in West Des Moines that offers full revenue cycle management for 50+ specialties. They say they help practices move to value-based care, improve MIPS/MACRA scores, and speed payments so your clinic gets paid faster. Oakville reports fewer than 25 employees and under $5 million in annual revenue. The company also says it works with industry partners and a large network of specialists (they reference access to more than 5,000 strategists and consultants), so small teams can deliver big results. Oakville Billing Services has a 4.2 rating on Google Reviews, Yelp, and Clutch.
Experience: 1 Years
Location: Iowa
Oakville stands out among the top medical billing companies in Iowa for helping practices win in the value-based era. They focus on clean claims, denial management, and MIPS/MACRA improvement so you can earn incentives and keep your revenue steady. Oakville says its team and partners know many EMR/EHR systems, which lowers training time and gets billing right the first time. They promise faster, more accurate payments by running the whole billing process from claims submission to collections, and by using operational efficiency to boost practice outcomes. For Iowa providers looking at top billing companies near Iowa, Oakville’s local base, plus its partner network, aims to give small clinics big-practice capabilities without the extra hiring.
Provana is a tech-driven managed-services company that helps businesses with large, rules-heavy back-office work, the same kind of work that helps medical practices get paid on time. They report about $253.6 million in annual revenue and 1,200 employees, so they have scale and staffing to handle big billing needs. Provana has a 4.5 rating on Google Reviews, Yelp, and Clutch.
Experience: 18Years
Location: Iowa
Provana stands out among the top medical billing companies in Iowa because it pairs strong technology with a large, well-trained workforce. They sell tech-first managed services, case studies show results in collections and process improvement, and they run services like collections, analytics, and compliance support that clinics need. That mix helps when you want a partner who can scale (handle high claim volume), keep things compliant, and give data you can use. For Iowa practices looking at top billing companies near Iowa, Provana can be a fit when you want enterprise-level systems and a large operations team to run or co-manage your revenue cycle.
Right Medical Billing is on the list of outstanding medical billing companies in Iowa that help practices with the financial side of care. They have 98 employees and about $19.2 million in annual revenue. The team offers complete revenue cycle management, medical coding, accounts receivable work, eligibility checks, prior and retro authorizations, credentialing, patient billing, clean-up audits, out-of-network negotiations, and front-desk staff training. Their coders are AAPC-certified, and the company says it keeps claims up to date with the latest rules. It has a 4.0 rating on Google Reviews, Yelp, and Clutch.
Experience: 9 Years
Location: Iowa
Right Medical Billing stands out because they handle everything from the first patient check-in to final payment. They build clean claims so payers accept them the first time. Their team says they cut front-end denials by about 20% and can boost cash flow by up to 30% through faster, smarter billing. They offer deep cleanup and audit services that often find the root cause of revenue problems on the first day. They also train your front desk and share daily reports so your staff can focus on patients, not paperwork. For clinics considering Iowa medical billing companies, Right Medical Billing stands out by pairing certified coders with a large team, enabling small practices to achieve big-practice results.
Clean Claim, LLC is an Iowa medical billing company built to help providers get every dollar they deserve. They have fewer than 25 employees and under $5 million in annual revenue. Crystal Drake, the president, brings over 30 years of hands-on experience in the revenue cycle and coding. The team has 38+ years of combined experience and focuses on accurate charge entry, clean claims, and minimizing accounts receivable over 90 days. This company has a 3.8 rating on Google Reviews, Yelp, and Clutch.
Experience: 2 Years
Location: Iowa
Clean Claim stands out among medical billing companies in Iowa because it focuses on accuracy and a worry-free billing process for you. They verify charges to AMA coding standards so claims are correct the first time. Their goal is simple: remove sub-par reimbursements and make billing easy so you can spend time with patients. The company is family-minded and proud of its attention to detail, which helps reduce denials and speed payments. For practices hunting for an Iowa medical billing company among the top medical billing companies, Clean Claim offers personal service, deep coding knowledge, and a promise to “take care of the details so you can take care of the patients.”
Professional Management, Inc. is an Iowa medical billing company that helps practices increase revenue and improve operational efficiency. PMI is physician-owned and brings about 60 years of industry experience to its work. They have 55 employees and under $5 million in annual revenue. PMI offers practice optimization analysis, revenue cycle management, best-practice policies, monthly financial reports, and ongoing business advisory to help you meet rules like PPACA and ICD-10. Half of their clients have worked with them for 30+ years, which shows long-term trust. It has a 3.5 rating on Google Reviews, Yelp, and Clutch.
Experience: 23 Years
Location: Iowa
PMI stands out among the best medical billing companies in Iowa because doctors run it. That means the services are focused on patient care and profit at the same time. Their coders must pass strict quality checks and have strong clinical backgrounds, so claims are cleaner and denials drop. PMI gives detailed monthly reports and benchmark checks so you can see how your practice compares to peers. They also offer tailored advice to capture lost revenue and improve day-to-day work. For clinics looking at top billing companies near Iowa, PMI’s long history, physician leadership, and hands-on reports make it a strong choice for steady, local support.
H&H Billing and Credentialing Services is an Iowa medical billing company that puts your satisfaction first. They have fewer than 25 employees and under $5 million in yearly revenue. H&H offers medical billing and credentialing with a small, careful team that finishes work on time and keeps quality high. They hire carefully, so you get friendly, experienced staff who know how to handle claims and provider enrollment. It has a 3.3 rating on Google Reviews, Yelp, and Clutch.
Experience: 8 Years
Location: Iowa
H&H stands out because they customize billing services to match what your clinic needs. They focus on clear, honest work and pay close attention to details, so claims go out right and credentialing moves faster. Their team finishes projects on schedule and aims to make billing simple so your front desk can focus on patients. H&H offers personal service, competitive rates, and quick quotes, which makes them a good fit for providers who want a trusted, local Iowa medical billing company among the top medical billing companies to improve cash flow and reduce billing headaches.
Bears Medical Billing is serving providers across the U.S., including those searching for the best medical billing services in Iowa and top billing companies near Iowa. With fewer than 25 employees and under $5 million in annual revenue, they focus on giving healthcare providers a simple, effective, and profitable way to increase billing revenue. Founded by Rachel Bears, who has over 12 years of experience in the billing industry, the company has grown since 2018 into a skilled team of Senior Coding Specialists and Billing Managers. It has a 3.5 rating on Google Reviews, Yelp, and Clutch. Bears Medical Billing continues to earn trust through personalized service and strong communication, making it a competitive choice among the top medical billing companies.
Experience: 6 Years
Location: Iowa
Bears Medical Billing stands out among the best medical billing companies in Iowa because it treats every client as a partner, not just an account. They understand how frustrating billing delays and lost reimbursements can be, so their team works to solve those problems quickly. Senior Coding Specialists oversee billing managers to make sure each claim is correct and submitted on time, helping providers get paid faster. Their focus on trust, personal relationships, and clear communication makes them a dependable option for practices that want both accurate billing and peace of mind. Whether you’re in Iowa or nearby states, they bring the kind of expertise that providers expect from the best medical billing services in Iowa and other top billing companies near Iowa.
Timberline Billing Service is an Iowa medical billing company that began in 2007 to fill a niche in Medicaid reimbursement billing for Iowa school districts. Today, it is one of Iowa’s most prominent medicaid billing companies, serving over half of the school districts in the state. They operate multiple offices across Iowa and Illinois, including a West Des Moines location. The company has fewer than 25 employees and about $13 million in annual revenue. It has a 3.0 rating on Google Reviews, Yelp, and Clutch.
Experience: 17 Years
Location: Iowa
Timberline specializes deeply in Medicaid billing and offers full Medicaid claiming support that includes training, quality assurance, and paperless options with no extra charges. As one of Iowa’s largest Medicaid billing vendors, they understand the state’s specific requirements and documentation needs. Their experience and network across multiple districts help ensure accurate reimbursements and fewer mistakes, which makes them stand among the best medical billing companies in Iowa.
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Pick a medical billing company in Iowa by checking a few simple things. Look for top medical billing companies in Iowa with good Google, Yelp, and Clutch reviews and several years of experience. Make sure they know your specialty and offer complete services like clean-claim submission, denial work, A/R recovery, and credentialing. Ask about real results, first-pass claim rates, how fast they close A/R, and any average revenue increases. Pick a partner with easy-to-read reports or a dashboard, strong HIPAA security, clear pricing, and fast, friendly communication so they act like part of your team. When a company checks these boxes, it will help you get paid faster and spend more time caring for patients.
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