Imagine: Dr. Lani in Hilo wrapping up a video visit with a teen in Honolulu. She files the claim, but a red “DENIED” flashes back: the tiny D9995 telehealth code is missing, and the system thinks the visit happened on Oahu, not Hawaii Island. While her team scrambles to fix those details, an even bigger worry ticks louder, the 12-month Med-QUEST filing clock (only 6 months if Medicare touched the chart). Every day spent chasing that first error eats into the deadline, and once it passes, payment is gone for good. Multiply the scene by the 465,000 Hawaiians who rely on Medicaid, and the paperwork pile can bury a clinic before summer ends. At this moment, many practices start asking, “Who already knows these island-specific modifiers and stopwatch rules?”
The answer lies with seasoned top medical billing companies in Hawaii, who turn bounced telehealth claims into clean submissions, beat the clock, and free doctors to focus on care instead of codes. In this blog ahead, we’ll spotlight the best 5 medical billing companies in Hawaii with teams that know every island rule, modifier, and filing-deadline trap. Read on to meet the partners who can turn denials into steady cash flow and give your staff their time and sanity back.
Quick-Glance Comparison Table of the Best Medical Billing Services in Hawaii
Here’s a list of the top 5 medical billing companies in Hawaii. We’ll explain what each one does, highlight its expertise, and show why it’s a smart choice for the healthcare practices, labs, and clinics in Hawaii that need faster, more accurate payments.
MedCare MSO now ranks among the leading medical billing companies in Hawaii, serving 50-plus specialties in Honolulu, Hilo, Kahului, Kailua-Kona, and Līhue. Its pay-for-paid model aligns with automated eligibility checks. Moreover, their team stays current with every CPT and ICD-10 update, speeds prior authorizations, and wipes out denial backlogs to drive real revenue growth. MedCare MSO backs its service with HIPAA compliance, ISO 9001:2015 certification, a BBB A+ rating, AAPC Education Provider status, and memberships with Hawaii MGMA, HBMA, and the Pacific Islands Health Alliance.
Experience: 13+ Years
Location: Hawaii
MedCare MSO drives a fully electronic, cloud-based billing cycle for Hawaii practices. Charges flow straight from any EHR into an AI-driven scrubber that applies CPT/ICD-10, NCCI, and HMSA/MHI-specific edits, then routes claims through end-to-end EDI/ERA for payments that often arrive in 7–14 days. Its telehealth engine auto-inserts POS 02/10 and D9995/D9996 modifiers to meet all Med-QUEST deadlines and neighbor-island rules. Moreover, predictive A/R tools flag risky claims and forecast cash, while KPI dashboards track deadlines, denials, and prompt-pay rules. Running on Maximus’ single-cloud platform, Hawaii clinics enjoy cleaner claims, faster cash, and data-driven growth.
As one of the top Medical Billing Companies in Hawaii, AKAMAIMD LLC is a Hilo-based, locally owned partner that treats every claim as if the practice’s livelihood depends on it. Instead of simply pushing paperwork, the AKAMAIMD team “cleans” each claim for accuracy and submits it electronically through a trusted clearinghouse. They then post payments promptly to keep accounts receivable crystal clear. Additionally, when denials arise, they dive back in, correct errors, rebill, and stay on the phone with insurers until the money lands where it belongs. Their flexible philosophy means they’ll integrate seamlessly with the software you already use, or set you up on their award-winning platform. They also provide on-island training and support just minutes away.
Experience: 12 Years
Location: Hilo, HI
AKAMAIMD shines by moving fast and getting details right. Within 24 hours of receiving a provider’s superbills, their specialists scrub every line, code each service, and send claims (paper or electronic). To keep cash flowing instead of stalling in limbo. If an insurer denies a claim in error, the team jumps in to file appeals and digs into refund requests to be sure money isn’t lost. They handle every step of EDI and EFT enrollment. This lets practices verify eligibility online, submit claims with one click, receive electronic remittance advice, and get payments deposited directly. Certified coders double-check every claim before it goes out, earning a sky-high first-pass approval rate. And for clinics new to practice-management software, AKAMAIMD sets up the whole system, so providers can focus on patients, not platforms.
Medical Healthcare Solutions, Inc. (MHS) started as a billing division in April 1991 and became its own company on December 1, 1995. Privately owned by Stephen and Regina Brighton, MHS pledges fast, professional revenue-cycle service. For providers weighing options among medical billing companies in Hawaii or across the mainland, its specialists serve ACOs, hospitals, MSOs, university clinics, and solo or group practices nationwide, covering more than two dozen specialties, from cardiology to orthopedics. Decades of experience and memberships with AAPC, HBMA, NEHIMSS, MA/RI MGMA, and Healthcare Finance Group back that promise.
Experience: 30 Years
Location: Honolulu, HI
As one of the most trusted RCM Providers in Hawaii, MHS pairs a 98 % clean-claim rate with just 21.5 days in A/R and under 10 % over 90 days, turning billing into predictable cash flow. Its coast-to-coast toolkit and end-to-end revenue-cycle management, provider credentialing, practice management, student-health, and ASC billing, plus real-time analytics runs on leading EMR platforms like Allscripts, athenahealth, and EPIC. Backed by cutting-edge tech and uncompromising compliance, MHS recovers lost revenue quickly while shielding practices from audit stress. Decades-long client relationships prove the result: more time for patient care and fewer headaches over numbers.
ProMantra has empowered hospitals, physician groups, and post-acute facilities with revenue cycle management solutions that lift cash flow, cut waste, and let clinicians focus on care. Their teams operate within ISO 27001 and ISO 9001 frameworks. This secure, process-driven approach delivers a 98 %+ clean-claim rate and rapid A/R turnaround. Clients trust our 20 years of healthcare IT expertise, rigorous quality controls, and customer-first culture. Providers across the country, including those seeking trusted medical billing companies in Hawaii, turn to ProMantra.
Experience: 30 Years
Location: Hawaii
ProMantra sets itself apart by incorporating AI and robotic process automation in every stage of the revenue cycle, driving up client revenue by as much as 30 percent. Its platform offers a high clean-claim rate on its board automatically, lowers the average A/R to 35 days, and has already recovered millions for the practice. ProMantra supports hospitals, long-term-care groups, independent practices, and other RCM providers. It tailors end-to-end billing, coding, analytics, and specialty services to each organization’s workflow. These proven outcomes, combined with advanced automation expertise and industry-specific customization, set ProMantra apart from the top medical billing companies in Hawaii.
Among the top revenue cycle management companies in Hawaii, Ike Pono Medical Billing stands out for its owner-led expertise and physician-first mindset. Founded and directed by Cristiane Caleffi, a certified medical billing & reimbursement professional serving Hawaii providers since 2004, and a certified professional coder since 2017. The firm is built on the conviction that doctors should be paid fairly and promptly for the care they deliver. Ike Pono’s team manages every facet of billing and coding, freeing clinicians to focus on patients while advancing best practices in revenue-cycle management. True to Cristiane’s personal motto, “Live to Laugh. Laugh to Live,” the company pairs technical precision with a supportive spirit. This approach turns complex reimbursement work into reliable, stress-free cash flow for island practices.
Experience: 9 Years
Location: Honolulu-HI
Among medical billing companies in Hawaii, IKE PONO distinguishes itself with end-to-end revenue-cycle mastery tailored to behavioral-health and multi-disciplinary practices. Its team verifies eligibility, submits mostly electronic claims, posts payments, and attacks denials; on the basis of this, it auto-generates patient statements and clear monthly reports. Beyond standard office visits, they navigate complex codes for Intensive Outpatient Programs, Day Treatment, CCS encounter reporting, and psychosocial rehabilitation. They also handle methadone and opioid-addiction services, workers’ compensation, and auto-insurance cases. Their expertise also spans family medicine, PT/OT, ABA, neurology, and other specialties. By pairing comprehensive RCM services with specialty-specific expertise, Ike Pono turns intricate billing scenarios into predictable cash flow for Hawaiʻi’s providers.
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Selecting from the top 5 medical billing companies in Hawaii is ultimately about finding a partner who can cut denials, speed up payments, and keep practices focused on patient care. Each firm offers its own mix of technology, expertise, and local know-how, but they all aim for the same result: a smoother revenue cycle and stronger cash flow. Review their services, request an audit, and choose the one that aligns best with your specialty and workflow; your finances will thank you.
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