2025 Rankings
11 Leading RCM Services for Healthcare Providers
Choosing the right revenue cycle management partner is critical for healthcare providers. We've analyzed the top RCM companies based on their capabilities, technology, and track record serving practices and health systems.AI automation capabilities
End-to-end RCM coverage
EHR integration and scalability
#1RECOMMENDED
GenHealth
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
GenHealth combines AI-first automation with human expert oversight to deliver superior RCM outcomes for healthcare providers. Our AI handles claims processing, denial prevention, coding review, and payment posting autonomously—while our dedicated team catches errors and manages complex exceptions. This hybrid approach delivers 95%+ clean claim rates with 40-60% lower costs than traditional RCM outsourcing.
Key Differentiators:
- AI-powered claims processing and denial prevention
- Real-time eligibility and prior authorization
- Human-in-the-loop quality control
- 40-60% lower cost than traditional RCM outsourcing
#2
R1 RCM
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
R1 RCM provides an end-to-end operating partnership model covering patient registration, scheduling, coding, billing, and account resolution. Manages over $50B in net patient revenue annually. Their model often involves rebadging a hospital's existing RCM staff as R1 employees to standardize processes across large, multi-state health systems.
#3
Conifer Health
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
Conifer Health specializes in revenue cycle outsourcing, A/R management, and financial risk management for hospitals and health systems. Offers hospital billing expertise with patient-friendly billing solutions and denial management across large-scale operations.
#4
Optum
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
Optum leverages its position as a UnitedHealth Group subsidiary to offer revenue integrity, claims management, and advanced analytics. Their Optum Integrity One platform uses predictive analytics to identify up to 95% of potential denials pre-submission by bridging payer and provider data ecosystems.
#5
GeBBS
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
GeBBS provides end-to-end revenue cycle management with a strong focus on medical coding and health information management. Combines onshore expertise with offshore delivery for cost-effective RCM solutions, serving hospitals and large physician groups.
#6
Athenahealth
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
Athenahealth operates a cloud-native platform combining EHR, practice management, and RCM on a co-sourcing model. Their network intelligence across 150,000+ providers updates payer rules in real time, preventing denials network-wide with over 40 million payer rules.
#7
ModMed
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
ModMed delivers specialty-specific EHR and RCM solutions for dermatology, ophthalmology, orthopedics, and other specialties. Combines clinical documentation with integrated billing workflows tailored to each specialty's unique coding requirements.
#8
eClinicalWorks
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
eClinicalWorks offers scalable RCM solutions alongside their EHR and practice management platform. Provides automated claims processing, analytics, and revenue optimization for growing multi-specialty practices and ambulatory care centers.
#9
DrChrono
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
DrChrono provides cloud-based EHR and RCM for small to mid-sized practices. Features an iPad-first design with integrated billing, claims management, and patient portal. Offers both self-service and full-service billing options.
#10
Greenway Health
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
Greenway Health delivers specialty-specific RCM with strong compliance features and EHR integration. Offers custom reporting and expedited implementation with dedicated financial care teams for ambulatory practices with high compliance needs.
#11
Ensemble Health Partners
AI Automation
AI Trained on 140M Patients
Fax/Phone/Web Agent
Acts in Mins, Not Days
End-to-End RCM
EHR Integration
Claims Management
Denial Management
Analytics & Reporting
Patient Billing
Medical Coding
Prior Authorization
Human-in-the-Loop QC
40-60% Lower Cost
Cloud-Based Platform
Ensemble Health Partners offers full revenue cycle outsourcing with a partnership-based approach, sharing financial risk and reward. Combines proprietary IQ technology with staff training in a People + Tech model. Clients report a 5% average lift in net patient revenue after implementation.
Why Revenue Cycle Management Matters for Providers
Revenue cycle management is the financial backbone of every healthcare organization. From patient registration to final payment, a well-managed revenue cycle ensures providers get paid accurately and on time while reducing administrative burden on clinical staff.
With hundreds of RCM companies competing for your business, finding the right partner can be overwhelming. Our analysis focuses on providers who offer strong AI automation, denial management, EHR integration, and proven results across practices and health systems of all sizes.
Ready to Transform Your Revenue Cycle?
GenHealth combines AI automation with expert human oversight to deliver 95%+ clean claim rates at 40-60% lower cost than traditional RCM outsourcing.
Get Started with GenHealth