CXO Medical Billing

You see the patients. We get you paid.

CXO Medical Billing takes over everything that happens after the visit: coding, claims, insurance follow-up, denials, patient statements, collections, payments and patient calls. We work inside the billing system you already use, backed by our own technology platform, so more of what you earn reaches your bank account.

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Proven at volume

Experienced in the specialties where billing is hardest

High volume, walk-in patients, many payers, and patients who often owe part of the bill. Urgent care, family practice and emergency medicine are where billing usually breaks down, and they’re where we have done the most work.

500,000+Claims billed
$2,000+Lifetime value per patient

The problem

Most practices lose money after the patient leaves

Revenue rarely goes missing all at once. It leaks out through claims that never get filed, denials nobody appeals, and patient balances nobody follows up on. We find those leaks and fix them.

What’s happening in your practice
What CXO Medical Billing does about it
Claims go out late, wrong, or neverRevenue you earned but never billed
We code and submit every claim, and every night we check for visits that still haven’t been billed.
Insurance doesn’t pay, and nobody follows upAging A/R that ends up written off
We follow up on every unpaid claim and work every denial and appeal. Every stuck claim has a dollar value attached, so the largest ones get worked first.
Patients don’t pay their balancesThe fastest-growing share of practice revenue goes uncollected
Clear statements by text, email and mail. Patients pay from a link in seconds with no account or login, payment plans are built in, and follow-up is automatic and respectful.
The phones ring all day about billsFront-desk staff are pulled away from patients in the clinic
An AI phone agent answers billing calls 24/7. Our team handles every patient billing question so your staff don’t have to.
Billing staff are expensive and hard to keepTurnover, training, and work that stops when someone quits
We become your billing department: no hiring, no turnover risk, and no work that depends on a single person.
You can’t see what’s happeningProblems surface months late
A live dashboard shows collections, outstanding balances, and what our team did for you this week.

Full service

One partner for the whole revenue cycle

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Coding & charge review

Certified coders and practice-specific coding rules catch errors before a claim goes out, not after it’s denied.

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Claims & insurance A/R

We submit claims, track every payer response, follow up on unpaid claims, and work denials and appeals until they’re paid.

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Patient billing

Statements patients understand, with payment by card or bank transfer from a link, no login required, and flexible payment plans.

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Patient collections

Automated follow-up by text, email, AI phone call and mail, with quiet hours and cooldown periods so patients are never hounded.

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Patient calls, 24/7

An AI phone agent and our billing team answer every patient billing question, day or night, and every call is logged.

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Reporting you can see

A live dashboard and a weekly review: what was billed, what was collected, and what we’re working next.

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Why practices switch

Not just another billing company

Most billing companies chase insurance and leave patient balances to you. They run on spreadsheets and offshore labor, and you hear from them once a month.

CXO Medical Billing is built on ClinicOctane, a platform we built specifically for the work that happens after the visit. Our technology handles the high-volume work (calls, reminders, follow-ups, catching stuck claims), so our people can spend their time on the claims and patients that need judgment.

See the full comparison

What changes the day you switch

  • You keep your EMR and your billing system
  • Insurance and patient balances are both worked
  • Billing calls are answered 24/7
  • Every stuck claim is found within a day
  • You can see everything we do, live
  • HIPAA safeguards and BAAs are in place from day one

More than billing

Add-ons that take work off your front desk

Add-on

Work & school note writer

Patients request notes online. A provider reviews and signs them, and the patient gets a secure link. Your phone stops ringing for them.

Add-on

Medical records release

We take in, track, fulfill and securely deliver records requests, with a full audit trail.

Add-on

After-visit support line

A dedicated number for post-visit questions, answered by AI and passed to your staff when needed.

See all add-ons

How it starts

A free billing assessment, with no obligation

Send us your A/R aging report and a sample of recent claims. We’ll show you where revenue is leaking and what it’s worth, whether or not you hire us.

Talk

A 30-minute call about your practice, your billing system and what isn’t working.

Assess

We review your A/R, denials and patient balances and show you the money that’s stuck.

Transition

We connect to your billing system and take over the work. Nothing changes in your clinic.

Collect

Claims go out clean, A/R gets worked, patients pay, and you see all of it live.