Medical Billing
Accurate, end-to-end claim submission that maximizes first-pass acceptance.
Learn MoreHIPAA-Compliant Revenue Cycle ManagementPrecision Billing.
Precision Billing.
Predictable Revenue.
SouthStar Healthcare helps medical practices maximize revenue, reduce claim denials, accelerate reimbursements, and improve financial performance through expert Revenue Cycle Management solutions.
- HIPAA Compliant
- Reduced Claim Denials
- Faster Reimbursements
- Dedicated Account Management
- Revenue Optimization Experts
Our Partnership Commitment
Results We Deliver Together
Net Collection Rate
92%
+6.2% vs prior
Days in AR
24
-11 vs prior
First-Pass Resolution
94%
+8% vs prior
Denial Rate
2.1%
-4.3% vs prior
Collections Growth With SouthStarFirst 6 months
HIPAA Audit Passed
SOC 2 controls in place
Trusted by Medical Practices Across the U.S.
92%
Collection Rate
94%
First-Pass Resolution
24
Avg Days in AR
2.1%
Denial Rate
Why SouthStar
Why Healthcare Providers Trust SouthStar
Built on accuracy, transparency, and accountability — the SouthStar standard delivers measurable outcomes you can see in your bottom line.
Secure Revenue Cycle Management
Measurable improvements aligned to your KPIs.
HIPAA-Compliant Processes
Measurable improvements aligned to your KPIs.
Dedicated Account Managers
Measurable improvements aligned to your KPIs.
Transparent Reporting
Measurable improvements aligned to your KPIs.
Faster Revenue Recovery
Measurable improvements aligned to your KPIs.
Reduced Administrative Burden
Measurable improvements aligned to your KPIs.
Improved Cash Flow
Measurable improvements aligned to your KPIs.
Data Security & Confidentiality
Measurable improvements aligned to your KPIs.
Care + Cash Flow
Built so providers can focus on patient care
SouthStar runs the revenue cycle in the background — handling claims, denials, AR, and reporting — so your team spends more time at the bedside and less time chasing payers.
- Real-time dashboards and monthly KPI reviews
- Specialty-tuned workflows for every payer mix
- Dedicated U.S. account management
Who We Serve
Built for Every Specialty
Specialized Revenue Cycle Management solutions tailored for every healthcare specialty. Click the arrow on any specialty to see its CPT codes, billing challenges and how we fix them.
Mental Health
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Urgent Care
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Chiropractic
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Family Practice
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Internal Medicine
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Pediatrics
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Cardiology
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Orthopedics
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Neurology
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Dermatology
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Gastroenterology
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Pulmonology
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Nephrology
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Endocrinology
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Rheumatology
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Pain Management
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Mental Health
Tap to see CPT codes, denial risks and how we lift your collections.
Urgent Care
Tap to see CPT codes, denial risks and how we lift your collections.
Chiropractic
Tap to see CPT codes, denial risks and how we lift your collections.
Family Practice
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Internal Medicine
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Pediatrics
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Cardiology
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Orthopedics
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Neurology
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Dermatology
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Gastroenterology
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Pulmonology
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Nephrology
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Endocrinology
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Rheumatology
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Pain Management
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Physical Therapy
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Occupational Therapy
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Speech Therapy
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Home Health
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Skilled Nursing Facility
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Hospice
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Behavioral Health
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Laboratory
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Radiology
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Surgery Centers
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OB/GYN
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Ophthalmology
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ENT
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Urology
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Podiatry
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Multi-Specialty Clinics
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Physical Therapy
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Occupational Therapy
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Speech Therapy
Tap to see CPT codes, denial risks and how we lift your collections.
Home Health
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Skilled Nursing Facility
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Hospice
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Behavioral Health
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Laboratory
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Radiology
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Surgery Centers
Tap to see CPT codes, denial risks and how we lift your collections.
OB/GYN
Tap to see CPT codes, denial risks and how we lift your collections.
Ophthalmology
Tap to see CPT codes, denial risks and how we lift your collections.
ENT
Tap to see CPT codes, denial risks and how we lift your collections.
Urology
Tap to see CPT codes, denial risks and how we lift your collections.
Podiatry
Tap to see CPT codes, denial risks and how we lift your collections.
Multi-Specialty Clinics
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Payer NetworkCheck your payer mix
We work with every major U.S. payer
Commercial insurers, Medicare, Medicaid, Advantage and regional plans — we know each payer's rules, edits and timelines, so your claims get accepted the first time.
1,200+Payer-specific edit rules mapped
94%First-pass clean claim rate
< 24 hrsClaim submission turnaround
Medicare
Federal
Medicaid
State
UnitedHealthcare
Commercial
Aetna
Commercial
Cigna
Commercial
Humana
Advantage
Blue Cross Blue Shield
Regional
Kaiser Permanente
Integrated
Elevance Health
Commercial
Centene
Managed
Molina Healthcare
Managed
Highmark
Regional
CareSource
Managed
Ambetter
Marketplace
AARP / UHC Medicare
Advantage
Florida Blue
Regional
HCSC
Regional
TRICARE
Military
- Workers' Comp Carriers
Liability
- Auto / No-Fault Plans
Liability
Payer names are listed for identification of claim submission capability only. All trademarks belong to their respective owners; no endorsement or affiliation is implied.
Our Services
End-to-End Revenue Cycle Management
Solutions designed to maximize revenue and minimize administrative burden.
Built on Trust
Your Next Success Story Starts With Us
We're a new-generation RCM partner for U.S. providers — obsessed with clean claims, faster cash, and the kind of transparency you'd expect from your own team. Let's build measurable wins, together.
U.S. Healthcare DNA
Built around U.S. payer rules, CMS updates, and state-level nuances — from Medicare and Medicaid to every major commercial carrier.
HIPAA-First Operations
Signed BAAs, role-based access, encrypted workflows, and SOC-aligned controls protect PHI at every touchpoint.
Dedicated U.S. Account Team
A named account manager, weekly syncs in your time zone, and a certified coding + AR team that feels like an extension of your practice.
Transparent, Measurable Results
Live KPI dashboards, monthly performance reviews, and clear SLAs on collections, AR days, and denial rates — no black boxes.
Our Partnership Promise
Confidence before commitment.
You shouldn't have to gamble on your revenue partner. We start with a free audit, show you the leakage, and prove the numbers on your own claims — before you sign anything.
- Free, no-obligation revenue audit within 48 hours
- Onboarding in 2–3 weeks with zero disruption to your practice
- Month-to-month engagement — earn your business every month
- Written performance SLAs on collections, AR, and denials
Our Process
Our Proven Process
A disciplined four-step engagement model designed to deliver measurable revenue improvement.
01
Analyze Current Billing Performance
Deep diagnostic of claims, denials, AR aging, and payer behavior.
02
Identify Revenue Leakage
Pinpoint underpayments, missed charges, and process gaps.
03
Optimize Billing Workflow
Standardize coding, eligibility, and AR follow-up cadences.
04
Increase Collections & Cash Flow
Sustain net collection lift with transparent monthly reporting.
Ready to unlock predictable revenue?
Request a complimentary, no-obligation revenue audit and discover hidden opportunities in your billing.