Top 12 Revenue Cycle Management (RCM) Companies for 2025

Looking for the best Revenue Cycle Management (RCM) companies in 2025? This guide ranks the top 12 U.S.-based RCM providers based on services offered, compliance, technology adoption, and industry specialization.

Key highlights:

• Promantra is our Editor’s Choice for small-to-mid-sized providers and specialty practices. Their Six Sigma-backed processes and end-to-end RCM services consistently deliver high ROI and reduced AR days.
• Change Healthcare, Cognizant, and Optum360 lead the pack in AI-powered billing automation, real-time analytics, and smart claims processing.
• R1 RCM and GeBBS stand out for their comprehensive service coverage and cost-efficient offshore delivery models.
• Athenahealth, Kareo, and eClinicalWorks offer robust cloud-based RCM platforms, making them ideal for small practices and digital-first operations.

Recent industry reports highlight the growing trend of outsourcing RCM. Becker’s has reported that 13 healthcare organizations have outsourced their RCM operations. The healthcare RCM outsourcing market is expected to experience rapid growth in the coming years. It is projected to reach $56.44 billion by 2028, growing at a compound annual growth rate (CAGR) of 16.0%. 

In this blog, we will delve into the top RCM companies to consider in 2025, evaluating them based on these key criteria to help healthcare providers make informed decisions.

Pro Tip: Ready to scale your revenue performance in 2025? Start with Promantra’s customizable, tech-enabled RCM solutions.

How to Choose the Right RCM Company in 2025

Selecting the right Revenue Cycle Management (RCM) company is a strategic decision that directly influences your practice’s cash flow, compliance, and patient satisfaction. Here are the most important criteria to guide your choice in 2025:

1. Range of Services

Evaluate the range of services offered by the RCM company. Comprehensive services that cover end-to-end RCM, including:

• Patient registration and appointment scheduling
• Billing and coding for accurate claims processing
• Claims submission and follow-up with payers
• Payment collections and revenue reconciliation

A provider offering a full range of services can streamline operations, saving time and resources.

2. Technology and Integration

Look for companies that use advanced technology, such as:

• AI and machine learning – For accuracy in claims and billing.
• Automation tools – To reduce errors and increase efficiency.

Additionally, ensure that the company’s solutions integrate seamlessly with your existing Electronic Health Record (EHR) systems and other healthcare IT infrastructure.

3. Compliance and Security

Ensure the RCM company adheres to strict compliance standards, such as HIPAA, to protect patient data and avoid legal issues. Check for industry-recognized certifications, including:

• ISO 9001 – For quality management
• ISO 27001 – For data security management

These certifications demonstrate the company’s commitment to compliance and security.

4. Cost-Effectiveness

Consider the cost-effectiveness of the RCM services. Look for a company that offers transparent pricing and delivers a good return on investment by maximizing revenue and reducing administrative costs.

5. Customer Support

Excellent customer support is crucial for addressing issues promptly and maintaining smooth operations. Evaluate the RCM company’s customer service reputation, including response times and the availability of support.

6. Client Success Stories and Testimonials

Research client success stories and testimonials to gauge the RCM company’s track record. Positive feedback from other healthcare providers can provide insights into the company’s effectiveness and reliability.

7. Customization and Flexibility

Choose an RCM company that offers customized solutions tailored to your specific needs. Flexibility in adapting to the unique requirements of different medical specialties and practice sizes is essential for optimal performance.

Also Read: Outsource Revenue Cycle Management

The 12 Top Revenue Management Companies

Here are some of the top RCM companies to consider in 2024, each offering unique strengths and comprehensive services to meet the diverse needs of healthcare providers.

1. Promantra

Founded in 2003 and based in New Jersey, Promantra has established itself as a leading provider of Revenue Cycle Management (RCM) services. With a strong focus on end-to-end RCM, healthcare IT, and analytics, Promantra delivers comprehensive solutions designed to enhance the financial and operational performance of healthcare providers. The company is ISO 9001 and 27001 certified, reflecting its commitment to quality and stringent compliance standards.

Key Services

Promantra offers a wide range of RCM services that cover every aspect of the revenue cycle:

• Patient Registration: Ensuring accurate and efficient patient intake processes.
• Eligibility Verification: Verifying patient insurance coverage to prevent claim denials.
• Medical Coding: Providing precise medical coding for accurate billing and regulatory compliance.
• Claims Processing: Managing claims efficiently to ensure timely reimbursements.
• Accounts Receivable (AR) Follow-up: Actively following up on unpaid claims to enhance cash flow.
• Denial Management: Identifying and addressing claim denials to maximize revenue.
• Payment Posting: Accurately recording payments to maintain up-to-date financial records.

Strengths

Promantra’s expertise spans various medical specialties, allowing them to offer customized solutions tailored to the unique needs of different healthcare providers. 

Their commitment to HIPAA compliance ensures that patient data is handled securely and confidentially. By adhering to the strict guidelines of HIPAA, Promantra not only protects sensitive patient information but also builds trust with their clients, assuring them that their data is in safe hands.

Furthermore, Promantra employs a Six Sigma methodology to drive process improvements. Six Sigma is a data-driven approach that seeks to improve the quality of process outputs by identifying and removing the causes of defects and minimizing variability in business processes. 

The implementation of Six Sigma translates to several benefits for Promantra’s clients:

• Enhanced Efficiency: By identifying inefficiencies and optimizing processes, Promantra can significantly reduce the time and resources required for various RCM tasks. This leads to faster claim processing and quicker reimbursements.
• Error Reduction: Reducing errors in medical coding, billing, and claims processing ensures that fewer claims are denied or delayed, resulting in a more reliable revenue stream for healthcare providers.
• Cost Savings: Improved efficiency and error reduction lead to lower operational costs, which can be passed on to clients in the form of more cost-effective RCM services.
• Better Financial Outcomes: Ultimately, these improvements contribute to a healthier bottom line for healthcare providers, allowing them to reinvest in patient care and other critical areas of their operations.

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2. Cognizant Technology Solutions

Cognizant Technology Solutions is a globally renowned IT services provider with a significant footprint in the healthcare sector. 

Leveraging its extensive expertise and global reach, 

Cognizant offers a wide array of Revenue Cycle Management (RCM) services tailored to meet the needs of healthcare providers of all sizes. 

Their deep understanding of the healthcare industry and commitment to innovation make them a trusted partner for many healthcare organizations worldwide.

Key Services

Cognizant provides a comprehensive suite of RCM services designed to streamline financial operations and enhance revenue management:

• Billing: Efficient and accurate billing processes to ensure timely reimbursements and reduce administrative overhead.
• Coding: Precise medical coding services to maintain compliance and optimize billing accuracy.
• Accounts Receivable Management: Effective management of receivables to minimize outstanding balances and improve cash flow.
• Analytics: Advanced analytics tools to provide actionable insights into financial performance, helping healthcare providers make informed decisions and identify areas for improvement.

Strengths

Cognizant’s strengths lie in its advanced technology integration and cost-effective solutions:

• Advanced Technology Integration: Cognizant leverages cutting-edge technology to enhance the efficiency and accuracy of RCM processes. By integrating artificial intelligence, machine learning, and automation, they streamline operations, reduce errors, and expedite claim processing.
• Cost-Effective Solutions: Cognizant is known for delivering high-quality RCM services at competitive prices. Their cost-effective solutions ensure that healthcare providers can optimize their revenue cycles without incurring excessive costs, ultimately enhancing their financial performance.

Cognizant’s global expertise, advanced technology, and cost-effective services make them a valuable partner for healthcare providers looking to improve their revenue cycle management and achieve sustainable financial health.

3. Change Healthcare

Change Healthcare is at the forefront of utilizing advanced technologies like AI and machine learning to improve financial outcomes for healthcare providers. 

With a focus on innovation and efficiency, Change Healthcare aims to transform the revenue cycle management landscape, ensuring that healthcare organizations can achieve optimal financial performance.

Key Services

Change Healthcare offers a comprehensive range of RCM services that leverage cutting-edge technology to streamline financial operations:

• Revenue Cycle Analytics: Advanced analytics tools that provide deep insights into the financial health of healthcare organizations, enabling better decision-making and performance improvement.
• Claims Management: Efficient claims processing and management services that ensure timely reimbursements and reduce the incidence of denied claims.
• Payment Accuracy: Solutions designed to enhance payment accuracy, minimizing errors and discrepancies in billing and payments.
• Patient Engagement Tools: Tools that improve patient engagement and satisfaction by streamlining interactions and financial communications with patients.

Strengths

Change Healthcare’s strengths are rooted in its extensive network of healthcare partners and its innovative use of technology:

• Extensive Network of Healthcare Partners: With a vast network of partners across the healthcare industry, Change Healthcare has the breadth and depth of experience needed to deliver tailored RCM solutions. Their collaborative approach ensures that they can address the unique needs of various healthcare providers.
• Innovative Technology: By harnessing the power of AI and machine learning, Change Healthcare continuously improves its RCM services. These technologies enable more accurate predictions, efficient processes, and better financial outcomes for their clients.

4. R1 RCM

R1 RCM offers comprehensive Revenue Cycle Management (RCM) solutions that are tailored to meet the specific needs of various healthcare providers. 

With a focus on enhancing both financial performance and patient experience, R1 RCM provides a holistic approach to managing the revenue cycle.

Key Services

R1 RCM delivers a wide range of services designed to streamline the financial and administrative processes for healthcare providers:

• End-to-End RCM Services: Comprehensive management of the entire revenue cycle, from patient registration to final payment collection.
• Patient Scheduling: Efficient and user-friendly scheduling systems that improve patient access and reduce administrative burden.
• Financial Clearance: Ensuring that all necessary financial clearances are obtained before patient visits, reducing the risk of unpaid claims.
• Medical Billing: Accurate and timely billing services that maximize revenue and reduce errors.

Strengths

R1 RCM’s strengths lie in their strong focus on improving patient experience and operational efficiency:

• Improving Patient Experience: By providing efficient scheduling and financial clearance services, R1 RCM enhances the overall patient experience. Patients benefit from smoother interactions with the healthcare system, leading to higher satisfaction rates.
• Operational Efficiency: R1 RCM’s end-to-end solutions streamline administrative processes, reduce errors, and ensure timely reimbursements. This focus on efficiency improves financial performance and allows healthcare providers to focus more on patient care.

5. GeBBS Healthcare Solutions

GeBBS Healthcare Solutions is known for its offshore delivery model, which provides cost-effective Revenue Cycle Management (RCM) solutions to healthcare providers. 

By leveraging offshore resources, GeBBS can offer high-quality services at competitive prices, making them an attractive option for healthcare organizations looking to optimize their financial performance.

Key Services

GeBBS Healthcare Solutions offers a robust suite of RCM services designed to improve efficiency and accuracy:

• Medical Coding: Providing precise and compliant medical coding services to ensure accurate billing and minimize claim denials.
• Billing: Efficient billing processes that accelerate payment cycles and enhance revenue collection.
• Accounts Receivable (AR) Follow-up: Proactive AR follow-up services to reduce outstanding balances and improve cash flow.
• Healthcare Analytics: Advanced analytics tools that provide actionable insights into financial and operational performance, helping healthcare providers make informed decisions.

Strengths

GeBBS Healthcare Solutions emphasizes compliance and accuracy in all its services:

• Emphasis on Compliance: GeBBS adheres to strict compliance standards, ensuring that all processes meet regulatory requirements. This focus on compliance helps protect healthcare providers from potential legal and financial risks.
• Commitment to Accuracy: By prioritizing accuracy in medical coding and billing, GeBBS reduces errors and enhances the efficiency of the revenue cycle. This commitment to precision ensures that claims are processed correctly and timely, leading to better financial outcomes.

6. Optum360

Optum360 is renowned for its robust data analytics capabilities, which it uses to enhance Revenue Cycle Management (RCM) for healthcare providers. 

By leveraging advanced technology and data-driven insights, Optum360 helps organizations streamline their financial operations and improve overall efficiency.

Key Services

Optum360 provides a comprehensive array of RCM services designed to optimize financial processes and improve patient experiences:

• Coding: Accurate and efficient medical coding services that ensure compliance and optimize billing processes.
• Billing: Comprehensive billing services that reduce errors and accelerate payment cycles.
• Collections: Effective collections management to minimize outstanding balances and improve cash flow.
• Patient Registration: Streamlined patient registration processes that enhance operational efficiency and improve patient satisfaction.

Strengths

Optum360’s strengths lie in its focus on operational efficiency and technology-driven solutions:

• Operational Efficiency: By optimizing coding, billing, and collections processes, Optum360 helps healthcare providers reduce administrative burdens and improve financial performance. Their efficient patient registration services also contribute to smoother operations and better patient experiences.
• Technology-Driven Solutions: Optum360 utilizes advanced data analytics and technology to drive their RCM processes. This technology integration allows for more accurate predictions, efficient workflows, and better financial outcomes for healthcare providers.

7. Access Healthcare

Access Healthcare is a leader in delivering technology-driven solutions aimed at improving processes within the Revenue Cycle Management (RCM) landscape. Their innovative approach focuses on leveraging technology to enhance efficiency, accuracy, and overall financial performance for healthcare providers.

Key Services

Access Healthcare offers a range of RCM services designed to streamline financial and administrative operations:

• Coding: Accurate medical coding services that ensure compliance and optimize billing efficiency.
• Billing: Comprehensive billing solutions that reduce errors and speed up the payment process.
• Collections: Effective collections management to minimize outstanding receivables and improve cash flow.
• Provider Enrollment: Streamlined provider enrollment services to ensure timely and accurate credentialing with payers.

Strengths

Access Healthcare’s strengths are rooted in its focus on automation and process optimization:

• Automation: By integrating advanced automation technologies into their RCM services, Access Healthcare significantly reduces manual intervention, leading to fewer errors and faster processing times. This automation enhances overall efficiency and allows healthcare providers to focus more on patient care.
• Process Optimization: Access Healthcare employs continuous process improvement methodologies to refine and optimize their workflows. This focus on process optimization ensures that their services remain efficient and effective, ultimately benefiting their clients’ bottom lines.

8. Conifer Health Solutions

Conifer Health Solutions offers integrated healthcare solutions that encompass a broad spectrum of Revenue Cycle Management (RCM) services. By focusing on the complete healthcare experience, Conifer aims to improve both operational efficiency and financial performance for healthcare providers.

Key Services

Conifer Health Solutions provides a wide range of RCM services designed to enhance financial and operational outcomes:

• Patient Access: Services that streamline patient registration, scheduling, and pre-authorization processes, ensuring a smooth start to the patient journey.
• Financial Management: Comprehensive financial management services, including billing, collections, and accounts receivable management, to maximize revenue and improve cash flow.
• Health Information Management: Efficient management of health information, ensuring accurate coding, compliance, and secure handling of patient data.

Strengths

Conifer Health Solutions’ strengths lie in their ability to improve financial performance through comprehensive RCM services:

• Improving Financial Performance: Conifer’s integrated approach to RCM helps healthcare providers optimize their revenue cycles. By managing everything from patient access to financial management and health information, Conifer ensures that all aspects of the revenue cycle are efficient and effective, leading to improved financial outcomes.
• Comprehensive RCM Services: The breadth of Conifer’s services means that they can address multiple facets of the revenue cycle, providing a seamless and coordinated approach that enhances overall operational efficiency and financial health.

9. Athenahealth

Athenahealth is a leading provider of cloud-based Revenue Cycle Management (RCM) services, designed to enhance the financial and operational performance of healthcare providers. By leveraging the power of the cloud, Athenahealth offers scalable and efficient solutions that streamline RCM processes.

Key Services

Athenahealth delivers a comprehensive suite of RCM services aimed at optimizing the revenue cycle:

• Billing: Efficient and accurate billing services that ensure timely payments and reduce administrative burden.
• Coding: Precise medical coding services that enhance billing accuracy and compliance.
• Claims Processing: Streamlined claims processing to reduce denials and accelerate reimbursement cycles.
• Patient Engagement: Tools and services that enhance patient interaction and satisfaction, improving overall patient experience and financial outcomes.

Strengths

Athenahealth’s strengths are centered on improving financial outcomes and operational efficiency through innovative, cloud-based solutions:

• Improving Financial Outcomes: Athenahealth focuses on optimizing the revenue cycle to improve financial performance. Their efficient billing, coding, and claims processing services help healthcare providers maximize revenue and reduce costs.
• Operational Efficiency: The cloud-based nature of Athenahealth’s services ensures that RCM processes are streamlined and scalable. This flexibility allows healthcare providers to efficiently manage their revenue cycles, regardless of size or complexity.

Athenahealth’s commitment to cloud-based technology and their focus on improving financial outcomes and operational efficiency make them a valuable partner for healthcare providers. 

Their comprehensive RCM services ensure that clients can achieve optimal financial performance while maintaining high standards of patient care and satisfaction.

10. Cerner

Cerner is a prominent provider of healthcare technology solutions, offering a broad range of services designed to enhance the operational and financial performance of healthcare organizations. With extensive expertise in the healthcare sector, Cerner is well-equipped to deliver advanced Revenue Cycle Management (RCM) solutions integrated with their Electronic Health Record (EHR) systems and powerful analytics tools.

Key Services

Cerner provides a comprehensive suite of services that address various aspects of healthcare management:

• RCM Solutions: Comprehensive RCM services that streamline financial operations, from billing and collections to claims management.
• EHR Integration: Seamless integration of RCM services with Cerner’s industry-leading EHR systems, ensuring accurate and efficient data management.
• Analytics: Advanced analytics tools that provide actionable insights into financial and operational performance, helping healthcare providers make informed decisions.

Strengths

Cerner’s strengths lie in their extensive expertise in healthcare technology and their ability to integrate RCM services with other healthcare solutions:

• Extensive Expertise in Healthcare Technology: With decades of experience in the healthcare industry, Cerner brings a deep understanding of the unique challenges and needs of healthcare providers. Their expertise allows them to deliver tailored solutions that enhance both financial and clinical outcomes.
• Integrated Solutions: Cerner’s ability to integrate RCM services with their EHR systems and analytics tools ensures a seamless flow of information across various aspects of healthcare management. This integration improves efficiency, reduces errors, and enhances overall performance.

11. eClinicalWorks

eClinicalWorks specializes in providing integrated solutions tailored for small to mid-sized healthcare practices. Their comprehensive suite of services is designed to enhance the efficiency and financial performance of smaller healthcare providers, making advanced Revenue Cycle Management (RCM) accessible and manageable.

Key Services

eClinicalWorks offers a range of RCM services aimed at streamlining financial and administrative tasks:

• Billing: Efficient billing services that ensure timely and accurate payment processing, reducing administrative burden.
• Coding: Accurate medical coding services to optimize billing and ensure compliance.
• Patient Scheduling: User-friendly scheduling tools that improve patient access and reduce no-shows.
• Claims Processing: Streamlined claims processing to minimize denials and accelerate reimbursements.

Strengths

eClinicalWorks’ strengths are centered on providing user-friendly tools and efficient service delivery:

• User-Friendly Tools: eClinicalWorks is known for its intuitive and easy-to-use solutions that cater specifically to the needs of small practices. Their tools are designed to simplify complex RCM tasks, making them manageable for smaller teams.
• Efficient Service Delivery: With a focus on efficiency, eClinicalWorks ensures that their RCM services are delivered promptly and accurately. This focus helps small practices maximize their revenue and maintain smooth operations without overwhelming their staff.

12. Kareo

Kareo focuses on delivering Revenue Cycle Management (RCM) solutions specifically designed for small healthcare practices. By providing simple yet effective tools and services, Kareo helps small practices streamline their financial operations and improve their overall efficiency.

Key Services

Kareo offers a variety of RCM services tailored to the needs of small healthcare providers:

• RCM Tools: Comprehensive RCM tools that simplify the management of billing, claims, and payments.
• Billing: Efficient billing services that ensure accurate and timely payments, helping practices maintain healthy cash flow.
• Coding: Accurate medical coding services that optimize reimbursement and ensure compliance.
• Patient Engagement: Tools and services designed to enhance patient interaction and satisfaction, leading to better patient retention and improved financial outcomes.

Strengths

Kareo’s strengths lie in providing straightforward and effective RCM solutions that cater to the unique needs of small practices:

• Simple and Effective RCM Solutions: Kareo’s tools are designed to be easy to use, making them ideal for small practices with limited administrative resources. Their solutions streamline complex RCM processes, allowing healthcare providers to focus more on patient care.
• Tailored for Small Practices: Kareo understands the challenges faced by small healthcare providers and offers solutions that are specifically tailored to address these challenges. Their services are priced competitively and designed to provide maximum value for smaller practices.

Also Read: Outsourcing RCM services for Small Business

Top 12 RCM Companies for 2025 – Comparison Table

RCM Company	Best For	Key Services	Tech/AI Use	Compliance & Certifications	Notable Strengths
Promantra	Specialty practices, mid-sized clinics	Full RCM, coding, billing, AR follow-up, denial management, analytics	Six Sigma, analytics-driven	HIPAA, ISO 9001 & 27001	Customized specialty RCM, client ROI focus
Cognizant	Large hospitals, global health systems	Billing, coding, AR, financial analytics	AI/ML, advanced analytics	HIPAA	Scalable solutions, tech integration
Change Healthcare	Innovation-driven health orgs	Revenue analytics, claims, payment accuracy, patient engagement	AI, ML, real-time data tools	HIPAA	Predictive analytics, strong payer-provider network
R1 RCM	Health systems, hospital groups	End-to-end RCM, financial clearance, scheduling, billing	Workflow automation	HIPAA	Patient experience focus, seamless hospital workflows
GeBBS Healthcare	Cost-conscious practices, large BPOs	Medical coding, billing, AR, analytics	Process automation	HIPAA, ISO certifications	Offshore model, coding accuracy, compliance
Optum360	Enterprise providers, analytics-focused orgs	Coding, billing, registration, collections	Data analytics, automation	HIPAA	Advanced analytics, patient access optimization
Access Healthcare	Tech-focused mid-large providers	Coding, billing, collections, provider enrollment	RPA, AI-driven workflows	HIPAA	Automation + process optimization
Conifer Health	Integrated health networks	Patient access, AR, billing, HIM, analytics	Integrated tech stack	HIPAA	End-to-end integration, financial & HIM services
Athenahealth	Cloud-first practices, digital health clinics	Cloud-based billing, coding, claims, patient engagement	Cloud-native tech, dashboards	HIPAA	Scalable SaaS RCM, efficient claim handling
Cerner	EHR-heavy environments	RCM, EHR integration, analytics	EHR analytics, tech-driven	HIPAA	Deep EHR integration, legacy system compatibility
eClinicalWorks	Small to mid-sized practices	Billing, coding, claims, scheduling	Cloud-based, simplified UI	HIPAA	User-friendly tools, fast onboarding
Kareo	Solo and small group practices	RCM tools, billing, coding, patient engagement	Cloud RCM, mobile access	HIPAA	Ease of use, tailored for small providers

Pro Tip: Embed this table with responsive design and schema markup to boost AI snippet inclusion and mobile readability.

Check out: RCM Trends That Are Reshaping Healthcare – you might like it.

Promantra — Best RCM Company for Specialty Practices in 2025

Founded in 2003 and based in New Jersey, Promantra continues to be a top-rated Revenue Cycle Management (RCM) company in 2025. With a strong focus on end-to-end RCM, Six Sigma methodology, and specialty expertise, Promantra helps healthcare providers achieve faster reimbursements, lower AR days, and improved operational efficiency.

Key Services

Promantra offers a comprehensive suite of RCM services across the full revenue cycle:

• Patient Registration & Insurance Verification
• Medical Coding & Charge Entry
• Claims Submission & Denial Management
• Payment Posting & Accounts Receivable (AR) Follow-up
• Real-time Reporting & Analytics Dashboards

Pro Tip: Promantra’s AR follow-up and denial management teams have consistently helped clients maintain AR days below 35—a key financial benchmark for specialty clinics.

What Sets Promantra Apart in 2025

Feature	Why It Matters
Six Sigma Process	Drives error reduction and faster billing turnaround
Specialty Focus	Deep expertise across dermatology, orthopedics, nephrology, therapy, and more
HIPAA + ISO 9001/27001 Certified	Ensures strict compliance and secure handling of PHI
Customizable Workflows	Tailored RCM delivery for small, mid-sized, and multi-location practices
U.S.-based Account Management	Personalized support and rapid issue resolution

“As a small dermatology practice, we were overwhelmed with billing tasks. Promantra took over our RCM and gave us time back for patient care. Their specialty knowledge is unmatched.”
— Physician, New Jersey

Ready to Optimize Your RCM?

Contact Promantra today to schedule a free RCM consultation and discover how we can reduce your AR days, increase revenue, and improve operational visibility.

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