Managed revenue cycle management for independent specialty practices.
We run billing, coding, denials, AR, prior auth, and credentialing for physician-owned practices with 3 to 12 providers. You pay a percentage of what we collect.
Revenue, Resuscitated.
What Quilven does
Quilven is a managed revenue cycle management (RCM) company for independent, physician-owned specialty medical practices in the United States, typically 3 to 12 providers. We run a practice's entire billing operation as an outsourced billing department, covering medical billing, certified coding, denial management, accounts receivable recovery, prior authorization, provider credentialing, revenue cycle optimization, and reporting. Quilven is paid as a percentage of what it collects, so its fee scales with the practice's cash flow.
The eight functions we run
Your billing department, run end to end.
Quilven runs the full managed scope so nothing falls between vendors. Each function below is staffed, documented, and reported through Apex.
Medical billing
We submit claims to payers through clearinghouses such as Availity and Optum, post payments, and follow each claim to final resolution.
Certified medical coding
AAPC-certified coders translate clinical documentation into CPT and HCPCS codes that maximize compliant reimbursement.
Denial management
We work denials by CARC and RARC code, correct root causes, and file appeals so the same denial does not recur.
Accounts receivable (AR) recovery
We work aged AR by payer and aging bucket on a fixed cadence until every claim is paid, appealed, or written off with reason.
Prior authorization
We secure payer authorizations before service so procedures are not denied for lack of approval.
Provider credentialing
We enroll and recredential providers with payers so claims are not held or denied for credentialing gaps.
Revenue cycle optimization
We review charge capture, coding, and denial patterns to recover revenue left on the table and lower cost to collect.
Reporting and analytics
Through Apex, you see collections, AR days, denial rate, and claim status, updated continuously.
How Quilven charges
A percentage of collections.
Quilven is paid as a percentage of what it collects, not a flat monthly fee. When collections rise, we earn more; when they dip, we earn less, so our incentive stays aligned with yours. There is no setup fee for the audit, and engagement is month-to-month with no multi-year contract. You can leave at any time.
Industry percentage billing typically ranges from 4% to 9% of net collections, with the most competitive quotes landing between 5% and 7% (A3 Medical Billing, 2026; Neolytix, 2026). Your exact rate depends on specialty, claim volume, and scope.
See full pricing details →Start here
A free 48-hour AR audit.
We review your accounts receivable aging, top denial reasons by CARC and RARC code, payer mix, and clean-claim patterns. Within two business days you receive a written report showing where revenue is leaking, what we would recover, and what the work would cost.
The audit is free and obligation-free. You keep the report whether or not you engage Quilven.
- AR aging by payer and bucket
- Top denial reasons by CARC and RARC code
- Payer mix and clean-claim patterns
- Recovery opportunity and cost
Apex dashboard
Your live revenue, in one view.
Apex is the dashboard where you watch your revenue move. It shows net collections, days in AR, denial rate, and the status of every claim, updated continuously. You keep full visibility and control; nothing is written off silently.
Apex works in your existing practice management system, including Athenahealth, eClinicalWorks, Epic, Tebra and Kareo, AdvancedMD, and NextGen.
Honest proof
How to trust a billing partner you just met.
We earn trust with terms, not testimonials. We do not publish client results yet because we have not earned the right to. When we do, each will be named, dated, and stated with its sample size.
Month-to-month terms
No multi-year contract. We have to earn your business every month, or you leave.
HIPAA and a signed BAA
Before any protected health information is exchanged, we sign a Business Associate Agreement under 45 CFR 160.103.
Documented workflow
Denials, appeals, and AR follow-up follow a fixed cadence you can inspect, not a black box.
Cited benchmarks
Where we cite industry figures, we cite them to their source: MGMA and HFMA for definitions and benchmarks, HBMA for billing standards.
The team
The people running your revenue cycle.
Your revenue cycle is staffed by named people with real credentials, not an anonymous queue. Named leads and their certifications are introduced during onboarding, with photos and direct contacts.
Dedicated account manager
One person owns your account, knows your practice, and is your single point of contact.
AAPC-certified coders
Coders holding CPC and COC credentials, with specialty coding experience across the practices we serve.
Credentialing specialists
Provider enrollment and recredentialing handled by people who work payers and panels every day.
AR and denial analysts
Analysts who work aged AR and appeals on cadence, by code, until each claim resolves.
Who we serve
Built for the three people who carry the practice.
Practice medicine. We run the money, and you see every number.
- We manage every step from charge capture to final payment, and work every denial and appeal.
- Charts stay clean and documented the way you already work.
- Your time goes back to patients, not to billing phone trees.
- Every claim, denial, and payment is tracked and reported, so nothing is written off silently.
Predictable cash flow, month-to-month terms, no multi-year lock-in.
- You pay a percentage of what we collect, so our fee scales with your cash flow.
- Month-to-month engagement with no multi-year contract.
- One dedicated account manager who knows your practice.
- Credentialing and payer enrollment handled for you.
A partner, not a replacement. We take the payer grind; your biller keeps oversight.
- We take eligibility calls, claim scrubbing, denial triage, appeals, and AR follow-up.
- Your biller keeps oversight, local knowledge, and the front-office relationship.
- Apex replaces spreadsheets and email threads with one live view.
- We augment your team's capacity without displacing it.
Comparison
Quilven vs four ways to deliver billing.
A partner, not a replacement. This compares delivery models, not your staff. Most practices run a mix of in-house people and outside support, and that mix is healthy.
| Billing handled in-house | Another percentage billing company | Offshore billing | EHR-bundled RCM | Quilven | |
|---|---|---|---|---|---|
| Contract length | Ongoing salaries | Often annual | Often annual or minimums | Tied to EHR term | Month-to-month, no lock-in |
| Who works denials and appeals | Your staff, if they have time | Varies by vendor | Transactional, thin appeals | Limited to EHR workflows | Quilven, by denial code, with appeals |
| Coverage when someone is on leave | Gaps when staff are out | Varies | Covered, with time-zone gaps | Tied to EHR support | Continued, team-backed |
| Reporting visibility | What your staff builds | Vendor reports | Varies, often limited | EHR reporting | Live in Apex, always on |
| Payer-specific expertise | Depends on your staff | Varies | Broad, less payer-specific | EHR-general | Specialty and payer-specific |
| Credentialing included | |||||
| Compliance and BAA | Yours to run | Varies | Verify posture | Via EHR vendor | |
| How you pay | Salaries and overhead | Percentage of collections | Hourly or per-claim | Bundled in EHR fees | Percentage of collections |
Specialties we serve
Billing built for your specialty.
Each specialty has its own payer mix, coding profile, and denial patterns. We run dedicated pages for the specialties we serve.
For your billing manager
Will outsourcing replace our billing manager?
No. Quilven augments your billing manager, it does not replace them. We take the payer grind: eligibility calls, claim scrubbing, denial triage, appeals, and AR follow-up. Your biller keeps oversight, local knowledge, and the relationship with your front office.
The work becomes more strategic, not less. Your biller moves from chasing denials to preventing them, with Apex as the shared source of truth.
Frequently asked questions
Free 48-hour AR audit
Find out what your practice is leaving on the table.
Answer three questions. We will run a free 48-hour audit of your accounts receivable and show you what is recoverable. No obligation, no contract.
Where is revenue leaking right now?
How long has your oldest unpaid AR been sitting?
How big is your practice?
You told us
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