Medical Billing Companies & Consultants in Honolulu, HI

Akamai Practice Management is a Honolulu-based company whose sole focus is serving physician practices within the state of Hawaii. It develops billing software for medical offices and also handles reimbursement work on an outsourced basis. Roughly fifty people are on staff, a team that includes account managers, trainers, programmers, technical personnel, accountants and client support specialists.

Together they aim to help physicians capture the full revenue their offices have earned while reducing the administrative load. The company reports serving more than 900 providers, which it estimates to be about a third of the independent medical practices in Hawaii, and its clients are spread across five islands: Kauai, Molokai, Maui, Oahu and Hawaii Island.

Two ways to work with Akamai

Clinics can select between a pair of service models. Offices that want in-house staff to continue managing claims can license Akamai's software and receive training plus ongoing support. Offices that would rather hand the work off can sign up for revenue cycle management, the current industry term for what used to be known as full-service billing.

Akamai's account teams provide this service to approximately 100 practices, from single-physician offices up to multi-specialty groups. Under this model, Akamai takes over the routine financial tasks a clinic would otherwise perform internally, including:

• Posting charges and submitting claims to insurers
• Logging payments and receipts as they arrive
• Preparing deposits and managing related banking tasks
• Producing patient statements
• Following up on claims that are unpaid or slow to process
• Answering billing questions from patients by phone
• Credentialing assistance from dedicated specialists

Clinics using the outsourced model keep full access to the Akamai PM system, allowing them to schedule visits, pull reports, accept patient payments and review account details. In most cases, charges flow from the practice to Akamai in real time via an interface with the clinic's electronic health record.

About Akamai PM

The company designed and owns its Akamai PM software, which can run either in the cloud or on a server located at the practice. The system interfaces with more than fifty clinical programs, accounting for most of the electronic health record products used in Hawaii.

Among these are Epic, including both the Queen's and HPH implementations, and Elation Health, along with a number of other popular charting and charge-capture tools. The software is updated regularly so it keeps pace with evolving federal rules and payer policies.

Who Akamai serves and how it began

Clients vary in size from solo practitioners to groups employing more than 80 physicians, though most have under five providers. The company works across a wide range of medical fields. Primary care clients include family medicine, internal medicine and pediatrics practices.

Specialty clients cover urology, radiology, psychiatry, ophthalmology, oncology, neurology, gastroenterology, otolaryngology, dermatology and cardiology, as well as allergy and immunology and obstetrics and gynecology. Akamai also serves surgeons, anesthesiologists, therapy providers and clinics offering emergency or urgent care. The organization's roots go back to 1981, when managing partner Mark Service started Pacific Software to move billing onto personal computers.

That business created Medical ABC, a practice management program widely adopted by Hawaii doctors during the 1980s and 1990s. Pacific Software was later acquired by VantageMed, a national roll-up that went public. In 2004, several of the original founders teamed up with longtime colleagues to form Akamai, bringing the business back under local ownership. Six partners now run day-to-day operations.

Stephanie Akimoto, one of the partners, leads revenue cycle services. All billing staff are based in the U.S., working from offices in Honolulu and Kapolei and remotely from Hawaii Island and Texas.

For practices comparing billing firms, Akamai points to several distinguishing factors: in an anonymous survey, upward of 98% of responding clients said they recommend the company to peers; clients stay an average of more than ten years; agreements carry short terms; and the company emphasizes fair, clearly explained pricing.

Ike Pono Medical Billing Hawaii is a revenue cycle management firm in Honolulu that handles billing and reimbursement for healthcare providers. Its name comes from a Hawaiian expression meaning to see clearly. The firm describes its approach in terms of harmony, sincerity and shared effort between its billing team and the practices it represents.

Its core belief is that clinicians should get fair and timely payment for the care they give, so they can focus on patients instead of administrative work.

Background and Credentials

The business is led by Cristiane Caleffi, who is certified as a professional in medical billing and reimbursement and has provided billing services to Hawaii practices since 2004. In 2017 she also earned a professional coding certification, so the firm can advise current and prospective clients on coding questions as well as handle their claims.

The office is on Kapiolani Boulevard in Honolulu. Although the team works locally, the firm says it can support providers anywhere in the country because billing codes are largely the same nationwide. Buyers should note that the website currently says the firm is not accepting new clients because of demand, though it hopes to add capacity later.

Services

Ike Pono handles the full revenue cycle, from checking coverage before a visit to reporting results each month. Its published services include:

• Full revenue cycle management
• Insurance eligibility and benefits verification
• Claims submission, mostly electronic
• Secondary claim filing
• Payment posting and entry
• Denial management and follow-up on unpaid accounts
• Patient statements and patient billing
• Monthly reporting
• CIS billing for the State of Hawaii and CCS encounter reporting

Specialties and Industries Served

Behavioral health is the firm's main focus. It works with both individual mental health providers and treatment facilities. Beyond standard office visits, it bills for intensive outpatient programs, day treatment, psychosocial rehabilitation, case management, and methadone and opioid addiction treatment. It also handles workers' compensation and auto insurance claims. Outside behavioral health, its clients include family practice, physical, occupational and speech therapy, applied behavior analysis, osteopathic physicians, neurology, podiatry and primary care.

The team works with the payers most common in Hawaii, including HMSA, HMAA, Kaiser, AlohaCare, Ohana Health Plan, University Health Alliance and Medicaid. It also works with national plans such as Medicare, Blue Cross Blue Shield, Cigna, United Healthcare, Tricare and TriWest. The website offers resources for clients, including an encounter form, compliance materials and a copay reference for Hawaii mental health providers.

Ike Pono stands out for three reasons: two decades of local experience, a principal who holds both billing and coding credentials, and close familiarity with Hawaii-specific behavioral health programs such as CIS billing and CCS encounter reporting. This focus may be especially relevant to practices that run intensive outpatient, psychosocial rehabilitation or substance treatment programs. Prospective clients can request a free phone consultation to discuss their needs.

Isla Medical Services, Inc., which calls itself Isla Medical Services Bureau, Inc. on its website, is an outsourced medical billing company. It takes over the revenue cycle work of physician practices. It does not sell software.

Instead it works as a remote billing department, handling claims, payments and receivables for providers so the practice does not have to staff and run that work in house. It works with doctors opening a brand-new practice and with established offices that are having trouble keeping their billing current.

How the engagement works

The company is paid a share of the money it actually recovers, so its pay is tied directly to collections. If nothing is collected, the client owes no service fee. Isla says it works like the practice's own billing office, just located off site.

This lets providers avoid the costs of an internal billing team, such as extra office space, staff benefits, turnover and missed workdays. Clients also avoid the upkeep of billing hardware and software. The firm says its goals are to lower administrative costs, cut errors, speed up claims, improve cash flow and keep coding and billing compliant.

Billing and coding services

Its services cover every step of a claim, from setup to collection:

• Setup support for new practices
• Electronic claim filing to Medicare, Medicaid, government programs and commercial insurers
• Paper claim preparation and filing
• Charge entry
• Posting of payments
• Remote ICD-10 diagnosis coding
• Remote CPT procedure coding
• Management of denials and appeals
• Follow-up on patient accounts receivable
• Training in medical billing and coding

Specialties served

Isla lists experience in many clinical fields, so it may suit single-specialty groups as well as multi-specialty and ancillary providers. The specialties on its site include radiology and interventional procedures, internal medicine and family practice, pediatrics, orthopedics, podiatry, physical therapy, neurology, obstetrics, oncology, anesthesia, surgery and urgent care. It also bills for home health and durable medical equipment suppliers, speech-language pathology providers and clinical laboratories.

Background and differentiators

The company highlights its trained, capable staff and its focus on service to both the practices it represents and their patients. It says it is committed to aligning its work with the financial and strategic interests of physician organizations. Besides day-to-day billing, it runs a training program in medical billing and coding.

That may appeal to practices that want to build some in-house knowledge while still outsourcing. Its website lists an office in Tamuning, Guam. For buyers comparing billing partners, the main points to weigh are its fee based on collections, its wide range of specialties, and the fact that one provider handles coding, claims, appeals and receivables.

Based in Honolulu, Island Healthcare Solutions, LLC provides revenue cycle management, including billing, coding and consulting, to outpatient medical centers and to physicians whose practices are hospital-based. The company does not try to serve every kind of provider. It concentrates on a limited set of specialties so that its team can become thoroughly familiar with the payment rules most relevant to those groups. Judging by the professional associations it has joined, radiology and emergency medicine are among its core areas.

What the Firm Offers Practices

The company frames its services as a comprehensive package designed to relieve doctors of administrative burdens without taking away their control over the practice. The areas it lists are:

• Billing of professional claims, along with pursuit of unpaid receivables
• Enrollment and credentialing with insurers, plus tracking of negotiated payment rates
• Electronic filing of claims, supported by scrubbing tools that flag mistakes before submission
• Coding of medical services, as well as documentation instruction, coding reviews and physician education
• Tailored reports that measure each client's performance against industry standards
• Safeguarding of patient data and adherence to HIPAA and HITECH requirements
• Financial back-office support covering payables, payroll, the general ledger, budgets and planning
• Consulting and practice management services, payment processing among them

Approach to Client Relationships

Island Healthcare Solutions characterizes its work with clients as a partnership built on consistent follow-through and frequent contact. Its billing technology allows employees to set up many of the checks within the practice management software on their own, so rules can be adjusted fast whenever coding conventions or insurer payment behavior changes.

Each claim is screened for exceptions prior to filing. The firm's stated goals include timely reporting, quick turnaround on coding and billing, and steady pursuit of unpaid accounts. It establishes performance objectives on both a monthly and a yearly basis and allocates staff so that every client's receivables receive focused attention.

Precision and regulatory adherence run throughout the company's description of itself. Each employee undergoes routine reviews of accuracy and compliance, with strong outcomes earning recognition. Managers also conduct periodic checks to verify that targets are being reached. According to the firm, its workforce is local and cross-trained in coding, billing and patient interaction, giving patients a courteous person to deal with while keeping insurers answerable.

History and Management

Established as an LLC in 2019, the company works with clients in Hawaii, California and Washington. Together, its executives bring more than forty years of experience spanning revenue cycle operations, practice administration, the startup of new practices and efforts to boost performance. Ginger A. Ryder, the president, is credentialed as a CPC, CHBME and CMPE.

Cheryl Rose holds the role of chief financial officer. Two senior vice presidents round out the leadership group: Eric Hannum, responsible for business development, and Lisa DeJournett, who directs operations.

Its industry affiliations include the Radiology Business Management Association, the Healthcare Billing and Management Association, the American College of Emergency Physicians, the Medical Group Management Association and the American Academy of Professional Coders. The company additionally maintains a defined procedure for responding to records requests from attorneys. For practices seeking a billing partner that combines a tight specialty focus and locally based staff with accounting services beyond the revenue cycle, Island Healthcare Solutions may merit a closer look.

Based in Honolulu, Pacific Management Services, LLC (PMSLLC) takes on the operational burdens of medical and health-care practices so that their owners do not have to. The company acts as an external administrative department for Hawaii providers.

Its work covers revenue cycle tasks such as billing, as well as staffing, office administration and technology, areas that smaller and mid-sized practices frequently struggle to handle internally. By absorbing these duties, PMSLLC aims to free doctors and other clinicians to concentrate on treating patients.

Billing and revenue cycle work

The heart of the firm's offering is medical billing. PMSLLC emphasizes precision and reliability in how claims are prepared and processed. According to the company, each practice under its management has seen stronger cash flow and has recovered a greater portion of the money owed to it. Its revenue services consist of:

• Full-service billing for physicians and allied health providers
• Assembling insurance claims and sending them to payers
• Tracking outstanding balances and pursuing unpaid accounts
• Enrolling and credentialing clinicians with insurance carriers
• Advisory support on regulatory compliance

Testimonials from clients indicate that PMSLLC processes claims under workers' compensation as well as employer-sponsored contracts. This background is especially relevant to clinics offering occupational therapy, industrial rehab and physical medicine.

Practice management beyond billing

Many vendors stop at billing, but PMSLLC extends into broader office administration. Practices can delegate payables, bookkeeping, yearly reporting obligations, hiring and employment matters, the administration of staff benefits and the oversight of retirement plans. The company additionally supplies ASP and shared network computing, giving practices access to hosted systems without the expense of maintaining in-house IT.

One client noted that the firm even assisted with tax filings. Because its services span so many functions, PMSLLC suits clinicians launching a new office who prefer a single partner to establish both the financial and operational foundations.

Clients and specialties

The firm's published client roster leans heavily toward podiatry, physical and occupational therapy, rehabilitation, orthopaedics and pain management. Practices in pediatrics, dermatology, women's health and laboratory testing also appear. Among the organizations it lists are Childrens Orthopaedics of Hawaii, Academy Foot Center of Hawaii and Hawaii Institute of Pain.

Other named clients include Kashiwabara Physical Therapy, Physical & Industrial Rehabilitation Clinic of Oahu, Pediatric Group of Honolulu and S&G Labs Hawaii. The roster further features The Queen's Outpatient Clinics and Therapeutic Associates of Maui, the latter demonstrating that PMSLLC supports practices on neighbor islands, not just Oahu.

What clients most often highlight is the personal relationship. A practice manager commended the close coordination between PMS employees and her own team. A podiatrist credited the company's business infrastructure with helping him grow a thriving practice across a four-year span.

An occupational therapist on Maui described the firm's long-standing connections throughout the islands as essential to getting his clinic off the ground. For practices in Kaneohe and elsewhere on Oahu, PMSLLC offers a locally rooted choice that combines billing expertise with comprehensive business support.

Overview

SMA Billing Solutions, LLC is a small, boutique revenue cycle firm in downtown Honolulu. It handles professional billing for physician practices and other healthcare providers. The company was founded in May 2004 and has spent two decades helping Hawaii clinicians hand off the administrative work of getting paid, so they can spend their time treating patients. Owner Arlene Salvador leads a team with more than thirty years of combined experience in professional claims and revenue cycle work.

The firm works with solo clinicians and multi-provider groups, and says both get the same standard of attention. It describes new clients as joining its ohana, the Hawaiian word for family. That reflects a relationship-driven approach rather than a high-volume processing model. The company is a particularly good fit for physicians who have opened their own offices and found that running a clinic also means running a business, with payer rules, coding changes and collection tasks to manage.

Services

SMA Billing Solutions offers end-to-end revenue cycle support, from submitting claims to following up on unpaid accounts and handling collections. Its goal is to take these duties off a practice's plate entirely. Core functions include:

• Timely, efficient preparation and submission of claims
• Follow-up to lower outstanding accounts receivable
• Denial management
• Keeping ICD-10, CPT and HCPCS coding current, including correct use of modifiers
• Tracking changes in insurer policies
• Collecting balances and patient co-pays, with internal checks and balances
• Processing patient statements
• Answering patient questions about their bills
• Training and support for in-office staff when needed
• Ongoing feedback to providers

Specialties Served

The team has billed across a wide range of medical fields, so it knows the coding and payer details of both surgical and outpatient specialties. Its experience covers cardiology, cardiothoracic surgery, orthopedic surgery, neurosurgery, retinal surgery, gastroenterology, otorhinolaryngology, hospitalist groups and physical therapy. It also covers behavioral health fields such as psychiatry and psychology, along with other disciplines.

Pricing Model and Approach

Instead of flat fees, the company charges a percentage of the money it actually collects for the client. The firm presents this as a way to align incentives: it earns more only when the practice is paid more fully, which encourages it to pursue every charge.

The firm also points to its payer knowledge, its third-party contacts and its regular communication with clients. Together, these are meant to keep aging receivables from growing and to cut the routine bad-debt write-offs that many practices accept as normal.

For Honolulu buyers comparing billing partners, SMA Billing Solutions is a long-established, locally based option. It suits practices that want a hands-on, personal relationship with a small team. The company offers a free consultation, where prospective clients can share their headcount of providers, monthly billing volume and specialty to see whether the firm is a good fit.

TeamPraxis is a Honolulu-based company that has spent many years handling revenue cycle work for outpatient medical practices across Hawaii. Its main office is on Kapiolani Boulevard in Honolulu. Physicians and specialty groups on the islands came to know it for billing support built around local payers and the way private practices actually run. The company is now part of Resolv Healthcare RCM. That pairs its long Hawaii history with a revenue cycle organization that works across the country.

Background and Ownership

TeamPraxis has long been considered one of the main physician service organizations in Hawaii. It is also known for building healthcare IT tools for medical offices. In 2024, N. Harris Computer Corporation, a global vertical market software company, bought TeamPraxis, LLC from 'ike Group, Inc., a Hawaii-based group of technology and healthcare companies.

TeamPraxis now operates under Resolv Healthcare RCM, a division of Harris. The company describes the merger as a way to keep its local relationships and reputation while giving clients access to Resolv's larger set of revenue cycle tools and its operations across the U.S. mainland.

Who They Serve

TeamPraxis focuses on ambulatory care, meaning practices that treat patients outside the hospital. Typical clients include:

• Independent physician practices in Hawaii
• Specialists who want to be more productive and keep finances under control
• Group practices with multiple providers
• Outpatient practices on the mainland that are served through Resolv Healthcare RCM

Services

TeamPraxis works mainly as a service firm, not a seller of software. Its goal is to help practices get paid fully and on time for the care they provide. Its main services are:

• Medical billing and claims management
• Full revenue cycle management for outpatient practices
• Automation of repetitive revenue cycle tasks
• Help with improving cash flow and collections
• Business support for physician offices so doctors can spend more time on patients

Combined with Resolv, TeamPraxis aims to help practices improve billing accuracy, speed up payments and simplify how the revenue cycle is managed. New clients usually start with a conversation about how the practice currently runs. That review then shapes a plan for which billing and revenue cycle work TeamPraxis will take on.

What Sets Them Apart

Practices in Honolulu that compare billing vendors may value TeamPraxis's long history in the local market and its focus on outpatient medicine. Its staff know the Hawaii payer landscape. As part of Resolv and Harris, the company is also backed by a large software and billing organization with more technology and resources.

This combination of local knowledge and national scale is the main way it differs from small independent billing services and from large national vendors that have no presence on the islands.