Medical Billing Companies & Consultants in Irving, TX

Altus Pediatric Billing is an outsourced revenue cycle firm that limits its client base to pediatric practices. It supports pediatricians throughout the country and lists offices in Irving and Dallas, Texas. Its pitch is aimed at independent pediatric offices that want specialty knowledge from their biller. Every staff member works in the United States, and nobody offshore handles patient data.

Background and Team

The company grew out of co-founder Emily Floyd's family history. Her mother, a pediatrician, left a large multi-specialty group to open her own office. Her father, an attorney, later stepped in, uncovered coding and billing mistakes, and appealed rejected claims. That recovered revenue helped the practice survive and eventually expand to several locations.

Floyd earned an MBA at Yale and also holds an MS-HCT. She is certified through the American Association of Professional Coders and spent eight years managing teams at a Fortune 50 corporation. The leadership group also includes the following people:

• Richard Schleier, JD, a former trial lawyer and corporate attorney. He drafts legal responses to denials and flags legal risks for clients.
• Sue Schleier, MD, a pediatrician with more than twenty years in both corporate and independent settings.
• Wincy Tomecko, MD, a private-practice pediatrician who advises colleagues on practice growth and referral relationships.

Billing, data, onboarding and practice relations managers work from several states, and the firm reports active membership in the AAP.

Services

Altus handles the standard billing cycle: reviewing, submitting and correcting claims, posting payments, issuing patient statements and producing routine reports. On top of that baseline it adds:

• A 30-point review of overall practice profitability
• A policy of pursuing every claim rather than writing balances off
• Monthly metric reviews with suggested next steps
• Quarterly reviews of fee schedules and payer contract rates
• Yearly goal-setting sessions focused on profitability
• Standalone pediatric billing audits

The audits examine documentation, claims and denials, payment posting and coding accuracy. They are especially useful for errors involving developmental screenings, behavioral health visits and vaccine administration. Each practice is benchmarked against peers nationally and receives recommendations along with implementation help.

Working Relationship

Each client is assigned one biller, who works directly inside the practice's own EMR and billing software. Because of this setup, the practice keeps ownership of its data and can check notes on open patient accounts whenever it wants. The team follows a structured checklist for follow-up and also supports front desk and office staff.

It answers questions about coding, billing for new vaccines and pricing strategy. Clients also join monthly virtual peer groups, with one group for physicians and another for administrators.

Getting started involves a 60-minute discovery call. Altus does not require long-term contracts and begins submitting claims in the client's system once engaged. For buyers weighing billing vendors, its main distinctions are its narrow pediatric focus, its U.S.-only staff, and its mix of clinical, legal and business expertise in leadership.

Apex Healthcare Solutions is an Irving, Texas company that provides remote staffing and outsourced administrative support to medical practices. Billing and collections are one part of a broader set of front- and back-office services. The firm describes itself as rooted in the Dallas area. Its work is aimed chiefly at small and mid-sized practices and facilities that want to ease the workload on their in-house teams without adding full-time employees on site.

Background and Team

A physician started the company to cut operating costs for practices and relieve pressure on both clinical and administrative personnel. The goal was also to keep the workplace organized and support better care for patients. Its leadership group is based in the United States and has more than ten years of hands-on experience running medical practices.

According to the firm, members of its team have been establishing and overseeing healthcare facilities since 1995. They moved into medical staffing in 2005 and began offering virtual medical assistance in 2012. Apex notes that many of its core staff members and clients have stayed with it over the long term.

The remote workforce consists largely of nurses. Candidates complete foundational training, and the company says it accepts only roughly the top fifth of applicants to work on client accounts as virtual medical assistants.

Medical Billing and Related Services

For buyers focused on revenue cycle needs, Apex lists billing and collections alongside tasks that typically feed into clean claims and timely payment. Its published service list includes:

• Medical billing and collections
• Insurance verification
• Pre-certification and pre-authorization
• Scheduling and data entry
• Chart preparation and inbox monitoring
• Referral coordination
• Medical records coordination and medical transcription
• DME and compliance support

The company presents itself as a single source for common operational problems at medical facilities and business offices. Its offerings cover in-office staffing, remote staffing, billing and clinical process support. It says it can assist a practice being launched from the ground up as well as one that simply needs extra help with billing.

How Apex Works With Clients

Each virtual assistant is backed by a support structure. This includes account managers located in the US, quality assurance oversight with daily reporting, in-house subject matter experts who can guide the assistant, and IT support. On the commercial side, Apex offers monthly pricing with no long-term commitment and payment to a US-registered company. It also signs a Business Associate Agreement, which matters for practices that handle protected health information under HIPAA.

Apex also emphasizes technology. It points to the regulatory shift brought by HIPAA and the HITECH Act, which pushed practices toward electronic systems. The company says its tech-savvy assistants and technology-enabled outsourced services take on the technical burden so that providers can stay focused on patients. Its pitch centers on affordable, dependable support for practices facing shrinking reimbursements and tighter regulation.

APEXMedPro, which also appears as Apex MedPro, is a medical billing and practice technology company based in Cheyenne, Wyoming, with a second office in Irving, Texas. It serves physicians, occupational therapists, hospitals and other care providers. The company describes itself as a one-window solution for the money side of a practice, aiming to raise reimbursements and strengthen profitability. Its billing programs are customized and, according to the firm, suitable for practices of every size.

Billing and Revenue Services

Billing and revenue cycle work form the foundation of the business. The staff reports experience in maximizing collections and improving cash flow, and it handles complicated billing matters so that providers can spend less time on paperwork. The company presents its revenue cycle management as protection against cash flow problems, and it says credentialing and electronic enrollment spare clients from errors and delays. The service list includes:

• Medical billing, with a separate offering for small practices
• Revenue cycle management
• Credentialing, re-credentialing and EDI, ERA and EFT enrollment
• Practice and patient management services
• Eligibility verification and financial management
• Technical support, client services, and organization and business development help
• A free practice audit
• Telemedicine and virtual assistant options

Technology Platforms

Rather than depending only on outside systems, the company supplies its own software. Pro-EHR is a web-based health record system covering charting, scheduling, e-prescribing, billing, lab and imaging center connections, referral letters, Meaningful Use certification, training and support, plus a personal health record for patients.

MedPro-Soft is the newest version of its cloud-based system, intended to lift collections, cut expenses and improve efficiency. MPro is a mobile app for Android devices, iPads and iPhones, letting providers handle scheduling and reporting away from the office. The company also promotes ICD-10 integrated software and a support team available around the clock.

Specialties and Niche Programs

The firm lists experience with a broad set of disciplines, among them urgent care, nephrology, oncology, radiology and physical therapy, as well as general and internal medicine and behavioral health. Dedicated service pages cover behavioral and mental health billing, chiropractic billing, and billing and coding connected to COVID-19.

A testimonial from a licensed psychotherapist credits the team with prompt claim submission, diligent denial follow-up and help in switching to new billing software. Another endorsement, from a managing director, notes that help is reachable at any hour.

Terms and Resources

The company highlights several points for buyers: no binding contract, HIPAA compliance, data security, easy access to claims data, and virtual office assistance. It also advertises that 97% of claims are paid on first submission.

Visitors can read about ICD-10, HIPAA, Meaningful Use and PQRS, watch webinars, and follow a blog that has covered billing appeals, the effect of COVID-19 on coding, and ways to streamline prior authorization. Those interested can ask for a demonstration or a callback, and the site also offers a downloadable company profile.

Abeo's web address now leads to Ventra Health, a revenue cycle management (RCM) company that handles medical billing and related financial work for hospitals, health systems and physician groups across the United States. Its corporate headquarters is in Dallas, and a reliable business listing also shows an office on State Highway 161 in Irving.

Ventra mainly serves facility-based physician specialties, and it pairs its own billing staff with in-house software, so it is aimed at organizations that want to hand off most or all of their revenue cycle rather than buy a standalone billing tool.

Specialties and Clients

The company focuses on four clinical areas: anesthesia, emergency medicine, hospital medicine and radiology. Its clients range from private practices to large hospitals and multi-site health systems. The site features case studies from a radiology group in Alaska, an emergency medicine practice and a regional health system.

These report results such as a multimillion-dollar revenue gain, a higher collection amount per visit and a better net collection rate. Feedback gathered by KLAS Research in 2025 and 2026 highlights how easy it is to reach senior leaders, the quality of reporting and the firm's willingness to take on more work as clients grow.

Services

Ventra covers the full revenue cycle, from coding and claim submission to collecting money that has been held up. Its main offerings are:

• Medical billing and full-service revenue cycle management
• Coding-only engagements for groups that keep billing in-house
• Claims management and denial prevention
• Patient responsibility and self-pay balance management
• Payer strategy and contract support
• Provider enrollment and credentialing
• Provider education on documentation and coding
• Data, analytics and performance reporting

Technology and Approach

Two proprietary platforms support the service work. vCision applies agentic AI and automation to spot weak points in the revenue cycle. It helps Ventra's specialists submit cleaner claims, head off avoidable denials and respond to changes in payer behavior. vSight is the analytics layer.

It feeds vCision with Ventra's own data and gives clients a standard set of five benchmark measures: three based on the income statement and two based on the balance sheet. The company publishes a downloadable eBook that explains these measures and how its analytics team uses them to guide improvements.

Reported Results

Ventra reports roughly a 19 percent rise in first-pass payment rates and about a 26 percent drop in initial denials. Its year-over-year figures include an 8.1 percent gain in insurance collections, accounts resolved 11 days faster and a 9.1 percent improvement in receivables older than 120 days.

Buyers comparing billing vendors will find that the firm's strengths are this focus on measurable results, its depth in hospital-based specialties and open reporting. Practices outside those four specialties should confirm the fit before signing.