American Revenue Billing

American Revenue Billing (ARB) is a Newfields, NH firm that takes on two tasks small businesses and medical practices consistently struggle to keep up with: bookkeeping and medical billing. Founded by two sisters with hands-on expertise in both areas, ARB functions as a back-office partner, handling the financial and administrative work that pulls owners away from running their business. The firm's approach is direct and client-specific, with reporting and processes customized to each client rather than delivered off a generic template. For small businesses, ARB specializes in QuickBooks Online and covers the full range of day-to-day financial work. That includes accounts payable and receivable, payroll processing from employee onboarding through direct deposit and pay stub generation, professional invoicing, bank reconciliations, and financial reporting. The goal is straightforward: clients should never miss a vendor payment, lose track of an incoming invoice, or spend hours each month reconciling books that should stay current week to week. On the medical billing side, ARB manages the complete revenue cycle for healthcare practices across New England. Services include patient profile creation with eligibility verification and estimates, claim submissions, daily clearinghouse reconciliation, payment posting, denial management, patient statements, collections, and coding review. The team works with each practice on an ongoing basis to catch errors before claims go out and to follow up persistently on outstanding accounts, keeping reimbursements moving and cash flow predictable. ARB serves a wide range of small business clients, including law firms, realtors, Airbnb operators, contractors, and consultants. For healthcare clients, the firm focuses on New England practices that want a local billing partner with regional insurance knowledge rather than a distant outsourcing vendor with no context for their market. Across both sides of the business, the common thread is that clients want someone who knows their industry and communicates directly, not a high-volume back-office operation treating every account the same way. If your practice or small business is spending too much time on billing paperwork, payroll administration, or keeping up with accounts, ARB offers outsourced bookkeeping and medical billing RCM as a focused, relationship-based service. Visit their website to start a conversation about your specific needs and find out how offloading the back-office work can free your team to focus on what actually matters.