Bushido Billing

Bushido Billing is a medical billing BPO company based in Seattle, WA, built to give healthcare providers a cleaner, more reliable path to getting paid. The company handles insurance claims from start to finish so clinics can focus on patient care instead of chasing down payments. It was founded by Dr. Karen Hannah, a chiropractor, and Jeff Thiel, a processes and metrics specialist, after they experienced firsthand how errors and poor communication from back-office providers were costing practices thousands of dollars each month. The Full Billing Service is the flagship offering. It covers personal injury cases, general and private insurance, and paper billing forms, with pricing that flexes to fit a clinic's size. Alongside that, the team provides Account Auditing to review system setup and catch billing errors early, detailed Reporting with follow-up on every unpaid claim, and Clearing House Set-Up including ERA, EFT, and EDI enrollments. Fee Schedule Integration is also available, where the team researches contracted rates and loads them directly into practice management software. For clinics that want to keep billing in-house, Bushido Billing offers Software Training and one-on-one Consulting with a Billing Specialist. Patient Invoicing rounds out the menu, covering both paper statements and electronic billing. The company's outsourcing model was built with chiropractic practices in mind, and Dr. Hannah's background means the team understands the specific coding and payer requirements that affect those clinics. The service structure is flexible enough to support any healthcare provider managing multi-payer insurance environments, personal injury caseloads, or high-volume claims processing that strains in-house staff. What sets this back-office provider apart is its commitment to communication. Bushido Billing commits to weekly updates so providers always know the status of their claims. That focus is a direct response to the opacity that frustrated its founders when working with other billing companies. The team supports multiple EHR software platforms and assigns billers who specialize in the system each clinic already uses, which reduces errors at handoff and speeds up the entire revenue cycle. For any practice evaluating medical billing outsourcing, Bushido Billing offers a free Discovery Session to review your current setup and identify where revenue is being lost. Whether you are replacing an underperforming service or outsourcing for the first time, it is a practical way to see what a focused back-office partner can do for your bottom line.