First Coast Billing Group

First Coast Billing Group, based in Jacksonville, Florida, helps healthcare providers recover revenue from aged accounts receivable that other billing services have passed over or abandoned. The company's specialty is turning dormant claims into actual payments without disrupting existing billing operations, and their track record includes recovering between $1 million and over $20 million in aged balances for clients. The company's core offering is AR wind-down services, built for accounts that are typically 60 to 120 days or more past the date of service. When a practice transitions billing systems, closes out a payer contract, or accumulates a backlog of unresolved claims, First Coast steps in as a dedicated recovery partner. They handle the full billing workflow for aging accounts: filing insurance claims, sending patient statements, taking patient phone calls, posting payments, working denials and rejections, filing appeals, processing attorney requests, and forwarding accounts to collections when appropriate. They also offer specialized services such as EKG over-read billing, a niche that demands focused expertise most general billing companies cannot provide. First Coast serves multi-specialty physician practices, healthcare providers navigating billing transitions, and third-party medical billing companies that want to hand off legacy AR projects to a specialist. This healthcare BPO positions itself as a partner to existing billing relationships rather than a replacement, making it a practical outsourcing option for billing firms looking to offload older account populations without losing visibility into current operations. The company's proprietary, in-house software was built specifically for AR wind-down work. Clients get real-time account access, custom monthly reporting, weekly collection updates, and initial inventory summaries. First Coast also provides flat-rate data housing for the legally required seven-year retention period, with ongoing statement, claim, and call services included throughout. On-call availability outside of scheduled meetings and full auditing assistance round out a transparency-first approach to back-office medical billing and revenue cycle management. Healthcare organizations and outsourcing partners looking to recover value from neglected AR can contact First Coast Billing Group through their website to request an initial inventory assessment and discuss their accounts receivable situation.