Heads Held High Billing

Heads Held High Billing (HHHB) is a Philadelphia-based medical billing and credentialing company built specifically for behavioral health providers. Founded by Will Dempsey, a licensed therapist and group practice owner, HHHB was created out of a practical reality: behavioral health providers deserve billing support from people who understand the work, not just the paperwork. That firsthand experience shapes everything about how the team operates. The company offers a full range of back-office outsourcing services for private practices. Their managed billing service covers claims submission, denial follow-up, eligibility verification, and payment tracking, all with full provider visibility throughout. Credentialing support helps providers get enrolled with the insurance plans they want, without navigating a notoriously confusing process alone. Beyond managed services, HHHB offers 1:1 billing training built around each provider's specific systems and payer mix, small-group Billing Fundamentals sessions for those building foundational knowledge, and practice coaching for providers working through the business decisions that come with starting or growing a practice. HHHB works exclusively with behavioral health providers: solo therapists entering private practice, group practices managing billing at scale, and psychiatric nurse practitioners with their own distinct billing needs. Behavioral health billing is genuinely different from general medical billing, with its own CPT code sets, telehealth requirements, supervision structures, and payer-specific policies. That focused experience means the support HHHB provides is directly relevant to the practices it serves, rather than adapted from a general healthcare BPO model. What sets HHHB apart from a standard medical billing outsourcing company is its commitment to transparency. The team explains what is happening with a practice's billing and why, rather than positioning themselves as essential gatekeepers. Providers can choose full managed billing, training to handle it themselves, or a combination of both. The company is queer-owned and queer-staffed, brings experience across multiple states and payers, and approaches every engagement with clear communication and practical guidance grounded in anti-racist, queer-affirming values. For behavioral health providers looking to outsource billing and credentialing, build stronger internal billing systems, or simply get clear on the business side of running a practice, Heads Held High Billing is worth reaching out to. Visit their website to explore their services or connect with the team directly.