Timberline Billing Service LLC

Timberline Billing Service LLC helps Iowa and Illinois school districts get reimbursed through the School Based Medicaid Program without the administrative burden that typically comes with it. Based in West Des Moines, Iowa, the company built its practice around one specific focus: Medicaid billing done correctly, in compliance with state requirements, and in a way that actually makes sense for district staff who have enough on their plates. For school districts, Medicaid billing is genuinely complicated. Documentation requirements are strict, reimbursement rules differ between Iowa and Illinois, and the work often falls to staff who are already stretched thin. Timberline handles the back-office billing work so districts can stay focused on students. Their process covers billing and documentation aligned to Iowa and Illinois School Based Medicaid Program requirements, with the goal of helping districts capture the reimbursements they are already entitled to but often miss. The clients here are public school districts, and that focus is deliberate. Rather than offering a broad healthcare BPO service across dozens of specialties, Timberline built its model around a single program type in two specific states. That kind of specialization matters in Medicaid billing, where compliance details are highly state-specific and a generalist approach often leaves reimbursement dollars on the table. Timberline was recently acquired by Relay, a company that provides a purpose-built Medicaid workflow solution for Iowa and Illinois districts. The acquisition adds modern workflow software, documentation tools, and additional back-office outsourcing resources to what Timberline's district clients already receive. The commitment to dependable service, clear guidance, and strong customer success relationships continues under the Relay partnership. If your district is looking for a billing outsourcing partner that genuinely understands the Iowa and Illinois School Based Medicaid Program, Timberline, now part of Relay, is worth a conversation. Visit their site or contact your Customer Success Manager to request information about supporting your district's reimbursement goals.