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Healthcare & Medical Services

Healthcare revenue, reconciled and visible.

We work between your practice management system and your accounting system, so claims, payments, denials and balances match. Revenue cycle, billing and bookkeeping for US practices, behavioral health providers and medical billing companies.

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Medical practices Behavioral health Billing companies
Why it matters

Most revenue problems sit between two systems.

The billing system says one thing, the books say another, and nobody is sure which balance is right. We close that gap, and keep it closed.

01 · VISIBILITY

Balances that don't agree

Practice management A/R, payer reports and QuickBooks each show a different number, so month-end turns into guesswork.

We reconcile them to the claim level and explain every difference.
02 · ACCURACY

Payments that never get applied

Deposits land in the bank but sit unapplied or posted to the wrong claim, which hides what patients and payers still owe.

We post and match payments to remittances, deposits and the ledger.
03 · CONTROL

Denials nobody is working

Rejected and unpaid claims age quietly until they pass timely-filing limits and become write-offs.

We work denials by root cause and track each claim until it's resolved.
Who we work with

Built for the business side of healthcare.

Medical practices

Independent and group practices that need clean billing and books without adding in-house headcount.

Behavioral health providers

ABA, therapy and mental health organizations working across Rethink, Tebra and QuickBooks.

Medical billing companies

Billing teams that need reconciliation support, historical cleanup or extra capacity for client work.

Healthcare business owners

Owners and operators who want reliable numbers on collections, receivables and profitability.

Healthcare services

From the claim to the balance sheet.

Take one service or combine several. Each one is scoped around your systems, your payers and the problem you need solved.

01

Revenue Cycle Management (RCM)

Oversight of the whole revenue cycle: charge entry, claim submission, payment posting, follow-up and month-end reporting, run as one connected process instead of separate tasks.

One accountable team watching every stage, so revenue doesn't stall between handoffs.
02

Medical Billing & Claims Management

Claim preparation, review and submission, with each claim tracked until it is paid, adjusted or appealed.

Fewer avoidable rejections and a clear status for every claim.
03

Insurance Payment Posting & Reconciliation

Accurate posting of ERA/EOB payments, adjustments and patient responsibility, reconciled to bank deposits and the general ledger.

Payments that agree with the remittance, the bank and the books.
04

Accounts Receivable Management

Aging review by payer and patient, prioritized follow-up, and cleanup of credit balances and stale items.

An A/R report you can trust, and act on.
05

Denial Management & Claims Follow Up

Denied and unpaid claims worked by root cause: corrections, resubmissions, appeals and payer follow-up, logged until resolved.

Denied revenue gets pursued instead of written off by default.
06

EHR and Practice Management Systems Integration

Mapping how data moves between your EHR, practice management and accounting systems, then building the exports, imports and checks that keep them aligned.

Less re-keying and fewer gaps between systems.
07

Tebra, Rethink, and QuickBooks Integration

Structured data preparation and upload workflows between Tebra, Rethink and QuickBooks, designed around how your team already works.

Practice data reaches your accounts in a consistent, reviewable format.
08

Healthcare Bookkeeping & Financial Reporting

Monthly bookkeeping with revenue recorded in line with billing activity, plus P&L, balance sheet and cash reporting.

Books that reflect what the practice actually collected and is owed.
09

Historical Billing Cleanup & Data Reconciliation

Reviewing past periods to match claims, payments and adjustments against accounting records, with every discrepancy documented.

A reliable opening position, and a record of what was corrected and why.
10

Revenue Analytics & Financial Dashboards

Dashboards for collections, A/R aging, payer mix and denial trends, built from your own billing and accounting data in Power BI or spreadsheets.

See how revenue is performing without waiting for month-end.

Not sure which service fits?

Book a free consultation. We'll review how your billing and accounting connect today and recommend where to start.

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Case studies

Real Healthcare Projects & Experience.

Examples of our work across medical billing reconciliation, healthcare systems integration, and claims investigation. Some projects represent different workstreams within the same client engagement. Client information remains confidential.

Workstream · Reconciliation

Historical Medical Billing Reconciliation

US healthcare client · confidential

  • Tebra
  • QuickBooks

The Challenge

Historical billing records in Tebra and accounting balances in QuickBooks did not fully reconcile.

What We Did

  • Reviewed historical claims, payments and outstanding balances
  • Compared Tebra records with QuickBooks balances
  • Investigated unapplied payments and discrepancies

The Outcome

Structured reconciliation findings, with identified discrepancies documented for corrective action.

Why It Matters

A reconciled view shows what is genuinely outstanding, so balances can be managed with confidence.

Workstream · IntegrationIntegration in progress

Tebra, Rethink & QuickBooks Integration

US healthcare client · confidential

  • Tebra
  • Rethink
  • QuickBooks

The Challenge

Moving information between Tebra, Rethink and QuickBooks relied heavily on manual reconciliation.

What We Did

  • Assessed workflows across all three systems
  • Mapped data between the systems
  • Prepared data for imports and exports
  • Identified manual reconciliation bottlenecks
  • Uploader and integration development (ongoing)

The Outcome

Workflow assessment, data mapping and import/export preparation completed. Uploader and integration development is ongoing.

Why It Matters

A mapped, structured data flow is the foundation for less manual reconciliation between clinical, billing and accounting systems.

Workstream · Claims investigation

Medical Claims & Payment Investigation

US healthcare client · confidential

  • Practice management
  • Accounting

The Challenge

Historical claims and payment postings contained duplicates, unmatched payments and differences from accounting balances.

What We Did

  • Investigated historical claims and payment postings
  • Reviewed duplicate and unmatched payments
  • Matched payments at claim level
  • Identified unapplied amounts
  • Categorized reconciliation discrepancies

The Outcome

Structured findings, with unapplied amounts identified and discrepancies categorized, prepared for corrective action.

Why It Matters

Categorized findings turn an unclear ledger into a specific list of corrections.

No client names, patient information or protected health information is shown on this page.

Seeing similar gaps in your own numbers?

Tell us which systems you use and where the figures don't agree. We'll outline how we'd approach it in a free consultation.

Book a Free Consultation →
Platforms

Systems we work with.

We work inside the tools you already use. Here's where we have hands-on project experience, and which other platforms we can assess.

Healthcare systems: project experience

Tebra (formerly Kareo)Billing & practice managementProject experience
Rethink Behavioral HealthBehavioral health practice managementProject experience

Accounting & reporting

QuickBooksAccounting
XeroAccounting
OdooERP
Power BIDashboards
Excel / SheetsReconciliation workpapers

Other EHR & practice management platforms: available for assessment

Using another EHR or practice management system? We can assess its reporting, data export, and integration capabilities to identify the right solution for your billing and financial workflows.

  • CentralReach
  • TherapyNotes
  • SimplePractice
  • AdvancedMD
  • athenahealth (athenaOne)
  • eClinicalWorks
  • NextGen Healthcare
  • Office Ally

Product names are trademarks of their respective owners. Accountibles is an independent service provider and is not affiliated with, or endorsed by, these vendors.

Why Accountibles

Billing knowledge with an accountant's discipline.

Billing and accounting, one team

Most issues sit between the billing system and the books. We work on both sides, so nothing gets lost in the handoff.

Claim-level detail

We reconcile at the claim and payment level, not only totals, so every difference can be traced back to its source.

Your systems stay

We work inside Tebra, Rethink, QuickBooks and your existing tools, with no forced migration or new software to buy.

Documented findings

Every review ends with structured reports that your team, your billing company or your CPA can act on.

Confidential by default

We ask only for the access the work requires and treat practice and patient information as confidential throughout.

Qualified finance leadership

Engagements are led by a CIMA-qualified management accountant (ACMA, CGMA), not just a billing coordinator.

How we start

A straightforward way to begin.

01

Discovery call

We learn your systems, payers, team and where the numbers stop making sense.

02

Data review

Using reports or limited access, we assess the scope and agree the priorities with you.

03

Reconcile & fix

Cleanup, posting, follow-up or integration work, with findings documented as we go.

04

Report & maintain

Regular reporting and dashboards so the position stays accurate month after month.

Not sure where your revenue stands?

Book a free consultation. We'll look at how your billing and accounting connect today and tell you plainly where the gaps are.

Discuss Your Billing & Reconciliation Challenges →
Healthcare enquiry

Tell us what needs fixing.

Share a little about your organization and the systems you use. We'll come back with a clear view of how we can help.

  • We reply within 24 hours
  • A free, no-obligation consultation call
  • Scoped around your systems and priorities
Please don't include patient information. No patient names, dates of birth, member IDs or clinical details: just describe the business problem.
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Related services

Often needed alongside healthcare billing and reconciliation.

Finance, systems and reporting work overlap. These services connect most closely with this page.