Outsourced Billing vs. In-House: Which Is Right for You?

Jovin Richard
Jun 23
2 min read

At ACCORDPRO, we’ve worked with both in-house teams and fully outsourced practices. Below, we break down the key differences between outsourced and in-house billing, along with the pros and cons of each model, so you can make an informed decision.

Find the Best Fit to Maximize Revenue and Minimize Risk

Medical billing is one of the most critical—and complex—parts of running a successful practice. Whether you’re a solo provider or managing multiple locations, how you handle your billing can make or break your revenue cycle.

In-House Medical Billing

What It Is: Billing is managed internally by your staff using practice management software, clearinghouses, and payer portals.

Pros:

Full control over processes and staff
Easier to coordinate with front-desk and clinical teams
Immediate access to billing staff for real-time communication

Cons:

Staffing issues (turnover, training, time off) can cause bottlenecks
High overhead costs for salaries, software, and benefits
Limited resources for denial management and compliance monitoring

Best For: Larger practices with experienced billing managers, or clinics with specialized in-house workflows that require constant coordination.

Outsourced Medical Billing

What It Is: Billing is handled by a third-party company that specializes in revenue cycle management (RCM).

Pros:

Access to expert billing teams and certified coders
Scalable support without the burden of hiring and training
Lower denial rates and faster payments through proven systems
Cost-effective for small to mid-sized practices

Cons:

Less direct control unless communication is proactive
May require onboarding time to sync with your EHR and workflows

Best For: Small to mid-sized practices, growing groups, or any clinic looking to reduce admin burden, stabilize cash flow, or resolve complex billing issues.

Key Comparison Table

Feature	In-House Billing	Outsourced Billing
Cost	Higher (salaries, tools)	Lower (percentage-based)
Staffing Flexibility	Limited	High (scalable support)
Claim Denial Management	Varies by staff training	Dedicated denial teams
Compliance Monitoring	Often limited	Built-in audits & oversight
Speed of Reimbursement	Inconsistent	Optimized workflows
Ideal For	Larger, stable operations	Growth-focused clinics

Questions to Ask Before Choosing

Do we have the time and expertise to manage denials and appeals?
Are billing errors causing lost revenue or compliance concerns?
Could outsourcing free up staff to focus on patient care?
Is our billing process scalable as we grow?

Final Thoughts

There’s no one-size-fits-all answer—what matters is choosing the model that aligns with your clinic’s goals, resources, and growth plans. Many clinics start in-house and transition to outsourcing as volume increases or staffing becomes a challenge.

At ACCORDPRO, we offer flexible, transparent medical billing solutions tailored to your specialty, size, and software setup.