Specialty medicine
Cardiology
Diagnostics, intervention and device billing with careful attention to bundling and medical necessity.
Diagnostic vs. therapeutic codingEcho and stress testing
Custom tailored billing HIPAA compliant
Your revenue cycle,managed end to end., protected from denials., reported clearly., audit ready.
Knight Medical Billing is a US medical billing and revenue cycle management partner for independent practices, multi-provider groups, hospitals, health systems, emergency departments and urgent care organizations. From eligibility checks to final payment posting, we run the administrative side of revenue — in your existing software, with a dedicated team.
Your software
No rip-and-replace
No prepayment
No hidden fees
Dedicated team
Named owner
Clear reporting
Monthly review
Live claim flow
From visit to payment
Every
Claim review
Daily
Worklist
Monthly
Reporting
Coverage and benefits are confirmed before the claim exists.
Every stage has an owner. Nothing sits unworked.
Interactive workflow · illustrates the process, not client results.
Payers we work with
Blue Cross Blue ShieldUnitedHealth GroupHumanaAnthemAetnaCignaMedicareMedicaidBlue Cross Blue ShieldUnitedHealth GroupHumanaAnthemAetnaCignaMedicareMedicaidBlue Cross Blue ShieldUnitedHealth GroupHumanaAnthemAetnaCignaMedicareMedicaid
Problems we solve
These are the issues healthcare organizations describe most often — from independent practices to multi-facility systems. Each one has a process cause and a place to start.
Claims sit unpaid
Balances age past 90 days because follow-up lives at the bottom of someone's list.
Denials keep repeating
The same denial reasons come back because the front-end cause is never fixed.
Front desk is overloaded
Eligibility calls, authorizations and patient questions consume clinical staff time.
Underpayments go unnoticed
Payments post below the contracted rate and are adjusted away without review.
Enrollment stalls
A provider is credentialed but the payer file or EDI setup is incomplete.
No clear reporting
Nobody can say what days in A/R, clean-claim acceptance or denial rate actually are.
Revenue leak diagnostic
Explore my revenue bottleneck Revenue doesn't disappear all at once. It leaks stage by stage.
Select a point in the cycle to see where momentum is usually lost — and what Knight does to keep it moving.
The cycle, in motion
01 / 08
Stage 01Revenue cycle
Eligibility
Coverage checked before care
Where it leaks
Coverage or benefits are confirmed late — sometimes after the visit has already happened.
A claim can be denied for coverage or authorization reasons, and the patient can receive an unexpected balance.
How Knight closes it
We verify eligibility and benefits before the visit, document what was confirmed and flag authorization requirements early.
What to monitor
Monitor eligibility-related denials and the share of visits with unverified coverage.
Stage 01 of 08 · follow the same revenue through a different failure point
Eligibility
Coverage or benefits are confirmed late — sometimes after the visit has already happened. A claim can be denied for coverage or authorization reasons, and the patient can receive an unexpected balance.
We verify eligibility and benefits before the visit, document what was confirmed and flag authorization requirements early.
Coding
Codes, modifiers or supporting documentation do not fully match the encounter. The payer may reject the claim or pay a different amount, creating rework before revenue can post.
Certified coders review documentation, apply the right modifiers and look for preventable errors before submission.
Charge capture
Charges are entered late, missed or disconnected from the correct encounter. Services that were delivered may never be billed, or may fall outside timely-filing limits.
We reconcile encounters and charges, work the exception list and keep the path from visit to claim complete.
Submission
Claims sit in a queue, carry correctable errors or miss the payer's filing window. Delayed submission ages the claim before it has a chance to pay and adds avoidable denial work.
Claims are scrubbed, corrected and submitted from a daily worklist, with acknowledgement and payment status tracked.
Denials
Denials are logged but never owned, or appealed without fixing the upstream cause. The same denial reasons recur, and collectible revenue expires while the backlog rebuilds.
We work denials inside payer deadlines, correct the cause and feed the pattern back to coding and front-end teams.
A/R follow-up
Receivables age without a segmented worklist, clear ownership or timely-filing tracking. Collectible balances become write-offs simply because nobody reached them in time.
We segment A/R by payer, age and filing deadline, then work the highest-value, most collectible accounts first.
Patient billing
Patient responsibility is unclear, statements are delayed or questions have nowhere to go. Patient balances age quietly and the front office absorbs avoidable calls and confusion.
Statements, payment posting and patient questions are handled by a team that can explain the balance.
Payment posting
Payments post without a contracted-rate check, so underpayments are adjusted away. The claim looks closed, but the practice may have been paid less than the agreement allows.
ERAs are posted and reconciled, variances are flagged and underpayments become follow-up work rather than silent leakage.
How the work moves
From the visit to the payment, one accountable path.
Scroll through the four stages our team owns. Each stage hands clean data to the next, which is why fewer claims stall.
Step 01
Patient access & eligibility
Patient access & eligibility
Coverage, benefits and authorisation requirements are confirmed before the visit, so the claim starts with correct data.
- Eligibility and benefits verified
- Authorisation requirements flagged
- Estimate shared with the patient
Coding & charge integrity
Certified coders review documentation against the codes billed, so what is submitted matches what was documented.
- Specialty-matched coding review
- Modifier and bundling checks
- Documentation queries raised early
Claims, scrubbing & submission
Each claim is checked against payer rules and submitted from a daily worklist, leaving room to correct anything rejected.
- Payer-specific edits applied
- Daily submission worklist
- Acknowledgements monitored
Posting, follow-up & reporting
Payments post against contracted rates, variances become work, and you see the results in a monthly report.
- ERAs posted and reconciled
- Underpayments flagged
- Reporting with an action plan
The admin realitySee our onboarding process
From paperwork backlog to a clear worklist.
Nothing changes overnight, but the difference between a practice drowning in unworked claims and one that knows exactly what to chase next is process. Drag the handle to compare.
Before
Claims logged but not worked · denials repeating · no reliable A/R figure
After
Every claim owned · root causes fixed · five metrics reported monthly
What we measure
Custom tailored billing, measurable results.
From the moment your patient walks in until payment is received, our RCM team supports your growth by focusing on the problem areas in your revenue cycle — and reporting on them honestly.
Reviewed before submission
Payer-edit checks, coding review and a documented handoff before a claim leaves the team.
Worklist discipline
Claims, denials and aged balances are assigned on a consistent operating cadence.
Performance reporting
Collections, denial trends, days in A/R and charge lag explained with a follow-up plan.
Revenue visibility
Reporting that shows where money is moving, where it is stuck and what happens next.
Account team
A named owner for questions, escalation and the monthly performance review.
Combined experience
Certified billers and coders across major specialties and practice settings.
In 30 seconds
We are a medical billing company. You treat patients, we get you paid.
Knight Medical Billing takes over the paperwork between your patient's visit and your bank account — eligibility checks, coding, claim filing, payment posting, denials and patient billing — using your existing software.
Every claim reviewed before submission Daily claim and denial worklists No prepayment, no hidden fees Dedicated account team
Medical billing services we offer
Complete medical billing, fully managed.
A complete service line across the revenue cycle, plus specialist support — engage the full cycle or start with the stage that is costing you most.
No prepayment
No hidden fees. A dedicated account manager from day one.
An extension of your staff
You heal. Leave the revenue to us.
Your doctors, nurses, front desk and techs each serve a purpose: providing the best care for your patients. We become part of that team — handling the billing, follow-up and payer conversations that keep the lights on.
More focus on patient care
Your clinicians stay with patients while billing runs in the background.
Reduced administrative duties
Charge entry, follow-up, statements and payer calls move off your desk.
Enhanced cash flow
Clean-claim review and disciplined follow-up on open balances.
Reduced billing errors
Certified coders and error checks before submission protect reimbursements.
Improved patient satisfaction
Accurate eligibility means fewer overcharges, refunds and frustrated patients.
Secured patient data
HIPAA-compliant processes, secure data flow and confidentiality built in.
Who we serve
From large health systems to small practices.
Knight Medical Billing is a recognized medical billing organization serving a range of facilities — hospitals, emergency rooms, urgent cares, private practices and multi-site healthcare systems.
Independent & growing practices
Practice support →
Private Practices
Independent, growing and multi-provider groups — with support that fits the stage you are in.
Explore practice supportSmaller or growing?
Start with the stage that is costing you most.
You do not need a full RCM handover to begin. Clean-up, A/R or credentialing support can be the first step.
Specialties
Certified coders across 30+ specialties.
CPC and CIC certified coders with working experience in specialty clinics, emergency rooms, urgent cares, hospitals and health systems.
Filter by group
Our processTalk With Knight
A structured start around your operation.
We learn how your organization works, agree on scope and access, then build a billing and coding team around your facility. No prepayment, no hidden fees, and no long implementation project.
Works in your software
HIPAA-compliant handling
Daily claim worklists
Dedicated account manager
Step 01 of 04
Free consultation
We interview you about what you are looking for in a medical billing company, review your current setup, payers and software, and confirm where revenue is leaking.
- Discovery call and practice review
- Software and workflow check
- No prepayment required
- Scope and team assigned
Start with step 01 Free consultation · no prepayment
Leadership
Founded by a provider, for providers.
Lawrence Fianko, CEO and founder of Knight Medical Billing, is a visionary leader driven by a commitment to improving healthcare. With a background as a mental health and addiction therapist, he brings over five years of clinical experience and a deep understanding of the challenges providers face.
As the founder of Limelight Recovery, he experienced firsthand the financial burdens and administrative complexity that hinder quality care — which led him to revolutionize revenue cycle management.
Also founder of Educational Communities Worldwide
A non-profit providing educational resources to underprivileged students in Africa — the same mission-driven approach applied to healthcare revenue.
Lawrence Fianko
CEO & Founder, Knight Medical Billing
Clinician-led
Provider-first RCM
Why organizations consider a change
Busy is not the same as in control.
Most organizations do not start by looking for a new billing company. They start by noticing that the current process is working harder than the visibility it provides.
“The team is busy, but I cannot see what is stuck.”
Worklists are moving, yet leadership has no clear view of denials, aged A/R or the next action.
“Denials get worked, but too late.”
The same reasons repeat because the front-end cause is never fixed.
“A/R keeps getting older.”
Follow-up happens when someone has time, not on a consistent ownership cadence.
“We are growing faster than the process.”
New providers and locations add volume without adding proportional control.
“Reporting tells me what happened, not what to do.”
Monthly totals arrive without an owner, an explanation or a follow-up plan.
“We need more accountability.”
Questions go to a queue instead of a named person who knows the account.
Technology
We work in your system.
Billing software is central to the revenue cycle. Our team has hands-on expertise across major platforms, so you do not have to migrate or retrain your staff.
CollaborateMDMedisoftMedical ManagerDocuTap / ExperityeClinicalWorksNextGenAdvancedMDKareoGoRevElligenceEpicCerner
The full revenue cycle
Every step our team owns
- 1Appropriate RCM software
- 2Insurance eligibility and verification
- 3Patient pre-certification or pre-authorization
- 4Demographics and charge entry
- 5Copayments and deductibles
- 6Filing claims
- 7Remuneration for services rendered
- 8Denial management
- 9Billing and collection services
- 10Medical appeals
- 11Refund handling
Resources
Billing education from our specialists.
The difference
In-house billing vs. Knight Medical Billing.
Keeping billing in-house means hiring, training, covering vacations and absorbing turnover. A dedicated Knight team gives you coders, collectors and a manager — inside the software you already use.
ConsiderationIn-houseKnight
Claim reviewDepends on capacityEvery claim checked
Submission cadenceOften delayedDaily worklist
Upfront costSalaries + benefitsNo prepayment
Sick days & turnoverPaid time offCovered by the team
Coding certificationsPer hireCPC & CIC team
Out-of-network negotiationRarelySpecialist team
Dedicated account manager—Included
FAQEmail
Questions practices ask before switching.
Call or email us directly — we answer questions the same day during business hours.
Call
(812) 994-0046
admin@knightmedicalbilling.com
Office
585 Grove St Ste 145, Herndon, VA 20170-4790, USA
The combination of direct access and billing knowledge: every client gets a dedicated team member who knows the account, answers questions during business hours and can explain what is happening in the revenue cycle. We use clean-claim review, daily worklists and transparent reporting rather than vague promises.
No. Our process starts with no prepayment and no hidden fees. We begin with a consultation, confirm scope, and build a dedicated team around your facility.
Onboarding is a structured process: consultation, scope and access, team assignment, account clean-up and stabilization, then ongoing RCM. Timing depends on your software access, payer mix and the state of the existing A/R; we agree on a plan before work begins.
Hospitals, healthcare systems, emergency rooms, free-standing emergency rooms, urgent cares, private practices and clinics across the United States.
Cardiology, anesthesia, pediatrics, internal medicine, radiology, neurology, chiropractic, orthopedic, physical therapy, pathology, dermatology, oncology, gastroenterology, nephrology, mental health, podiatry, urology, family practice, Ob/Gyn, occupational therapy, ophthalmology, pain management, home health, hospitalists, emergency rooms, urgent care and more.
We work in CollaborateMD, Medisoft, Medical Manager, DocuTap/Experity, eClinicalWorks, NextGen, AdvancedMD, Kareo, GoRev, Elligence and other major platforms — we adapt to your system rather than asking you to change.
Yes. Out-of-network negotiation is one of our specialties. We negotiate with pricing vendors such as Multiplan, Zelis, Viant and GCS on pre-payment and post-payment claims, using our own OON database to identify underpaid claims.
Yes. We follow HIPAA requirements with complete data and document security, strict quality control and information security policies, and secure data flow between Knight Medical Billing and our partners.
Practice perspectives
The themes we hear from practice leaders.
Anonymised feedback themes gathered in our conversations with administrators and clinicians — not published client endorsements.
Four recurring themes Administrator & clinician conversations
Denials01 / 04
“The pattern we hear most often is that denials get logged but never worked. Once someone owns each denial and the upstream cause is fixed, the backlog stops rebuilding itself every quarter.”
What we would examine
- Which denial reasons repeat by payer
- Whether appeals are filed inside the timely-filing window
- Where the front-end cause begins
Practice perspective 01
Theme
Denials
Shared themes from conversations, not attributed client quotes. Photos are representative.
Explore by focus
Not sure where to start? Shuffle the priorities.
Most practices begin with one urgent problem rather than a full engagement. These are the starting points we see most often — shuffle to see another set.
Showing 3 of 6 focus areas· rotates automatically
Denials are piling up
Appeal what is still within the payer window, then fix the front-end cause.
Denial management
Aged A/R is unmanaged
Segment by payer and filing deadline, then work the collectible balances first.
Accounts receivable
Claims get rejected
Scrub against payer edits before submission to cut preventable rework.
Claims management
KnightMedical BillingLet's get startedReady for a clearer revenue cycle?
Start with a conversation. We will review your current process, the questions that matter and where a dedicated Knight team could take responsibility. No prepayment, no hidden fees.
No prepayment No hidden fees Works in your software
What we will review
- Your current billing workflow and software
- Claim acceptance and denial patterns
- Outstanding A/R and follow-up gaps
- Credentialing and payer contract status
Every client receives a dedicated account manager.
admin@knightmedicalbilling.com