Our story

Founded in 2018. Headquartered in Utah. Built for the long game.

Aaron and Priya met at a hospital network where she ran engineering and he ran revenue cycle. They watched the same problem from two sides: software that was sold to admins, never to billers; outsourced billing companies that treated denials like a numbers game.

MD Medical Billing is what they wished existed: a single team running both the platform and the work — with the people who do the work having a say in how the software gets built.

We're profitable, employee-owned, and have no plans to be anything else.

2018
Founded
180+
People on the team
1,400+
Providers served
$ 2.1B
Claims processed in 2025
36
States with active clients
94 NPS
Customer NPS score
The team

People who have done your job.

Built by RCM operators and engineers, not consultants. We've worked the AR queue, run the denials team, and sat through the audit.

AK
Aaron Knox
CEO & Co-founder

15 years running RCM operations for hospital networks. CPC, CHC.

PR
Priya Ramanathan
CTO & Co-founder

Engineering lead at Epic and a health-fintech startup. SOC 2 lifer.

MB
Marcus Bell
VP of Operations

Built denials teams at three RCM companies. Knows your payer rep.

LC
Dr. Lena Cho
Chief Medical Officer

Practicing internist. Translates clinical to coding without losing nuance.

JR
Jordan Reyes
Head of Coding

AAPC certified, audit defense across cardiology and ortho.

SO
Sam Olafsen
Head of Customer

Runs your CSM team. Believes monthly calls should change behavior.

Values

How we work.

Six rules, written in our first month. Still on the wall.

No black boxes

Every workflow, every denial, every dollar is visible to the client. No "trust us."

Pick up the phone

We answer when called. Email replies in under four hours. No support tier shuffle.

Tied to revenue

We get paid when you do. Our incentives match yours by contract design.

Always certified

Our coders and billers carry the credentials. We invest in continuing education.

Plain language

Acronyms and jargon only when they're the clearest word. No buzzword stacks.

Patients > metrics

When the right thing for the patient and the right thing for the report differ, the patient wins.

Get started

Stop fighting your payers.
Start getting paid.

Tell us about your practice. We'll come back with an honest read on what's leaking — and what we'd do about it.

See pricing
Most demos booked within one business day.