Outsourced Billing Had A Good Run.
But it is over now.
BUILT FOR BEHAVIORAL HEALTH. ALIGNED WITH THE PEOPLE RUNNING THE FACILITY.
For years, behavioral health operators accepted outsourced billing as an unavoidable condition of doing business. We accepted it too. Until the cost became impossible to ignore. What we built in its place is not a service. It is an operating standard.
The Structural Problem.
It was never about effort.
Outsourced billing does not fail because of bad intentions. It fails because of structure. The distance between a facility and its own revenue is not accidental. It is built into the model.
Divided Attention
Outsourced vendors are built around volume. Commercial insurance reimbursement requires the opposite: close attention to payer behavior, denial patterns, and reimbursement strategy. Precision becomes difficult when attention is spread across dozens of facilities.
Distributed Accountability
When billing is managed externally, responsibility is divided across account representatives, billing teams, and support queues. No single person owns the outcome. No single person remains accountable for the result.
Limited Visibility
The further billing moves from the facility, the harder it becomes to maintain operational visibility. Delayed reporting, slower communication, and fragmented information make problems harder to identify before they affect revenue.
The Model.
Built different. On purpose.
The solution is not better software. It is not a more attentive account representative. It is a fundamentally different structure, one built around ownership, visibility, and direct accountability.
Visible
Every claim viewable in real time. No filtered reporting. No waiting for the monthly summary. No calling someone to ask what is happening with your own money.
Accountable
One person responsible. One direct line. No account representatives standing between your facility and the answer.
The People Behind It.
Built this because they lived it.
Anti Billing Co. was not founded by billing industry veterans. It was founded by operators who experienced outsourced billing failure firsthand and built the alternative themselves.
JAN GOODMAN
Co-Founder · Operator
Twelve-year behavioral health operator. Built and sold a 100% commercial insurance facility in Florida. Built this model after outsourced billing nearly ended the business three times.
IRA BERKE
Co-Founder · Healthcare
Former Partner and COO at MedExpress Urgent Care, scaled to the largest privately held urgent care company in the United States. Acquired by Optum, a division of UnitedHealth Group.
SHERRY LITTLEFIELD
Co-Founder · Chief Billing Officer
Twenty-five years of behavioral health revenue cycle management. Primary specialization in commercial insurance across all fifty states.
Bill Has Found Something
You'd do well to read it.
Payer policy shifts, denial patterns, and the quiet costs of leaving your own numbers to someone else. The sort of thing worth knowing before it becomes a problem.
Why Your Biller's Silence Is Not Good News
When your billing company goes quiet, it isn't because everything is running smoothly. It is because clinical documentation errors are piling up.
Sep 1, 2026
Why is your billing ledger separate from your EMR?
Standard billing companies work in separate software, locking treatment centers out of their own live financial ledgers and real-time EMR data.
Aug 28, 2026
Are You Paying For A Biller Or A Call Center?
Most facilities overpay for billing by ignoring the quality of the service. Here is why your fee should buy a dedicated biller, not a call center.
Aug 25, 2026
Make The Decision.
It is not a complicated one.
One conversation. We walk through the model, the numbers, and the timeline tailored to your operation. No proposal theater. No follow-up dance. You decide on the same call. Yes, the phone actually works!
