Peregrine Healthcare 

  Medical Billing & Accounts Receivable Management

  Provider Credentialing & Payer Enrollment

 Managed Care & Contract Negotiations

  Certified Medical Coding & Documentation Review

  Practice Consulting & Operational Support

  KPI-Based Reporting & Revenue Visibility

  HIPAA-Compliant Operations

  SOC 2-Certified Infrastructure

Trusted by Physicians & Specialty Practices
Since 2001.

Peregrine Healthcare 

  Medical Billing & Accounts Receivable Management
  Provider Credentialing & Payer Enrollment
 Managed Care & Contract Negotiations
  Certified Medical Coding & Documentation Review
  Practice Consulting & Operational Support
  KPI-Based Reporting & Revenue Visibility
  HIPAA-Compliant Operations
  SOC 2-Certified Infrastructure

Trusted by Physicians & Specialty
Practices Since 2001.

Physician Billing, Credentialing & RCM Support That Protects Your Revenue

Medical billing, credentialing, and practice consulting for Physician Practices, ASCs, and Ancillary Services.

25+

Years Of
Service

95%+

Collections
Ratio

< 30

Days Credentialing
Turnaround

< 30

Days Clean Claims
99.9% Paid

< 30

Days
In AR

25+

Years Of
Service

95%+

Collections
Ratio

< 30

Days Credentialing
Turnaround

< 30

Days Clean Claims
99.9% Paid

< 30

Days
In AR

Focused Support for Today’s Healthcare Providers
Peregrine Healthcare delivers comprehensive medical billing, credentialing, practice consulting, and revenue cycle management (RCM) services for Physician Practices, Ambulatory Surgery Centers (ASCs), and Ancillary Services.
We integrate directly into your existing systems and workflows, using AI-enabled insights where available alongside experienced human oversight to ensure accuracy, compliance, and accountability across the revenue cycle.

Built to Fit Your Practice, Not Force a New Process
Most revenue cycle issues don’t start with poor care.
They start with gaps in coding, follow-up, credentialing, staffing coverage, or visibility. Peregrine works within the systems you already use to strengthen operations without disruption or unnecessary change.

Focused Support for Today’s Healthcare Providers
Peregrine Healthcare delivers comprehensive medical billing, credentialing, practice consulting, and revenue cycle management (RCM) services for Physician Practices, Ambulatory Surgery Centers (ASCs), and Ancillary Services. We integrate directly into your existing systems and workflows, using AI-enabled insights where available alongside experienced human oversight to ensure accuracy, compliance, and accountability across the revenue cycle.

Built to Fit Your Practice, Not Force a New Process
Most revenue cycle issues don’t start with poor care.
They start with gaps in coding, follow-up, credentialing, staffing coverage, or visibility. Peregrine works within the systems you already use to strengthen operations without disruption or unnecessary change.

Named to Becker’s Healthcare 2026 List of "Revenue Cycle Management Companies to Know"

Advancing the financial health of healthcare organizations nationwide.

We Work Inside Systems You Already Use

Our billing, credentialing, and RCM teams integrate directly into leading

EHR and practice management systems:

We Work Inside Systems You Already Use

Our billing, credentialing, and RCM teams integrate directly into leading EHR and practice management systems:

Built for Complex Practices & Care Settings

Peregrine supports organizations across multiple care environments, with each specialty and care setting is supported

with workflows designed around its unique coding, authorization, and payer requirements.

Physician Practices

We support single and multi-specialty practices with workflows tailored to specialty-specific billing, credentialing, and payer requirements, helping reduce denials and improve collections with clear visibility.

Specialty-aware workflows with full revenue visibility.

___________________________________________

      • Pain Management
      • Orthopedics
      • Cardiology
      • Neurology
      • Gastroenterology
      • Primary Care & Internal Medicine
      • Urgent Care
      • Physical Therapy, Occupational Therapy
      • Speech Therapy
      • Behavioral Health

Ambulatory Surgery Centers (ASCs)

We support ASCs with workflows designed for the complexity of professional and facility billing, aligning coding, credentialing, and payer requirements to prevent delays and protect reimbursement.

 

Aligned professional and facility billing, done right.

___________________________________________

      • Multi-Specialty ASCs
      • Pain Management ASCs
      • Colorectal ASCs
      • Cardiology ASCs

Ancillary Services

We support a wide range of ancillary services with workflows designed around documentation, authorization, and payer-specific requirements, helping ensure accurate billing, compliance, and consistent reimbursement.

Documentation-driven workflows that protect reimbursement.

___________________________________________

  • Laboratory
  • DME
  • Remote Monitoring
  • CCM
  • Brainview
  • VNG
  • Vaccines
  • Fibroscan
  • Dialysis
  • Allergy
  • Infusion therapy
  • And more

 

 

Comprehensive Revenue Cycle Support, All in One Place

We deliver end-to-end revenue cycle support to reduce administrative burden, improve performance, and provide clear visibility across billing and credentialing.

Core Services

__________________________________________

  • Medical Billing & Accounts Receivable Management
  • Provider Credentialing & Payer Enrollment
  • Certified Medical Coding & Documentation Review
  • Practice Consulting & Operational Support
  • KPI-Based Reporting & Revenue Visibility

Clear Processes. Real Accountability. Complete Transparency.

Our team uses certified expertise and structured workflows to protect revenue and reduce operational strain. Clear ownership, defined processes, and transparent reporting ensure visibility and accountability across the revenue cycle.

Trusted by Physicians Since 2001

___________________________________________

  • AAPC-certified coders with specialty experience
  • Structured A/R follow-up and denial resolution
  • Credentialing aligned with billing workflows
  • KPI-driven reporting and financial visibility
  • Experienced human oversight at every stage

 

 

Built on Compliance and Security

Peregrine Healthcare operates with compliance-first processes and secure infrastructure designed to protect patient data, provider information, and financial records across every stage of billing, credentialing, and revenue cycle management.

HIPAA-Compliant Operations

_________________________________________

  • Billing, credentialing, and consulting services aligned with healthcare privacy and security standards

SOC 2-Certified Infrastructure

__________________________________________

  • Secure systems designed to protect patient and financial data

 

 

Built for Complex Practices & Care Settings

Peregrine supports organizations across multiple care environments, with each specialty and care setting is supported

with workflows designed around its unique coding, authorization, and payer requirements.

Physician Practices

We support single and multi-specialty practices with workflows tailored to specialty-specific billing, credentialing, and payer requirements, helping reduce denials and improve collections with clear visibility.

Specialty-aware workflows with full revenue visibility.

___________________________________________

      • Pain Management
      • Orthopedics
      • Cardiology
      • Neurology
      • Gastroenterology
      • Primary Care & Internal Medicine
      • Urgent Care
      • Physical Therapy, Occupational Therapy
      • Speech Therapy
      • Behavioral Health

Ambulatory Surgery Centers (ASCs)

We support ASCs with workflows designed for the complexity of professional and facility billing, aligning coding, credentialing, and payer requirements to prevent delays and protect reimbursement.

 

Aligned professional and facility billing, done right.

___________________________________________

      • Multi-Specialty ASCs
      • Pain Management ASCs
      • Colorectal ASCs
      • Cardiology ASCs

Ancillary Services

We support a wide range of ancillary services with workflows designed around documentation, authorization, and payer-specific requirements, helping ensure accurate billing, compliance, and consistent reimbursement.

Documentation-driven workflows that protect reimbursement.

___________________________________________

  • Laboratory
  • DME
  • Remote Monitoring
  • CCM
  • Brainview
  • VNG
  • Vaccines
  • Fibroscan
  • Dialysis
  • Allergy
  • Infusion therapy
  • And more

 

 

Comprehensive Revenue Cycle Support, All in One Place

We deliver end-to-end revenue cycle support to reduce administrative burden, improve performance, and provide clear visibility across billing and credentialing.

Core Services

___________________________________

  • Medical Billing & Accounts Receivable Management
  • Provider Credentialing & Payer Enrollment
  • Certified Medical Coding & Documentation Review
  • Practice Consulting & Operational Support
  • KPI-Based Reporting & Revenue Visibility

Clear Processes. Real Accountability. Complete Transparency.

Our team uses certified expertise and structured workflows to protect revenue and reduce operational strain. Clear ownership, defined processes, and transparent reporting ensure visibility and accountability across the revenue cycle.

Trusted by Physicians Since 2001

___________________________________________

  • AAPC-certified coders with specialty experience
  • Structured A/R follow-up and denial resolution
  • Credentialing aligned with billing workflows
  • KPI-driven reporting and financial visibility
  • Experienced human oversight at every stage

 

 

Built on Compliance and Security

Peregrine Healthcare operates with compliance-first processes and secure infrastructure designed to protect patient data, provider information, and financial records across every stage of billing, credentialing, and revenue cycle management.

HIPAA-Compliant Operations

_________________________________________

  • Billing, credentialing, and consulting services aligned with healthcare privacy and security standards

SOC 2-Certified Infrastructure

__________________________________________

  • Secure systems designed to protect patient and financial data

 

 

Beating The Standard

Beating The Standard

Benefits of Partnering With Peregrine Healthcare

            Area

Staffing Coverage

Coding Expertise

Credentialing & Enrollment

Denial Management

A/R Follow Up

Reporting & Visibility

EHR Knowledge

Compliance Readiness

Scalability

Use Of AI Tools

      In-House Billing      VS.

Dependent on 1-2 key employees

Often generalist or limited

Often handled part-time or reactively

Reactive time-constrained

Competes with daily office demands

Limited or delayed

Platform-specific

Internal risk exposure

Strained by growth or turnover

Limited or inconsistent

Peregrine RCM Support

Dedicated team with built-in coverage

AAPC-certified coders by specialty

Dedicated credentialing team with active tracking

Proactive, payer-specific strategies

Structured, consistent follow-up

Real-time KPI-driven reporting

Multi-platform expertise

Audit-ready processes

Scales without disruption

AI insights with human oversight

Meet Our Leadership Team

Cheryl E. Hoffman

VP Of Operations

Samantha Cable

VP Of Revenue

Cycle Management

James E. Chisolm

DBA, MBA,

President Emeritus

Barbara Soliz

Contracting &

Credentialing Manager

Meet Our Leadership Team

Cheryl E. Hoffman

VP Of Operations

Samantha Cable

VP Of Revenue

Cycle Management

James E. Chisolm

DBA, MBA,

President Emeritus

Barbara Soliz

Credentialing &

Contracting Manager

Featured Industry Insights & Updates

Featured Industry Insights & Updates

Frequently Asked Questions

Who do you typically work with?
K
L

Peregrine Healthcare is a Texas- and Arizona-based medical billing company serving physician practices, ASCs, and ancillary providers nationwide. We specialize in revenue cycle management (RCM) for pain management, orthopedics, cardiology, colorectal, and other procedure-driven specialties where compliance and payer complexity directly impact collections.

We partner with practices that want stronger cash flow, cleaner workflows, and hands-on operational support.

What makes Peregrine different from other medical billing companies?
K
L

We operate as an extension of your practice, not just a claims processor.

Unlike many medical billing companies that focus only on claim submission, Peregrine Healthcare manages the full revenue cycle, including patient-facing support and legacy A/R clean-up.

Our services include:

∙ Front office workflow optimization
∙ Eligibility and authorization management
∙ Coding oversight and RCM audits
∙ Denial management and old A/R recovery
∙ Provider credentialing and payer enrollment
∙ Managed care contracting and negotiations
∙ Patient balance follow-up and pre-collections
∙ Dedicated patient advocates who answer calls live

We provide real client service, including scheduled meetings, reporting transparency, and direct communication. Most RCM companies stop at insurance claims. We work both payer balances and patient balances to protect total revenue.

The result: improved collections, reduced revenue leakage, and stronger patient communication.

What services do you offer beyond medical billing?
K
L

Peregrine Healthcare provides full-service revenue cycle management (RCM) beyond traditional medical billing.

In addition to claims processing, we support:

∙ Provider credentialing and payer enrollment

∙ Managed care contracting and payer negotiations
∙ Front office optimization (eligibility, authorizations, scheduling)
∙ Coding oversight and RCM audits
∙ Denial management and aged A/R recovery
∙ Patient balance follow-up and patient collections
∙ Payroll, bookkeeping, and operational consulting

∙ New practice start-up consulting and revenue cycle setup

We manage the full revenue cycle, from patient intake to final payment.

How do you improve collections and reduce revenue leakage?
K
L

We improve collections by addressing the entire revenue cycle, not just claim submission.

Our approach includes front-end verification controls, clean claim optimization, denial management, aged A/R recovery, payer follow-up, and patient balance pre-collections. We also identify workflow gaps that quietly reduce reimbursement over time.

By strengthening systems at every stage, we reduce revenue leakage and increase overall collection performance.

What KPIs do you track and report on?
K
L

We provide transparent reporting and measurable performance tracking.

Key revenue cycle metrics include:

∙ Net collection rate
∙ First-pass clean claim rate
∙ Days in A/R
∙ Denial rates and denial categories

∙ Aged A/R distribution
∙ Patient collection performance
∙ Credentialing turnaround (do we want to include here? What else?)

Regular reporting and scheduled client meetings ensure visibility, accountability, and proactive revenue cycle management.

How quickly should we expect to see financial improvement?
K
L

Timelines vary depending on the current health of your revenue cycle.

For practices with strong foundations, improvements in denial reduction and cash flow may be visible within the first few months. For practices requiring aged A/R clean-up, credentialing corrections, or workflow restructuring, stabilization may take longer. Our focus is on building sustainable, measurable improvement rather than short-term fixes.

Frequently Asked Questions

Who do you typically work with?
K
L

Peregrine Healthcare is a Texas- and Arizona-based medical billing company serving physician practices, ASCs, and ancillary providers nationwide. We specialize in revenue cycle management (RCM) for pain management, orthopedics, cardiology, colorectal, and other procedure-driven specialties where compliance and payer complexity directly impact collections.

We partner with practices that want stronger cash flow, cleaner workflows, and hands-on operational support.

What makes Peregrine different from other medical billing companies?
K
L

We operate as an extension of your practice, not just a claims processor.

Unlike many medical billing companies that focus only on claim submission, Peregrine Healthcare manages the full revenue cycle, including patient-facing support and legacy A/R clean-up.

Our services include:

∙ Front office workflow optimization
∙ Eligibility and authorization management
∙ Coding oversight and RCM audits
∙ Denial management and old A/R recovery
∙ Provider credentialing and payer enrollment
∙ Managed care contracting and negotiations
∙ Patient balance follow-up and pre-collections
∙ Dedicated patient advocates who answer calls live

We provide real client service, including scheduled meetings, reporting transparency, and direct communication. Most RCM companies stop at insurance claims. We work both payer balances and patient balances to protect total revenue.

The result: improved collections, reduced revenue leakage, and stronger patient communication.

What services do you offer beyond medical billing?
K
L

Peregrine Healthcare provides full-service revenue cycle management (RCM) beyond traditional medical billing.

In addition to claims processing, we support:

∙ Provider credentialing and payer enrollment

∙ Managed care contracting and payer negotiations
∙ Front office optimization (eligibility, authorizations, scheduling)
∙ Coding oversight and RCM audits
∙ Denial management and aged A/R recovery
∙ Patient balance follow-up and patient collections
∙ Payroll, bookkeeping, and operational consulting

∙ New practice start-up consulting and revenue cycle setup

We manage the full revenue cycle, from patient intake to final payment.

How do you improve collections and reduce revenue leakage?
K
L

We improve collections by addressing the entire revenue cycle, not just claim submission.

Our approach includes front-end verification controls, clean claim optimization, denial management, aged A/R recovery, payer follow-up, and patient balance pre-collections. We also identify workflow gaps that quietly reduce reimbursement over time.

By strengthening systems at every stage, we reduce revenue leakage and increase overall collection performance.

What KPIs do you track and report on?
K
L

We provide transparent reporting and measurable performance tracking.

Key revenue cycle metrics include:

∙ Net collection rate
∙ First-pass clean claim rate
∙ Days in A/R
∙ Denial rates and denial categories

∙ Aged A/R distribution
∙ Patient collection performance
∙ Credentialing turnaround (do we want to include here? What else?)

Regular reporting and scheduled client meetings ensure visibility, accountability, and proactive revenue cycle management.

How quickly should we expect to see financial improvement?
K
L

Timelines vary depending on the current health of your revenue cycle.

For practices with strong foundations, improvements in denial reduction and cash flow may be visible within the first few months. For practices requiring aged A/R clean-up, credentialing corrections, or workflow restructuring, stabilization may take longer. Our focus is on building sustainable, measurable improvement rather than short-term fixes.

What Our Clients Say

What Our Clients Say