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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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











