Our Story

Built for operators who can't afford to leave revenue on the table.

P&L Billing Solutions was founded by healthcare operators who were tired of watching generic billing companies cost them millions in lost revenue. So we built something different.

100+
Clinic locations served
98.6%
Average clean claim rate
14 yrs
Healthcare RCM expertise
94%
Denial recovery rate
Our Manifesto
We don't process claims. We engineer revenue.

Healthcare operators face a revenue crisis that most billing companies are poorly equipped to solve. They're built for volume — not for outcomes. They measure success in claims submitted, not dollars collected.

We measure success the way you do: net revenue captured, A/R velocity, and denial reversal rates. We built UrgentFlex Liquid — our proprietary four-lane RCM platform — because off-the-shelf billing couldn't meet the standards our clients demanded.

Today, P&L Billing Solutions is the revenue engine behind some of the most complex multi-site healthcare operations in the country — HBOT centers, wound care networks, Helix-affiliated practices, and specialty clinics.

Our clients don't have billing partners. They have a revenue system — one that scales with them, responds faster than any in-house team, and holds itself accountable to measurable outcomes.

Our Journey

From a single clinic to 100+ locations.

Every milestone in our history was driven by the same question: how do we recover more revenue for our clients with less friction?

2010
Founded in healthcare billing
Started as a single-practice billing service for a wound care clinic in South Florida. Learned the art of denial management from day one.
2014
HBOT specialization
Became one of the first RCM firms to build a dedicated protocol for hyperbaric oxygen therapy billing — a notoriously complex reimbursement category.
2017
Multi-site platform launched
Deployed the first version of UrgentFlex — a centralized revenue operations platform designed for operators running 5+ locations.
2020
Remote RCM infrastructure
Built a fully remote, HIPAA-compliant billing operations center. Zero interruption to client revenue during the pandemic-driven shift.
2023
UrgentFlex Liquid platform
Released the second-generation platform with real-time analytics, AI-assisted denial prediction, and a client portal for 24/7 revenue visibility.
2025
100+ clinic milestone
Crossed 100 active clinic locations. Established as the leading RCM partner for Helix-affiliated practices and HBOT networks nationwide.

Why operators choose us

  • Healthcare-only focus — no generalist billing teams
  • Dedicated account lead per client, not a call center
  • Proprietary denial pattern database (14+ years of data)
  • Real-time dashboard access — no waiting for monthly reports
  • Performance-linked SLAs with financial accountability
  • HIPAA, HITECH, and SOC 2 compliant infrastructure
Our commitment

If we don't outperform your previous billing solution in the first 90 days, you can exit with no penalty. We publish the benchmark. We own the outcome.

What We Stand For

Three pillars. Zero compromise.

Everything we build, every decision we make, every process we design is anchored to three core operating beliefs.

Revenue is non-negotiable.
Every dollar your patients owe, every claim your payer approved, every code your physician documented — that revenue belongs to you. We treat it that way. No leakage is acceptable.
Speed is a revenue variable.
A/R aging is not an accounting metric — it's a measure of organizational health. Every day a claim sits unpaid costs you money. We optimize for velocity at every stage of the cycle.
Transparency builds trust.
You should never wonder how your billing is performing. Our client portal gives you real-time visibility into every claim, every denial, every payment — 24/7, no request required.
Leadership Team

Operators and technologists. Not just billers.

Our leadership team has run clinical operations, built billing software, and managed payer contracts — often all at once.

Marcus A. Rivera
Chief Executive Officer & Co-Founder
20+ years in healthcare operations. Former VP of Revenue Cycle at a 40-site wound care network. Built P&L from the frustration of watching billing companies fail operators.
Dr. Patricia Chen
Chief Revenue Officer & Co-Founder
Former payer-side medical director. Understands how insurance companies make denial decisions — and builds our recovery protocols from the inside out.
James T. Okoye
Chief Technology Officer
Built revenue analytics platforms for three health systems before joining P&L. Architect of the UrgentFlex Liquid platform and real-time client dashboard.
Sandra M. Williams
VP of Compliance & Payer Relations
15+ years as a Certified Professional Coder. Leads our HIPAA compliance program and maintains active payer relationships with 200+ carriers nationwide.
Kevin D. Park
VP of Client Operations
Former COO of a 25-location urgent care chain. Leads our onboarding, account management, and performance reporting teams. Your dedicated point of contact from day one.
Rachel N. Foster
Director of Revenue Analytics
Turns billing data into strategy. Built the predictive denial model that identifies denial risk before claims are submitted — reducing first-pass denials by 62%.
Compliance & Certifications

Your trust is our infrastructure.

Every process, system, and team member at P&L operates under the strictest compliance standards in healthcare billing.

HIPAA Compliant
HITECH Act
SOC 2 Type II
PCI DSS
CPC Certified Coders
AHA Billing Standards

Payer relationships & integrations

Ready to work with us?

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