athenahealth Billing Services for athenaOne Practices

Mukesh MakwanaFounder & CEO · Hands-on medical billing & RCM across 11 specialties · Reviewed October 11, 2026

athenahealth billing services from Sterling Global Solution LLC means a billing team that works inside your athenaOne account alongside the revenue cycle services athenahealth already provides. athenaOne submits and scrubs claims through its own rules engine; our team does the practice-side work that still decides whether those claims pay: clean registration and eligibility, accurate charges and coding, authorizations, answers to every claim that comes back to the practice, and patient balances.

What athenaOne already does

athenahealth describes athenaOne as its fully integrated EHR, medical billing and practice management, and patient engagement solution. On its own site, athenahealth says the following about the billing side:

Rules engine: a network-wide billing rules engine that proactively identifies and corrects claim errors, with athenahealth's rules engine and billing experts identifying and resolving claim errors before submission.
Eligibility and scrubbing: real-time eligibility checks and claims scrubbing.
Denials: denial management services and automated resubmissions.
Authorizations: an authorization determination engine and a team of specialists that can acquire authorizations.
Pricing model: athenaOne's cost is based on a percentage of collections model.

In other words, athenaOne is software and a service together. Many practices assume that means billing is fully handled. In practice any billing system can only work with what the practice gives it, and a claim cannot move until the practice supplies the information only the practice has.

The work that stays with the practice

No rules engine can supply a missing authorization number, a corrected subscriber ID or a chart note that supports the code billed. Those come from your side. The practice-side tasks in any athenaOne office are the same ones every medical office has:

Registering patients correctly and confirming the insurance on file is the one that is active.
Entering or reviewing charges, codes, modifiers and diagnosis pointers before the claim is created.
Responding to claims that need practice input because something is missing or does not match.
Supplying medical records and writing appeals when a payer asks for them.
Keeping provider enrollment and credentialing current with every payer.
Following up on patient balances and questions.

When these fall behind, claims wait. The software is working, the claims are simply waiting on a person. That is the gap we fill.

What we do inside your athenaOne account

Front end

Verify eligibility and benefits before the visit and correct the registration when the payer's answer does not match.
Track which visits and procedures need authorization, and secure or confirm each one. See our prior authorization services.

Charges and claims

Review charges and coding against the documentation before claims are created, so fewer come back.
Work every claim that needs practice input on the day it appears, instead of letting it wait for someone to have time.

Back end

Work denials that need a human decision: records requests, medical necessity appeals, coordination of benefits and coding disputes. See our denial management services.
Follow aged claims with the payer until they are paid or correctly adjusted. See AR recovery services.
Reconcile payments and answer patient balance questions.
Report to you each week on what was fixed, what is still open and why.

Eligibility verification (EV), benefits verification (BV), prior authorizations, and denial management at no cost for your first 30 days.

30-Day Free Trial

When an outside billing team makes sense on athenaOne

Claims waiting on the practice keep piling up because nobody on staff has time for them.
Your biller left and the practice-side tasks have no owner.
Denials for authorization, eligibility or missing information keep repeating.
You are adding providers or locations and enrollment is behind.
You want one team accountable for the whole practice side, not a task shared across the front desk.

What stays with your practice

Clinical documentation and the provider's final say on codes.
Your athenahealth contract and account administration.
User access. You create our logins and decide what they can do, and you can remove them at any time.

Specialties we bill on athenaOne

We bill for cardiology, orthopedic, OB-GYN, primary care, fertility and behavioral health practices, and for private and small practices across specialties.

How Sterling Global Solution LLC works with athenahealth practices

We sign a HIPAA business associate agreement, you set up user accounts for our team in athenaOne, and we start with the claims already waiting on the practice. From there we take over eligibility, authorizations, charge review and follow-up as a daily routine. You keep athenaOne, your athenahealth services and your reports. Start with our 30-Day Free Trial.

athenahealth and athenaOne are trademarks of their owner. Sterling Global Solution LLC is an independent billing company. It is not affiliated with, endorsed by or a partner of athenahealth. Features and pricing change; check athenahealth's site for current details.

Frequently asked questions

Doesn't athenahealth already do the billing in athenaOne?

athenahealth says its rules engine and billing experts identify and resolve claim errors before submission, and that athenaOne includes denial management services and automated resubmissions. The practice still supplies registration, charges, coding, authorizations, records and answers to claims that need practice input. That practice-side work is what we do.

Do you work inside our athenaOne account?

Yes. You create user accounts for our team and we work in your athenaOne account. We do not move you to another system.

Will we have to change our athenahealth contract?

No. Your athenahealth agreement and services stay as they are. We take over the tasks your own staff would otherwise do.

How is athenaOne priced?

athenahealth states that athenaOne's cost is based on a percentage of collections model. Ask athenahealth for the terms that apply to your practice.

What does your team do first?

We start with the claims that are already waiting on the practice, then set up daily eligibility checks, authorization tracking and charge review so fewer claims come back.

Do you handle credentialing for practices on athenaOne?

Yes. We enroll and credential new providers with each payer, and new billing clients get free credentialing for 3 insurance payers.

Sources

athenahealth, athenaOne product page: description of athenaOne, rules engine and billing experts, authorization determination engine, and percentage of collections pricing model.
athenahealth, Small Practice Management and EHR Software: real-time eligibility checks and claims scrubbing, network-wide billing rules engine, denial management services and automated resubmissions.

Read on athenahealth.com on October 11, 2026. The description of practice-side work is our own, based on how medical office billing is organized. How we verify this guidance.