eClinicalWorks Billing Services

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

eClinicalWorks billing services from Sterling Global Solution LLC means a billing team that works inside your eClinicalWorks system and does the daily billing work for you. eClinicalWorks gives practices a choice between self-service billing technology, where you handle your own billing, and its own billing service. If you are on the self-service side, our team becomes the people who do that billing: eligibility, charge review, claim submission through your clearinghouse, payment posting, denials and appeals.

How billing is set up in eClinicalWorks

On its revenue cycle management page, eClinicalWorks says it offers clients a choice of RCM solutions: a self-service RCM technology in which you handle your own billing, or an RCM service model in which eClinicalWorks provides a complete end-to-end solution. It describes the technology side as including:

Patient eligibility and deductible information
Bots to help scrub and submit claims
Receiving and posting electronic remittances
Denials and appeals management technology
An Alerts Dashboard to prioritize claims and avoid missing payer timely filing windows
Work queue dashboards, and performance tools including the eCW RCM Dashboard, Provider Analytics and practice KPIs

Those are tools. On the self-service model, a person at the practice still has to use them every day. When that person is one biller, or a front desk already busy with patients, the dashboards fill up faster than they are cleared.

Clearinghouses that connect to eClinicalWorks

eClinicalWorks lists partner clearinghouses on its site, including Optum (Revenue Performance Advisor), TriZetto Provider Solutions and Waystar. The services it describes for these integrations include eligibility checks, real-time claim scrubbing, claims processing, claim acknowledgements, remittances and paper claims processing.

We work with whichever clearinghouse your practice already uses. Nothing has to be re-contracted, and your payer enrollments stay where they are. If an enrollment for electronic remittance is missing for a payer, we complete it.

What we do inside your eClinicalWorks system

Before the visit

Run eligibility and review deductible and benefit information for scheduled patients, and correct insurance details that do not match the payer's response.
Identify visits and procedures that need authorization, then secure and record each one. See our prior authorization services.

Charges and claims

Review charges, codes, modifiers and diagnosis links against the documentation before a claim is created.
Submit claims through your clearinghouse and clear scrubber edits and clearinghouse rejections the same day.
Bill secondary payers after the primary payer has processed.

Payments and follow-up

Post electronic remittances and enter payments that arrive on paper, with adjustments matched to your contracts.
Work denials by reason: correct and resubmit, or appeal with records. See our denial management services.
Use the alerts and work queues to follow unpaid claims before payer filing limits close. See AR recovery services.
Send patient statements and answer balance questions.
Report each week on collections, denials by reason and aged claims.

If you already use the eClinicalWorks billing service

eClinicalWorks also offers its own RCM service. Its site lists what that service covers, including real-time patient insurance eligibility; claim processing, review, scrubbing and follow-up; denials and appeals management; and daily, monthly and year-to-date statements and reports. If you are on that service and it is working for you, you may not need a second billing team. In that position, the help that is still useful is the work around billing, such as credentialing for new providers or front-desk eligibility verification.

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

30-Day Free Trial

Signs the self-service model needs more hands

The alerts and work queue dashboards show more open items every week.
Remittances are posted late, so patient balances are wrong.
Denials are written off because nobody has time to appeal.
Your biller is the only person who knows how billing runs.
Claims are approaching payer filing limits before anyone looks at them.

What stays with your practice

Clinical documentation and the provider's final say on codes.
Your eClinicalWorks license, clearinghouse contract and system administration.
User access. You create our logins and decide what they can do, and you can remove them at any time.
Write-off decisions above the limits you set.

Specialties we bill on eClinicalWorks

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

How Sterling Global Solution LLC works with eClinicalWorks practices

We sign a HIPAA business associate agreement, you create user accounts for our team, and we begin with the oldest open claims and unposted remittances. Then eligibility, charge review, submission and follow-up become a daily routine that does not depend on one person being in the office. You keep eClinicalWorks, your clearinghouse and your reports. Start with our 30-Day Free Trial.

eClinicalWorks is a trademark of its owner. Sterling Global Solution LLC is an independent billing company. It is not affiliated with, endorsed by or a partner of eClinicalWorks. Features change; check eClinicalWorks' site for current details.

Frequently asked questions

Do you work inside our eClinicalWorks system?

Yes. You create user accounts for our team and we work in your eClinicalWorks system with your existing clearinghouse. We do not move you to another platform.

Does eClinicalWorks offer its own billing service?

Yes. eClinicalWorks states that it offers a choice between a self-service RCM technology, in which you handle your own billing, and an RCM service model in which eClinicalWorks provides an end-to-end solution.

Which clearinghouses work with eClinicalWorks?

eClinicalWorks lists partner clearinghouses on its site, including Optum (Revenue Performance Advisor), TriZetto Provider Solutions and Waystar. We work with the one your practice already uses.

Do we need to change clearinghouses or re-enroll with payers?

No. Your clearinghouse contract and payer enrollments stay where they are. If an electronic remittance enrollment is missing for a payer, we complete it.

What do you work on first?

The oldest open claims and unposted remittances, because those are closest to payer filing limits. Then we set up daily eligibility, charge review and follow-up.

Who decides on write-offs?

You do. We adjust according to your contracts and bring any write-off above the limits you set to you for a decision.

Sources

eClinicalWorks, Medical Billing Services and Revenue Cycle Management: self-service RCM technology and RCM service model, technology features, Alerts Dashboard, work queue dashboards, performance tools and RCM service scope.
eClinicalWorks, Partner Clearinghouses: Optum, TriZetto Provider Solutions and Waystar integrations and the services described for them.

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