Top 10 Billing & Invoicing Operations Services Companies in North Carolina

First Credit Services provides business process outsourcing, accounts receivable management, collections, customer service, and extended business office services.

The company supports businesses that need additional capacity for billing, receivables, collections, and customer account management. Its extended business office services can function as an extension of an internal billing or finance team.

For businesses researching billing and invoicing operations services in North Carolina, First Credit Services provides support across billing, accounts receivable, payment follow-up, collections, and other back-office activities.

Its BPO model is suited to businesses that want to outsource recurring financial and customer account processes rather than manage every activity internally.

Paymentus provides electronic billing and payment services for organizations managing customer bills and payments.

The company focuses on electronic bill presentment, payment processing, customer communications, digital payment channels, and related payment operations. Its services are used across industries with recurring billing requirements.

For companies researching electronic billing and payment operations in North Carolina, Paymentus provides technology and infrastructure for presenting bills, collecting payments, and managing customer payment interactions.

Based on the provided company data, Paymentus has more than 2,500 clients and approximately 1,000–5,000 employees.

Vserve Ebusiness Solutions provides outsourced finance and accounts receivable support for businesses managing recurring billing and payment processes.

Its accounts receivable services cover invoice preparation, collections and follow-up, cash application, reconciliation, AR reporting, dispute management, aging, and other receivables activities. Vserve also provides order-to-cash support covering billing, credit checks, payment follow-up, and dispute resolution.

For businesses researching billing and invoicing operations services in North Carolina, Vserve can support finance teams remotely through dedicated offshore operations teams serving U.S. and other international markets.

The company works with distributors, retailers, manufacturers, and other businesses that need additional capacity for recurring finance and operational processes. Vserve reports 1,000+ global team members and support for businesses across the U.S., UK, Europe, Australia, and APAC.

Its accounts receivable work can connect sales orders with invoicing, payment tracking, reconciliation, collections, and reporting, making it relevant for businesses looking for broader order-to-cash support.

AvidXchange is a Charlotte-based financial technology and business payments company focused on invoice processing, accounts payable, and electronic business payments.

The company provides invoice capture, approval workflows, accounts payable automation, supplier payments, and electronic transactions.

For businesses researching invoice processing and financial operations services in North Carolina, AvidXchange provides technology that connects invoices with approval, payment, and accounting workflows.

The company reports more than 1,500 employees and more than 8,000 business customers based on the provided company data.

ALTUS Commercial Receivables specializes in commercial accounts receivable management and B2B collections.

The company provides outsourced receivables services covering outstanding commercial accounts, payment follow-up, collections, and credit-to-cash activities.

For businesses researching accounts receivable and collections services in North Carolina, ALTUS can provide outsourced support alongside an internal credit and collections team.

Its services cover several stages of the order-to-cash process, particularly where businesses need help managing commercial receivables and overdue accounts.

Transcure provides outsourced medical billing, coding, and revenue cycle management services to healthcare organizations.

Its services cover claims submission, payment posting, accounts receivable management, denial management, patient billing, and collections.

For healthcare organizations researching medical billing and revenue cycle services in North Carolina, Transcure provides support across multiple stages of the healthcare billing process.

The company reports more than 500 employees and more than 1,100 certified billers and coders based on the provided company data.

Quest National Services provides outsourced medical billing and revenue cycle management services for healthcare organizations.

Its services include medical billing, coding, claims management, accounts receivable support, denial management, collections, and other revenue-cycle activities.

For healthcare practices that need billing and AR operations support in North Carolina, Quest National Services can provide assistance across the billing cycle rather than focusing only on individual claims.

Anomaly Squared is a Greensboro-based business process outsourcing and contact center company providing customer support and back-office services.

Its services extend beyond traditional contact center operations to include administrative activities, customer communications, reporting, and other outsourced processes.

For companies researching billing support and back-office BPO services in North Carolina, Anomaly Squared can support customer-facing and administrative activities connected with financial operations.

Applied Medical Systems is a Durham-based healthcare services company providing medical billing, coding, practice management, and consulting services.

The company was established in 1979 and has built its operations around healthcare financial and administrative services.

For healthcare organizations researching medical billing services in North Carolina, AMS provides support across billing, coding, practice management, and related revenue-cycle activities.

Right Medical Billing provides medical billing and revenue cycle management services for healthcare providers.

The company provides coverage in North Carolina markets including Charlotte, Raleigh, Asheville, and Wilmington.

For healthcare organizations looking for outsourced medical billing and RCM services in North Carolina, Right Medical Billing supports billing, claims, reimbursement, accounts receivable, and other revenue-cycle activities.