In 2010, Jennifer Bittner brought her background in operations and risk management to launch her first business, Physician Billing Solutions. Her vision: to simplify and streamline the complex billing process for medical practitioners. Today, Jennifer and her staff of 10 serve more than 65 clients nationwide, across a wide variety of healthcare practice types.
Their biggest concentration of customers is in the high-growth psychiatric and mental health field that is stretching to meet market need by augmenting Psychiatrists with Psychiatric certified Nurse Practitioners. Physician Billing Services’ also serves: Pediatrics, Internal Medicine, Primary Care, Acupuncture, Chiropractic, and Ophthalmology practices. And, they are seeing a recent surge in the Anesthesia business including a new client in DC that serves 8 surgery centers.
To make their clients’ and their own businesses easier to manage and scale, they have always relied on technology to support their work.
Building a transparent infrastructure to grow, together
Physician Billing Solutions launched their business using the DAQ billing system. Three years later, when it was acquired by Computer Group Medical, they moved to that company’s WebPractice system for about 5 years.
“Billing systems generally look the same,” said Bittner. “You put in information electronically or manually and send it to a clearinghouse.”
“What attracted us to Tebra, is that it offered a lot of transparency for providers that my other EHR systems didn’t. My providers can get on the Tebra Billing app, and at any time—even if they don’t use the EHR or other portals—they can see how much money they’ve collected, how many appointments they’ve had, and they can see who owes them money. Additionally, they can access it from anywhere without having to download an app to each device they use. They basically have the same view and can obtain information just like I can.”
“Do we still provide information to providers? Absolutely. But having the user-friendly Tebra app portion where they can use the graphing to see if they are up or down and where their AR is, that is an attractive piece for me to serve my providers.”
“With Tebra, we provide a streamlined instruction sheet and training process for new clients. In 30 minutes they are up and running with us. Tebra has made it so easy, I can tell new clients: ‘If you can’t put in your charges in 5 seconds, we have a problem.’ ”
Embracing innovation, without disruption
Over their 7 years with Tebra, Jennifer and her team have become engaged adopters of the company’s emerging technologies, including workflow improvements and Robotic Process Automations solutions. Together, it helps their business add value to clients by driving efficiencies to their practice workflows, as well as to help streamline tedious billing tasks to ensure that they are able to focus their efforts on what really matters: their clients..
“Anytime Tebra offers new product enhancement access, my operations manager and I are 99% of the time going to participate,” says Bittner. “We are all over that and want to be in the know.”
“Tebra’s new digital Electronic Claim Attachment will be a time and money saver for us. Even though it costs a nominal amount per attachment, it replaces the costs of envelopes, printer toner, stamps and someone going to the post office to mail the claims: about $5,000 a year. More importantly, our secondary claims will get to the payer quicker than US snail mail.”
To streamline this and any new tech enhancements, Jennifer never makes process changes mid-month, given all that is required to support the monthly billing and well-honed systems behind their 65 clients. Instead, Physician Billing Solutions rolls out new enhancements at the beginning of the month, to minimize any potential disruption.
Seamless Support
“As a business owner, I have a million things going on,” says Bittner. “With Tebra, I feel well supported. My Tebra support managers are always awesome and very responsive. I know if we have any issues, Tebra will help me empower our billing company with our clients.”
“As a billing company, we are an extension of Tebra’s system. That relationship is reflected in how Tebra supports their billing companies.”
Getting practice automation right, from the start
“What I tell my clients all the time that have a different EHR: Just switch. For the love of god. You don’t always put your eggs in one basket, but in this case, just do it. It’s going to make your life so much easier; I promise.”
“I don’t like to turn people away that don’t use the EHR, but we decided as a team two years ago that we won’t bill out of any other system. We tried it with two different clients and failed miserably. We bill exclusively through Tebra. I tell clients: ‘it’s going to make your life easier and it’s going to make my life easier.”
“Furthermore, even when companies don’t use me as their biller, I recommend Tebra, especially as they are building their practice. Tebra is a one-stop shop: they offer billing, EHR, patient engagement, telehealth: whatever you need, they have the whole solution.
“If you are looking for one healthcare practice solution— and not to piecemeal things— use Tebra.”
Growing forward
At the end of 2025, Jennifer’s business marks its 15th anniversary. While other business owners might see that milestone as a time to pull back, she has more plans for development.
“While 65 clients is a lot, I love what I do. And I love that my business supports 10 employees, so growing helps them support themselves and their families.”
This year, she is planning for 5-7% growth and plans to foster that in three ways:
- Building out support for the Anesthesia speciality — which is still a mostly untapped market and still very paper based (beyond diagnosis and CPG code).
- Continuing to invest in the Psychiatric/Mental health market, leveraging great in-house expertise in that area.
- And focusing on automating even more parts of her business process.
Growth plans that are good for her team, good for her clients and good for her business.
