Katelyn Hollins, CPC, CEOEvery day, chiropractors balance patient care with insurance requirements, filing deadlines, claim denials, personal injury claims, and reimbursement complexities. These demands strain cash flow and pull attention away from patients. Having grown up in a chiropractic household and later helping with insurance billing, Katelyn Hollins understood those challenges firsthand. She recognized the importance of a billing partner that understood chiropractic practices from the inside out, to help providers navigate the complexities of insurance billing so they could remain focused on patient care.
Today, as the CEO and a Certified Professional Coder (CPC) leading a team that includes two additional CPCs, Katelyn has transformed her industry familiarity into Coastal Billing Services, a revenue cycle management company focused exclusively on chiropractors. This has become a defining advantage in a field where billing accuracy and regulatory knowledge can directly impact revenue.
“Specializing in chiropractic allows us to understand the coding, therapies, and billing nuances that make each practice unique. That knowledge helps us provide a level of support that goes beyond simply processing claims,” says Katelyn.
Each engagement with a new client begins with a conversation about the office's priorities and concerns, allowing services to be tailored around health insurance claims, personal injury cases, or both. Coastal Billing Services also manages transitions from previous billing providers through secure, HIPAA-compliant remote workflows designed to minimize disruption for the practice.
From onboarding through reimbursement, the company provides comprehensive revenue cycle support, including claim scrubbing, submission, payment posting, denial management, appeals, and accounts receivable reviews. It also handles personal injury and workers' compensation billing, which require workflows distinct from commercial insurance and Medicare claims.
By submitting clean claims and conducting regular 30-, 60-, and 90-day reviews of aging accounts and outstanding balances, Coastal Billing Services helps accelerate reimbursement timelines, maintain accurate patient accounts, and recover revenue that might otherwise go uncollected.
-
Specializing in chiropractic allows us to understand the coding, therapies, and billing nuances that make each practice unique. That knowledge helps us provide a level of support that goes beyond simply processing claims.
The need for that level of oversight has only accelerated as insurance reimbursement becomes increasingly dependent on automated processing systems, creating more opportunities for claims to be delayed or denied. Coastal Billing Services focuses on preventing issues before submission, aggressively addressing denials when they occur, and managing billing-related communication and documentation requests that would otherwise consume valuable time for front-office staff and providers.
Technical expertise is only part of the company's value. Supported by a close-knit team of five, the company has a strong foundation rooted in extensive training. They emphasize collaboration, cross-training, and continuing education. Clients frequently cite the team's responsiveness by phone, email, and text as another differentiator, particularly after experiences with larger billing organizations where obtaining timely answers proved difficult. Team members are well-versed in multiple practice management systems, creating flexibility as client needs evolve.
When a client uses an unfamiliar platform, Coastal Billing Services completes its own training through the software provider's customer support and educational resources, eliminating the need for doctors or office staff to guide the onboarding process.
The impact of that approach can be seen across practices Coastal Billing Services serves. One chiropractic office approached the company after struggling with poor communication, untimely claim submissions, and avoidable denials under a large billing provider. Coastal Billing Services cleaned up outstanding accounts and implemented more effective billing processes, resulting in what Katelyn describes as a night-and-day operational improvement.
Referrals from satisfied clients like these have driven growth, helping Coastal Billing Services expand its presence across Florida, including communities like Jacksonville, Brooksville, New Port Richey, Sarasota, Ellenton, St. Johns, Riverview, Port Charlotte, and Winter Park. Even as demand increases, the company remains selective about growth, prioritizing service quality and personal attention over rapid expansion.
“We’ve been blessed with opportunities, mentors, and timing that I couldn’t have orchestrated myself. I’m really grateful for our clients and my dedicated team, who truly care about our work. Our recent growth has been immeasurably more than I could have ever asked or imagined.” - Katelyn Hollins
For its specialized chiropractic expertise, operational accuracy, and highly personalized client experience, Coastal Billing Services has been recognized as the 2026 Top Chiropractic Revenue Cycle Management Service provider. As the company continues to grow, its mission remains to manage billing for chiropractic practices so they can stay focused on patient care.
Choosing Chiropractic RCM That Protects Collections
A denied chiropractic claim rarely stays contained. It becomes a front-desk interruption, a patient-balance dispute, a cash-flow drag and a doctor’s time problem. For practices that depend on steady insurance reimbursement, revenue cycle management is less about outsourcing paperwork than protecting the daily rhythm of care. The wrong billing setup creates noise inside the clinic: delayed deposits, uncertain patient accounts, stale receivables and staff pulled away from intake or scheduling to chase information.
Chiropractic billing also carries a specificity that general medical billing vendors can miss. Adjustments, soft-tissue therapies, Medicare rules, personal injury matters and workers’ compensation claims do not move through the same payer path. Documentation has to support the service billed, claims must be clean before submission, payer responses need accurate posting and denials need to be challenged before timely filing windows close. A strong provider should understand the chiropractic practice model well enough to prevent avoidable rework, not merely process claims after errors have already entered the system.
Responsiveness deserves more weight than many procurement checklists give it. Billing problems are often discovered at awkward moments: a doctor reviewing a ledger, a patient questioning a balance, a staff member trying to close an account and an attorney requesting records. A large vendor can offer scale, but scale does not help when a practice waits days for a basic answer. Decision-makers should know who answers the phone and how quickly payer issues move from question to action.
The reporting discipline behind the service matters just as much as claims submission. Payment posting, EOB review, denial follow-up and aging receivables work together; treating them as separate tasks leaves gaps. A provider that reviews aging balances each month gives management a clearer view of what is still collectible, what requires appeal work, what should be corrected before it repeats and what may need patient-account cleanup. That cadence is especially important for small and mid-sized chiropractic offices, where one unresolved pattern can distort collections for months.
Technology access should reduce workload for the practice rather than shift hidden setup work onto its staff. Remote work can fit chiropractic billing well when logins, clearinghouse access, HIPAA controls and software training are handled carefully. The better arrangement is not a disruptive system replacement by default. It is a billing team capable of entering the current practice environment and learning the software where needed, while the office stays focused on care delivery as the revenue cycle is brought under control.
Coastal Billing Services fits this buying logic for chiropractic offices that want specialized attention rather than a broad, impersonal billing desk. It provides full revenue cycle management, including claim review and submission, claim scrubbing, EOB posting and denial appeals. Its work extends to personal injury and workers’ compensation billing, with monthly aging reviews that target outstanding claims before they become forgotten revenue. Its team is cross-trained across practice management systems and supported by certified coding expertise, and its service model favors direct communication. For Florida chiropractors weighing collection discipline against service access, Coastal Billing Services is a practical recommendation.
...Read more
