Medical billing is where revenue goes to die for most clinics. Claims sit unpaid, denials pile up, and practices lose money they’ve already earned. It’s the part of healthcare nobody wants to deal with, but everybody has to. Gianni Gonzalez heard this story repeatedly from doctors across the country, and it’s why he started Miixed Realities, a leading Medical Billing Office in El Paso, Texas that’s proving there’s a better way to handle the mess.
The problem isn’t that clinics don’t care about billing. It’s that billing requires specialized knowledge, constant follow-up, and systems that most practices don’t have bandwidth to build. Offshore teams promise low costs but often deliver slow turnarounds and communication gaps. In-house staff can get overwhelmed. What became clear was that clinics needed experienced U.S.-based billers embedded directly into their workflow, backed by technology that actually works.
That’s what Miixed Realities does. The company places dedicated billers inside a clinic’s existing EHR system and manages the full revenue cycle from start to finish. Every claim runs through an AI-powered verification system before submission, catching errors that would otherwise lead to denials. When claims do get denied, the team works them actively until they’re resolved. It’s not passive. It’s not software alone. It’s real people with real accountability.
The results back up the approach, according to the company. Five practices have reportedly ditched their offshore teams in favor of Miixed Realities’ model. Practices can expect 30% higher collections within weeks of onboarding. One pediatric clinic recovered $60,000 in two weeks. The pricing structure is straightforward: $5 per processed bill plus 6% of successfully recovered claims. No setup fees, no retainers, no long-term contracts. Clinics only pay for actual results.
What makes this work is the combination of expertise and transparency. Miixed Realities reports it integrates with over 50 practice management systems, from AthenaHealth to Epic to Kareo. Onboarding takes 48 to 72 hours, the company says. Clients get access to a dashboard that shows pending submissions, approved claims, denial statuses, and recovered revenue in real time. There’s no guessing about what’s happening with money that’s rightfully theirs.
The company is expanding its verification technology and onboarding specialty-specific billing teams, but the core mission stays consistent: protect and recover the money practices have already earned. It’s about doing things the right way even when it’s harder, prioritizing results and transparency over shortcuts.
For clinics tired of losing revenue to preventable billing issues, that’s the message worth hearing. Billing doesn’t have to be the part of healthcare where money disappears. With the right people and real accountability, it can actually work. Follow their progress on LinkedIn or Instagram to see how they’re changing the billing game for medical practices nationwide.
