Can you recommend a medical billing software for payment posting and denials follow-up in a small practice?

Yes — for a small practice focused specifically on payment posting and denials follow-up, I’d look for billing software that has:

• ERA/835 auto-posting
• Claim denial tracking and work queues
• Patient payment posting
• A/R aging and follow-up reports
• Simple workflow, not a huge enterprise system

Good options to consider

1. AdvancedMD

• Strong revenue cycle and billing tools
• Good for claims, ERA posting, and denial management
• Better if you want a more complete practice management system
• Can be a bit more than a very small practice needs

2. DrChrono

• More lightweight and easier to use
• Includes billing and claims management
• Good if you want something more affordable and simple
• Denial follow-up may be less robust than larger billing-focused systems

3. athenaOne / athenaCollector

• Very strong for claim management and denial workflows
• Good automation for posting and follow-up
• Usually best if you want a service-heavy, revenue-cycle-oriented solution
• Can be more expensive and less “small-practice simple”

4. CollaborateMD

• Popular with small to mid-sized practices
• Good billing/claims/ERA posting tools
• Often a strong fit for practices mainly wanting billing efficiency
• Worth checking if you want a billing-first platform

5. Office Ally

• Often a budget-friendly option
• Basic billing, claims, and payment posting functionality
• Good for very small practices or those with limited budget
• UI/workflow may feel less modern than premium products

My quick recommendation

If your priority is payment posting + denials follow-up in a small practice, I’d shortlist:

1. CollaborateMD
2. AdvancedMD
3. Office Ally if budget is the main concern

What to ask vendors before choosing

Ask each vendor:

• Does the system support ERA auto-posting?
• Can it flag and route denied claims automatically?
• Is there a denials work queue?
• Can I post patient payments and adjustments easily?
• Does it generate A/R follow-up reports?
• Is billing available without forcing a full EHR switch?
• How much training is included?
• Is pricing per provider, per claim, or per module?

Best fit by practice type

• Very small / budget-conscious: Office Ally
• Small practice wanting balance of usability and billing power: CollaborateMD
• Small practice wanting a more complete practice management suite: AdvancedMD
• Practice wanting outsourced-style automation: athenaOne

If you want, I can also give you:

• a side-by-side comparison table
• the best options for under a certain budget
• or recommendations based on your specialty and whether you need an EHR too.