Precision Revenue Management for Healthcare Practices
Streamline your billing, maximize your success
Welcome to Knox Billing Solutions
At Knox Billing Solutions, we help healthcare providers like you reclaim valuable time andrevenue. With over 17 years of hands-on experience in chiropractic, massage therapy, andradiology billing, our team delivers transparent, reliable, and customized billing solutions that letyou focus on what matters most-your patients.
Whether you’re a solo practitioner or managing a busy clinic, our streamlined processes, clearreporting, and attentive support ensure your practice thrives.
With offices in Washington and Tennessee, and a team meticulously trained to address theunique needs of your specialty, Knox Billing Solutions makes medical billing simpler, moreefficient, and remarkably effective.
Let us help you achieve both peace of mind and financial success.
17+ years of experience
We worked with all types of heathcare providers
Full support from beginning to end
Precision Revenue Management for Healthcare Practices
Streamline your billing, maximize your success

At Knox Billing Solutions, we help healthcare providers like you reclaim valuable time andrevenue. With over 17 years of hands-on experience in chiropractic, massage therapy, andradiology billing, our team delivers transparent, reliable, and customized billing solutions that letyou focus on what matters most-your patients.
Whether you’re a solo practitioner or managing a busy clinic, our streamlined processes, clearreporting, and attentive support ensure your practice thrives.
With offices in Washington and Tennessee, and a team meticulously trained to address theunique needs of your specialty, Knox Billing Solutions makes medical billing simpler, moreefficient, and remarkably effective.
Let us help you achieve both peace of mind and financial success.

Why Work With Us
Streamlining Billing
We understand the complexities of medical billing and strive to simplify the process for you. From claim submission to payment posting, our secure electronic filing system ensures a seamless experience.
Your Success, Our Mission
Our achievements are measured by your success. We’re committed to helping your practice thrive, ensuring you have more time for what matters most: your patients.
Experience and Expertise
With over 15 years of experience, we leverage the latest technology to drive results, delivering peace of mind and optimal revenue management.
Transparent and Reliable
Count on clear communication and trustworthy service. We keep you informed at every step, ensuring no surprises in your billing process.
Elevate Your Practice with Knox Billing Expertise
Knox Billing Solutions offers a comprehensive suite of services to streamline your financial operations, reduce administrative burdens, and maximize reimbursements. Explore how our customized solutions can transform your practice.
Services
All services adhere to strict HIPAA privacy and security regulations, ensuring your data’s safety and confidentiality.
Verification of Benefits
Ensure accurate billing and minimize claim denials with meticulous insurance verification.
Claims Submissions
Efficient and prompt claims processing supported by our expertise in medical coding and billing.
Reimbursement Negotiations
Advocate for fair and timely reimbursements with our dedicated negotiation services.
Accounts Receivable Management
Optimize cash flow with timely collection and precise payment posting.
Account Reconciliation
Maintain financial accuracy with thorough account reconciliation services.
Meet the Owner

Nelly Istomin
Founder and CEO, Knox Billing Solutions
“As someone deeply committed to supporting healthcare providers, I founded Knox BillingSolutions to ease the challenges of medical billing and revenue management. My mission is toempower practices by ensuring financial efficiency and helping providers focus on deliveringoutstanding patient care. Together, we can streamline your operations and elevate your
practice’s success.
With over 17 years of specialized experience in healthcare billing, I am passionate about helpingproviders achieve both financial clarity and peace of mind. My career began with a deepappreciation for the dedication of healthcare professionals and a desire to make their workeasier and more rewarding. I am known for my approachable style, meticulous attention todetail, and unwavering commitment to client success. I have guided practices through thecomplexities of revenue cycle management, always with a focus on transparency, efficiency, andpersonalized service.
Driven by the belief that every provider deserves to be fairly compensated for their expertise, Ifounded Knox Billing Solutions to be a true partner to healthcare practices. I take pride inbuilding lasting relationships, offering tailored solutions, and helping clients thrive in anever-changing industry. Whether you’re seeking to resolve outstanding accounts, optimize yourbilling processes, or simply gain more time for patient care, my team and I are dedicated tosupporting your goals with professionalism, integrity, and a genuine passion for your success.”
Client Reviews
They believe in us
Partner with Knox Billing Solutions
Experience the ease of streamlined revenue management with Knox Billing Solutions. Contact us today to customize a solution tailored to your practice’s unique needs.