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National Medical Billing Services is excited to announce we are now nimble solutions. Learn more.

Surgical Clients Icon


surgical clients
Surgical Clients Icon

$10 billion+

in net collections
Surgical Clients Icon

25 million+

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Maximize revenue. Gain insightful analytics. And achieve powerful financial results.

Clients have trusted us to manage over $10 billion in net revenue since our inception. See how the industry’s most comprehensive range of surgical RCM solutions will streamline and strengthen your business.

Maximize revenue, get paid faster, and stay compliant with the industry’s most powerful outsourced surgical revenue cycle management solution.

What makes us different.

We’re consultants and doers.

Our team becomes an extension of your own, building comprehensive revenue cycle solutions that bring new insights and value to your business.

We’re the surgical revenue cycle specialists.

No one knows the surgical revenue cycle better than nimble Solutions—and we’re not just learning about what’s next, we’re creating it.

We’re tech-forward thinkers.

We’re building and refining the technology that will automate manual processes and deliver business intelligence that drives faster, smarter decisions.

We work and play hard so you can, too.

We go out of our way to create a fun, collaborative culture and are thrilled when our enthusiasm makes a difference for our clients.

We’re relentless advocates.

We measure every driver of revenue for your surgical organization, from front-end operations to payment, and never stop helping you maximize value at every step.

Bring new insights to your revenue cycle.

We’re consultants and doers–and we’re always sharing ways you can build more in your surgical business.


In our headquarters in Chesterfield, MO, and through remote and hybrid opportunities coast to coast, we have a wide range of ongoing opportunities for:


Medical Billing and A/R Professionals

Client Service Professionals

Business Support

Surgical Lead

View open roles
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We go out of our way to create a vibrant, dynamic workplace where everyone has a voice in what’s next.

We’re working together, all pushing in the same direction. From our monthly Coffee Talk video podcasts to community projects, sporting events, and leadership summit, we bring our entire team together in valuable and meaningful ways because we know that’s the only way to get the best results for our clients.

As a member of our team, you’ll always have a voice. And you’ll have a chance to learn, to grow, and to advance. How far you go is up to you. We’re growing, we’re moving fast, and we’d love to have you grow with us.

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St. Louis Business Journal Best Places to Work

It’s your life. We give you the benefits you need to live it.

Health, Vision & Dental Insurance.

We offer access to leading regional and national carriers for employees to choose the best plan for themselves and their families, including flex-savings accounts.

Work/Life Balance

Family comes first. We offer flexible schedules with remote and hybrid work opportunities, plus generous paid time off that accrues from day one.

401(k) Company Match

New hires can immediately take charge of their financial goals for the future by participating in our robust 401(k) matching program.

Volunteer Opportunities

We believe in the importance of serving our local communities. Employees receive paid time off each year to support causes that are important to them.

Unplugged Program

Our average in-house work week is anything but average. We offer paid leave every other Friday through our Unplugged Program to reduce burnout, improve productivity, and enhanced our company culture. That’s up to 23 additional paid days off per year to boost mental health!

Diversity in Leadership

Diverse teams meet the needs of our diverse clients. nimble puts our people at the heart of everything we do. By focusing on representation, recruitment, engagement, culture and education, we’re committed to being a workplace where everyone can succeed and grow.

Learning & Career Growth

From your very first day at nimble, you are empowered to lead and be an active participant in your career trajectory. We provide continuous learning opportunities, coaching and mentorship programs.

We Support Our Military

At nimble, we are proud to employ former and reserve members of the Army, Navy, Air Force, Marines and Coast Guard. Their dedication, skills and outstanding sacrifices greatly benefited our country—and now, we are honored to have them within our ranks.

Open Roles

Role Name

City, State

Apply Now

Role Name

City, State

Apply Now

Role Name

City, State

Apply Now

Increase revenue. Get paid faster. Boost compliance. Only with nimble.


Navigate the nuances of your surgical revenue cycle with nimble.

Change is the only constant in your business, and that’s why we’ve built nimble Solutions. See how we created the most respected company in ASC and surgical revenue cycle management.


Surgical revenue cycle experts, working for you.

When you partner with nimble for your surgical revenue cycle management needs, you’re adding the industry’s most experienced professionals to your team. No one has more knowledge and more proven expertise, and no one can get you more results, faster.