Charleston Billing Solutions
Billing, handled.

We chase every claim until it gets paid.

Charleston Billing Solutions is a full-service medical billing company for speech, physical, and occupational therapy practices. We handle your insurance billing from submission to payment — so you can spend your time treating patients, not fighting claims.

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Speech · OT · PT Pediatric practices South Carolina
The Battery in Charleston, South Carolina — historic homes and palmetto trees along the harbor at golden hour
6% of collections
One simple rate — we earn when you get paid.
6%of what we collect from insurance — that's our fee
Every claimworked until it's paid — not just the easy ones
Any sizesolo providers to multi-therapist practices
What we do

Full-service therapy billing

Give us your billing and we'll take care of the rest — claims, follow-up, denials, and the phone calls in between. If there's a billing issue, it's our problem, not yours. We specialize in Fusion EMR billing.

Claim submission

Clean claims for speech, occupational, and physical therapy submitted promptly and tracked from the day they go out the door.

Follow-up until it's paid

Unpaid claims don't sit in a queue. We call the payer, find out what's holding the money up, and keep working the claim until it's paid.

Denials & billing issues

Denied, rejected, or just plain stuck — we dig into the problem, correct and resubmit, appeal when needed, and resolve billing issues end to end.

The hard claims, too

Plenty of billers work the easy claims and let the rest age. We don't. The difficult, time-consuming claims are exactly where we earn our 6%.

Who we serve

Built for pediatric therapy practices

We work with therapy practices of any size across South Carolina, with a specialty in pediatric care. We're practice people ourselves — we know how a pediatric therapy office runs, and what its billing actually looks like.

  • Pediatric speech-language pathology — including early-intervention and clinic-based practices.
  • Pediatric occupational therapy — solo OTs through full multi-discipline clinics.
  • Pediatric physical therapy — and combined SLP / OT / PT practices under one roof.
  • Any size — a solo provider just starting out gets the same persistence as an established group.
  • Fusion EMR billing — we specialize in practices running on Fusion, and we work in it every day.

"Some billers chase the easy claims and move on. We chase the claim until it gets paid."

That's the whole philosophy. Every claim on your ledger gets worked — followed up, called on, appealed when it should be — until the money is in your account or there's a real answer for why not.

Pricing

Simple, percentage-based pricing

No complicated invoices and no billing about your billing. One rate, tied directly to what we bring in for you.

6%
of what we collect from insurance on your behalf

How it works

  • Percentage of collections — our fee is 6% of the insurance payments we collect for your practice.
  • $250 monthly minimum — for smaller practices, a flat $250 floor keeps things predictable.
  • Aligned incentives — because we're paid on collections, a claim sitting unpaid costs us too. We work it like it's our money — because it is.
About us

Owned by people who know therapy

Charleston Billing Solutions was founded in 2023 by Suzanne Campion and Melissa Shiver — the same team behind Charleston Therapy Solutions. One of us has spent a career on the clinical and practice-ownership side; the other runs billing day to day. That combination is the point.

Suzanne Campion

Suzanne Campion

Co-Owner

After nearly two decades in corporate accounting and business management, primarily in the entertainment industry, I traded entertainment for healthcare and small business ownership.

Today, I'm co-owner of Charleston Billing Solutions, providing billing and credentialing services for pediatric speech, occupational and physical therapy practices, and Charleston Therapy, a pediatric speech therapy practice in Charleston, South Carolina, where I manage the business and operational side of the practice.

Melissa Shiver

Melissa Shiver, MS, CCC-SLP

Co-Owner

Melissa has been a speech-language pathologist for more than 25 years. In 2001, she co-founded a successful pediatric practice, which she later sold in 2016, and today co-owns Charleston Therapy Solutions, a pediatric speech therapy practice in Charleston.

After decades of dealing with insurance billing from the provider's side of the desk, she co-founded Charleston Billing Solutions to give therapy practices a biller who understands the work — and who doesn't give up on a claim.

Client testimonials

What our clients say

They made the transition process so easy and were able to recoup a lot of the money we thought we lost as a result of our previous biller. We highly recommend them for your billing needs!

— Co-owner, Pediatric Therapy Practice

From start to finish, CBS has been exceptionally helpful. While I know I’m not their only client, they operate as if I am.

— Pediatric Speech-Language Pathologist, Private Practice Owner

Billing and Fusion was my #1 nightmare. Now the only time I think about it is when you guys ask me a question.

— Director of Therapy, Pediatric Therapy Practice
Contact

Let's talk about your billing

Call or email Suzanne — tell us about your practice and what's stuck, and we'll tell you honestly how we can help.

Phone
(818) 974-2326
Suzanne Campion
Office
672 Marina Drive
Charleston, South Carolina

Send us a message

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