For most clinics, the revenue cycle feels like throwing money into a void. Claims go out, denials pile up, and thousands of dollars sit in accounts receivable while practices wonder what’s actually happening. It’s a problem Gianni Gonzalez heard about repeatedly before founding Miixed Realities.
The company started from a conversation with a doctor in Hawaii who described the same billing headaches Gonzalez kept hearing from practices nationwide. Different states, different specialties, same struggle. “Patient care was never the problem. Billing was,” Gonzalez says. What clinics needed wasn’t more software. They needed experienced people who actually knew how to work claims from start to finish.
That’s where the company comes in. Miixed Realities, a leading medical billing office in El Paso, Texas, places HIPAA-certified, US-based billers directly inside a clinic’s existing electronic health records system and manages the full revenue cycle. Every claim runs through an in-house AI verification system before submission, and denied or unpaid claims get actively worked until they’re resolved. The pricing is straightforward: $5 per processed bill plus 6% of successfully recovered claims. No setup fees, no monthly retainers, no long-term contracts.
The company reports strong results. According to Miixed Realities, one pediatric clinic recovered $60,000 in just two weeks, and practices typically see 30% higher collections within weeks of onboarding. More than five practices have replaced their offshore teams with the company’s US-based billers. Miixed Realities integrates with over 50 practice management systems, including AthenaHealth, Kareo, Epic, and Cerner, and says it can have a practice up and running within 48 to 72 hours.
What sets them apart from offshore providers, according to the founder, is attention to detail and direct communication during US business hours. The company maintains 95-98% clean-claim rates and processes claims within 24 hours. Clients get full visibility through a real-time dashboard that tracks pending submissions, approved claims, denial statuses, and recovered revenue.
Miixed Realities is expanding its internal verification technology and onboarding specialty-specific billing teams. Practices nationwide can request a full audit to see exactly where revenue is being missed. It all goes back to that initial realization: clinics shouldn’t lose revenue because of preventable billing issues. With the right people and systems, they don’t have to.
Learn more at Miixed Realities or connect on LinkedIn and Instagram.
