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Healthcare Bookkeeping Built For Medical and Dental Practices

Insurance payment tracking and reconciliation
Multi-provider compensation and profitability
Medical billing integration and compliance
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SEE OUR CLIENTS

Mary Coday

Mary Coday

Overlay Eye Care

"They provided indispensable leadership guidance in how to message to our team during uncertain times of temporary layoffs and ramping back up operations. Having System Six service us is among the top three best things we have done for our practice."

SEE OUR CLIENTS

Success stories from businesses like yours

Discover how businesses like yours overcame challenges and achieved remarkable growth. Real stories, real results — showcasing innovation, strategy, and success. Get inspired to write your own success story next.

WHAT WE DO

Healthcare Bookkeeping. Real Expertise.
Zero Revenue Leakage.

From insurance reconciliation to provider compensation — our healthcare accounting team delivers accuracy, clarity, and compliance so you can focus on patient care.

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Bookkeeping Team

Bookkeeping That
Actually Works

We deliver accurate books so you can focus
on running your business.

  • check icon Practice-level financial tracking and provider profitability
  • check icon Insurance payment reconciliation and aging analysis
  • check icon Medical billing integration and revenue cycle management
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Behind on Your Practice Books? We'll Get You Current.

Insurance payments not reconciled? Provider compensation unclear? We clean up the mess and build systems that work for healthcare.

  • check icon Insurance payment backlog cleanup and reconciliation
  • check icon Historical billing integration and revenue matching
  • check icon Provider compensation structure and tracking setup
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Bookkeeping Team
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Bookkeeping Team

Custom Reporting.
Real Collaboration.

We create reports that make sense-and connect your bookkeeping directly to your team’s workflow.

  • check icon Practice P&Ls, provider profitability, and payer mix analysis
  • check icon Revenue cycle metrics and collection rate dashboards
  • check icon Coordination with your practice administrator and CPA
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15+
Years Of
Experience
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Industries We Serve

We Know Healthcare Practices Inside Out:

  • check Medical Practices:
    Multi-provider accounting and payer reconciliation
  • check Dental & Orthodontic:
    Treatment plan tracking and insurance coordination
  • check Specialty Clinics:
    Multi-location accounting and provider compensation
  • check Allied Health Providers:
    Therapy practices, chiropractic, and wellness centers
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WHY FIRMS CHOOSE
SYSTEM SIX

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9.5/10 NPS — Most clients come through referrals

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175+ Clients — Across startups, nonprofits, and agencies

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$100M+ Managed — Bookkeeping done at scale

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35+ U.S.-Based Experts — Real accountants, not bots

Let’s make something great work together.

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HOW WE WORK

From Messy to Managed — in
4 Simple Steps

Discovery

Discovery

(Weeks 1)

Practice audit, billing system review, and payer contract analysis.

Catch-Up

Catch-Up

(Weeks 2-4)

Insurance payment reconciliation, historical cleanup, and revenue cycle optimization.

Improve

Improve

(Weeks 4-6)

Integration with practice management systems (Dentrix, Eaglesoft, athenahealth, Kareo).

Maintain

Maintain

(Weeks 6+)

Ongoing practice accounting, provider reporting, and revenue cycle analytics.

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FAQ

Can you integrate with our practice management system? +
→ Yes. We integrate with Dentrix, Eaglesoft, Open Dental, athenahealth, Kareo, DrChrono, eClinicalWorks, NextGen, and other major systems. The integration pulls production data, insurance payments, and patient balances automatically so your financial reports match your clinical records. If you're using something different, we'll evaluate integration options during our discovery call.
How do you handle insurance payment reconciliation? +
→ We match every insurance payment to specific procedures and claims in your practice management system. That means tracking adjustments, denials, and partial payments so you know exactly what's collected versus what's still outstanding. You'll get monthly reconciliation reports showing payment rates by payer, aging by insurance company, and any missing payments that need follow-up. Most practices discover they're missing thousands in payments once we implement proper tracking.
Can you track individual provider profitability? +
→ Absolutely. We track production, collections, and allocated overhead by provider so you can see true profitability for each clinician. This is critical for practices with production-based compensation, partnership agreements, or providers with different payer mixes. You'll know who's driving practice profitability and why—data that makes compensation discussions easier and partnership decisions clearer.
What about HIPAA compliance for financial data? +
→ We maintain HIPAA-compliant data handling with bank-level security: encrypted data transmission, secure cloud infrastructure, and restricted access protocols. Our team signs comprehensive confidentiality agreements. We're experienced working with medical and dental practices serving regulated populations. Your patient data stays protected while we handle the financial side.
Do you work with our existing CPA for tax preparation? +
→ Yes. We coordinate seamlessly with your tax preparer and provide organized, practice-level books that make their job easier and often reduce their fees. Many healthcare CPAs specifically request their clients work with us because we understand provider compensation, payer contracts, and medical equipment depreciation. We'll send your CPA exactly what they need for tax season—no back-and-forth, no missing documentation.
How quickly can you take over our current bookkeeping mess? +
→ Most practices are fully operational within 4-6 weeks. We start with insurance payment reconciliation and current-month books to stop the bleeding, then work backward through historical cleanup. Timeline depends on how behind you are and your practice size. A solo practitioner with three months of backlog? Four weeks. A five-provider practice with two years of chaos? Six to eight weeks. Either way, you'll see immediate relief.

Bookkeeping That Just Works.

Let’s review your current setup and show you
what better looks like.

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We Fix Your Finances in 3 Simple Steps

25 employees. Rapid growth. Outdated systems. See how we
turned chaos into clarity.

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Healthcare bookkeeping - System Six Bookkeeping
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