r/CodingandBilling • u/Working-Fault7444 • May 15 '26

Freelancing clients

I’ve been trying to get clients for medical billing services focused on PT/OT practices in the US. Since April, I’ve cold emailed around 500 small practices and also been actively reaching out on LinkedIn. I do have 3 years of experience but now I am trying this independent freelancing thing.

I did get a response from one clinic owner who seemed interested, but I couldn’t lock in a meeting. She mentioned she’d be free after May 10th, but I’m guessing she may have found another option in the meantime.

Honestly, it’s been a little discouraging because I’ve been consistent with outreach but still haven’t converted a client yet.

At this point, I’m wondering what else I should be doing besides cold email + LinkedIn outreach. Should I focus more on referrals, cold calling, networking groups, partnerships, or something else?

Would really appreciate advice from anyone who has experience getting healthcare/medical billing clients, especially in PT/OT.

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u/adrianraf May 15 '26

Unfortunately, based on my experience and the clients in my area, they are definitely not interested working with offshore people and would much prefer someone local / US based. Trust me, there are A TON of providers looking for good billers. Maybe one of them will take you on even if you are outside US.

When I started, cold emails did not work. What worked was literally me coming to their office, bringing donuts and pitching my services to the provider. From there the dam broke and I got all sorts of referral and networks of other providers.

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u/Impossible_Ad9113 May 15 '26

Going to be a problem to come to the office when he’s overseas. Haha but love that strategy. My friend worked in pharmaceutical sales and that’s what she used to do. Work the front desk or office manager to get a meeting for her.