FOR US MEDICAL PRACTICES AND PHYSICIAN GROUPS
No middleman. No hassle. Just people who work for you.
Skip the billing company. Ayzel Global gives your practice its own dedicated billers, coders and credentialing specialists who work only for you, inside your systems, on your hours, for one flat monthly fee.

Running US billing teams since
2021
41
Professionals on live US accounts
20
Seats open for new clients
THE PROBLEM
A billing company puts a middleman between you and your revenue. We take it out.
Every billing company promises higher collections, and doctors and practice managers only find out who delivers after months of revenue are on the line. With Ayzel Global there is no outside company in the middle: your staff, your systems, your rules. We take care of hiring, training and keeping them, so your work gets easier, not more complicated.
Working through a billing company
- You pay a percentage of every dollar you collect, so your cost rises as your practice grows.
- Your claims go into a black box. You see a monthly report, not the work.
- Your account sits in a queue with dozens of other practices.
- Switching means long contracts, data handovers and lost months of revenue.
Working with your own Ayzel Global team
- One flat monthly fee per person, no matter how much you collect.
- Your team works inside your own software, so you can see every claim.
- They work only for your practice, on your hours, and answer to you.
- You direct the work. We handle hiring, training, security and replacements.
WHAT WE STAFF
One full-time professional, dedicated to your practice
No shared agents, no account queue, no middleman. Each person works only for you, in your tools, during your business hours.
OUR CORE
RCM Staffing
- Medical billers and charge entry
- AR follow-up and denial management
- Certified coders (CPC, CCS)
- Credentialing and enrollment
- Eligibility and prior authorization
- Payment posting
RUN YOUR DAY
Executive and VA Support
- Executive assistants for founders and practice owners
- Inbox, calendar and CRM management
- Medical front office and scheduling
- Patient intake and reminders
- Research, data entry and reporting
GROW YOUR PRACTICE
Creative and Marketing Talent
- Social media managers
- Graphic designers
- Video editors
- Creative and marketing talent to grow your practice
THE MATH
Keep the talent. Cut the cost by more than half.
A full-time medical biller in the US costs $45,000 to $60,000 a year once benefits and payroll taxes are added. An Ayzel Global biller starts at $19,200 a year, with supervision, equipment and replacement included.
One flat monthly fee. Billed monthly. No recruiting fees.
Annual cost of one full-time medical biller
WHY AYZEL GLOBAL
We handle the hard part, so your team simply works for you.
Onsite and supervised
Your team works from our secure office with a team lead on the floor, not from home.
HIPAA-ready security
Signed BAAs, company devices, MFA and VPN, no personal phones or USB storage on the floor.
Free replacement in 14 days
If someone is not the right fit, we replace them at no cost, from a trained bench ready to start.
On US hours, every day
Our office runs on the US working day. Your team is online when your patients and payers are.
Proven since 2021
We have run live US billing, AR and credentialing work for our clients every day for five years.
Direct founder access
Whether you hire one person or fifteen, you talk to the people who run Ayzel Global, not a call center.
REGISTERED AND ACCREDITED
A verified company you can check for yourself
Ayzel Global (Pvt) Ltd is a legally registered company in Pakistan, recognized by the government bodies that oversee companies and technology-enabled service exports.

SECP
Securities and Exchange Commission of Pakistan
Incorporated as a private limited company. CUIN: 0176869

PSEB
Pakistan Software Export Board
Registered IT and IT-enabled services export company. Reg. no. Z-25-22260/26

RCCI
Rawalpindi Chamber of Commerce and Industry
Registered member of the chamber. Reg. no. 3269
HOW IT WORKS
From first call to first day in as little as two weeks
Book a discovery call
Tell us the role, your software and your hours. We confirm scope and price on the call.
Interview your shortlist
We send pre-screened, trained candidates. You interview them and choose.
We onboard and secure
We sign the BAA, set up devices and access, and train on your workflows.
Work starts, reports follow
Your team works in your systems. You get a monthly report on output, accuracy and attendance.
CASE STUDY
How a US medical practice grew monthly collections from $280K to $500K
The challenge. The practice was sitting on $2.7 million in denied and unsettled claims, and its collections had stalled at $280K a month.
The team. Ayzel Global placed eight dedicated billers and a credentialing specialist, working only for this practice, inside its own systems, on US hours.
The result. Led by Ken, the practice's dedicated account manager, the team cleared the entire $2.7 million backlog in under three months, and monthly collections have since grown to half a million dollars.
"Ken and his team have earned far more than a bonus. They deserve a raise."
Group CFO, US medical practice
+79%
Monthly collections
From $280K to $500K a month
$2.7M
Backlog cleared
Denied and unsettled claims
< 3 months
To clear the backlog
From team start to a clean slate
9
Dedicated team members
8 billers and 1 credentialing specialist

Usama and Hashim, co-founders, at the Ayzel Global office in Islamabad
OUR STORY
It started with two friends, a lockdown and a lot of long walks
In the quietest months of the pandemic, when the world had stopped, Usama and Hashim kept walking. Night after night, the conversation came back to one question: why do so many talented, professional people in Pakistan never get the chance to work for the world's best employers?
2020
Two minds, one idea
We believed Pakistan's BPO sector could be known for professionalism, not just low cost, and that skilled Pakistani RCM professionals deserved to work directly with practice owners — not through the third-party offshore billing companies that stood between them.
2021
The idea became real
We opened our office, hired our first team and put them on the US working day. Every process was built by hand, tested on live US healthcare work and improved week after week.
TODAY
Helping US healthcare grow, hassle free
Ayzel Global gives US medical practices dedicated people who work only for them. Hanzallah has since joined as our third partner, making sure every person we hire is supported to grow.
What began on those walks is now a team that shows up for your practice every single day, and every hire is a Pakistani professional building a global career.
MEET THE PARTNERS
The people behind your team

Usama Aftab
Chief Executive Officer
Co-founder and CEO of Ayzel Global. Usama sets the company's vision and growth, bringing years of startup experience to a single goal: giving US medical practices dedicated professionals who work only for them and deliver from day one.

Hashim Nadeem
Chief Operating Officer
Runs day-to-day operations at Ayzel Global and has led US revenue cycle operations as a company president, so he knows exactly what a US billing client needs from a team. Clients know Hashim as the partner who gets things done, building lasting relationships and making sure every account runs smoothly.

Hanzallah Abdullah
Chief Human Resource Officer
Leads hiring, training and people at Ayzel Global, so every team member is carefully vetted, well trained and supported to stay. Having hired hundreds of professionals, Hanzallah knows how to find, train and keep the right people, so the team member who starts with you stays and grows with your practice.
Questions US clients ask us
Is my patient data safe with an offshore team?
Yes. We sign a Business Associate Agreement, train every team member on HIPAA, and work on company-owned, locked-down computers with MFA and VPN. Personal phones and USB storage are not allowed on the floor.
Where does my team work, and when?
From our office in Islamabad, Pakistan, on US business hours, with a team lead on the same shift. We run backup internet and power so the work does not stop.
What if a team member is not the right fit?
Tell us and we replace them free of charge within 14 days, from a bench of trained people.
How quickly can we start?
Most roles start within two weeks of your discovery call, including interviews and onboarding.
What are the contract terms?
A flat monthly fee per dedicated team member, billed monthly in advance. [Confirm your contract length and notice period.]
Let Ayzel Global take the work off your desk.
Tell us the role and we will show you the people who will work for you. A 20-minute call, no commitment.
