Sustainable Medical Billing Acquires Smrtdo Medical Billing

Scottsdale, Arizona Oct 21, 2026 (Issuewire.com) - Sustainable Medical Billing, LLC, a leading provider of revenue cycle management (RCM) solutions, today announced the acquisition of Smrtdo Medical Billing, an international business process outsourcing provider with established operations in Nicaragua and Colombia and capabilities spanning medical billing, medical coding, customer support, and back-office services.

The acquisition represents a significant milestone in Sustainable Medical Billing's global growth strategy, adding more than 300 team members and establishing the company's first nearshore Latin American operations.

Headquartered in Managua, Nicaragua, Smrtdo has developed an international delivery platform serving businesses through specialized teams and customized outsourcing solutions. Its healthcare-focused capabilities include medical billing and coding for U.S. healthcare providers, while its broader business process outsourcing services include administrative support, accounting, customer service, and other back-office functions.

The acquisition expands Sustainable's global workforce and creates new opportunities to support clients through a broader international delivery model. With established operations in Latin America, Sustainable will be able to complement its existing service delivery capabilities with a nearshore workforce, expanding its geographic reach and flexibility as the company continues to grow.

Michael Johnson, CEO of Sustainable Medical Billing, commented:

"Smrtdo is an exciting addition to Sustainable and an important step forward in our global strategy. The addition of more than 300 talented team members and our first nearshore operations in Latin America expands our ability to serve clients, build high-performing teams, and support our continued growth. We are focused on bringing together the best people and capabilities across our organization, and Smrtdo strengthens our platform for the next stage of Sustainable's development."

Lenin Lemus, Founder of Smrtdo, added:

"Joining Sustainable creates an exciting opportunity for our team to build on the capabilities and relationships we have developed over the years. We are proud of our people and the operations we have established in Latin America, and we look forward to contributing to Sustainable's broader growth initiatives. By combining our experience and resources with Sustainable's scale and vision, we believe we can create new opportunities for our employees and deliver even greater value to our clients."

Smrtdo's leadership team will continue in its current roles, supporting both the ongoing operations of the business and Sustainable's broader strategic initiatives. The organizations will continue working with their existing teams as they bring their capabilities together, preserving the experience and operational knowledge that have contributed to their respective successes.

The acquisition further advances Sustainable Medical Billing's strategy of building a scalable, technology-enabled revenue cycle management organization supported by experienced healthcare operators and a flexible global workforce. By adding nearshore operations in Latin America to its existing platform, Sustainable is expanding its ability to deliver high-quality services, support clients across a wider range of needs, and pursue continued growth in the healthcare services market.

About Sustainable Medical Billing

Sustainable Medical Billing, LLC is a Scottsdale, Arizona-based provider of comprehensive revenue cycle management solutions, including medical billing, coding, credentialing, provider enrollment, prior authorization services, consulting, and practice optimization. The company partners with hospitals, physician practices, and healthcare organizations across the United States to maximize financial performance while delivering exceptional client service.

About Smrtdo

Smrtdo is an international business process outsourcing provider headquartered in Managua, Nicaragua, with operations in Nicaragua and Colombia. Through its specialized teams, Smrtdo provides medical billing and coding, back-office support, customer service, and other customized business process solutions to help organizations improve efficiency and support growth.

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Sustainable Medical Billing, LLC

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http://www.sustainablebilling.com