National Medical Billing Services (St. Louis). The senior management at National Medical Billing Services built a culture around a "work hard, have fun" mentality. The company's office includes a "brainstorming room" with writable walls, and employees can participate in philanthropic opportunities such as volunteering for the Special Olympics or donating to local children's charities. Employees ranked the company 98 out of 100 in a 2016 internal engagement survey and many take advantage of the company's training program, which includes 500 different courses covering topics like leadership, project management and IT security.