Health care revenue cycle management company National Medical Billing Services is undergoing a $213,000 expansion and creating 11 new jobs in Cuba, Missouri.

Headquartered in Chesterfield, National Medical Billing Services currently employs approximately 400 employees. The company has grown its annual revenue by 1,000 percent over the past five years, according to a release from the Missouri Department of Economic Development.

“We were looking for an area that had a large pool of talented, hardworking people interested in building a long-term career with our company, and all of our research kept pointing to Cuba as our perfect destination,” says Lisa Rock, president of National Medical Billing Services.