Error margins shrink as AI-powered claim reviews become standard and state-specific requirements evolve. Practices relying on outdated systems or lacking specialized expertise risk falling behind financially while administrative burdens pull providers from patient care. Finding the right medical billing companies in New York protects revenue, ensures compliance, and provides transparency for informed decisions. This guide offers an unbiased breakdown of the best medical billing companies in New York with practical selection advice.
How We Evaluated the Best Medical Billing Companies in New York
To ensure this list reflects objective quality rather than marketing claims, we evaluated companies based on measurable performance and verifiable credentials:
- Clean claim rates and denial management. First-pass acceptance above 95% with proven appeal strategies.
- Compliance certifications. HIPAA compliance, AAPC certifications, SOC 2, New York-specific expertise.
- Technology infrastructure. EHR integration, real-time dashboards, automated workflows.
- Specialty expertise. Experience with specific specialties and complex coding.
- Transparency and reporting. Report quality, account manager accessibility, pricing clarity.
- Local market knowledge. NY Medicaid (NYC HRA), regional payers, state regulations.
- Client retention. Long-term relationships, verified testimonials, independent ratings.
Our List of Top 10 Medical Billing Companies in New York
1. Swift Medical Billing
Swift Medical Billing helps New York practices address unpredictable revenue, limited claim visibility, and ongoing compliance pressure. Instead of operating as a black box, Swift focuses on revenue predictability and transparency, providing real-time dashboards, clear reporting, and dedicated account management aligned with New York–specific payer and regulatory requirements.
Denial reduction and financial control are central to Swift’s approach. Proactive claim scrubbing, rapid payer rejection response, and root-cause denial analysis reduce repeat denials over time. Structured AR recovery targets aging balances, while a compliance-first workflow and regular billing audits help lower audit risk. Detailed analytics give practices direct control over financial data, revealing denial trends, payer performance, and procedure profitability to support informed decisions.
Key services for New York practices:
2. Transcure
Transcure operates as a full-service medical billing company in New York, leveraging AI-powered automation and a strong regulatory compliance focus. The company serves over 40 medical specialties and emphasizes staying current with coding changes and payer policy updates.
Key features include:
- Advanced EHR integration minimizes manual data entry errors
- Certified coders adapting quickly to ICD-10 and CPT updates
- Data-driven denial management reduces claim rejections
- 98% clean claim rate with comprehensive compliance monitoring
Transcure has operated since the early 2010s and maintains a national presence with specific New York payer expertise.
3. Physicians Revenue Group (PRGMD)
Physicians Revenue Group specializes in New York Medicaid billing, a valuable service for practices serving diverse patient populations. The company takes a consultative approach, identifying revenue leaks and implementing process improvements.
PRGMD’s strengths include:
- Deep knowledge of NYC HRA and New York Medicaid regulations
- Multi-state presence with localized New York expertise
- Comprehensive credentialing accelerates provider enrollment
- Services extending into billing audits and workflow consulting
PRGMD serves practices across all 50 states while maintaining specialized knowledge of New York.
4. Millennium Medical Billing
Millennium Medical Billing differentiates through performance-based pricing and domestic operations without overseas outsourcing. Serving specialty practices for 15+ years, the company emphasizes personal service and 24/7 availability.
Service highlights include:
- Performance-driven compensation aligning with successful collections
- Specialized billing for OB/GYN, physical therapy, and general surgery
- End-to-end revenue cycle management
- EHR optimization is improving integration with existing systems
Millennium was a finalist for Kareo’s Billing Company of the Year in 2016, maintaining HIPAA-compliant operations with direct U.S.-based specialist access.
5. HMS USA (Healthcare Management Services)
HMS USA provides consultative, technology-enabled billing services under the leadership of a person holding CPB, CPC, and CFP certifications. Among medical billing companies in New York, HMS combines traditional revenue cycle management with modern patient systems.
Core offerings include:
- Virtual Front Desk Services modernizing patient interactions
- Comprehensive compliance support for HIPAA, ACA, and state regulations
- Customized billing solutions for individual specialties
- 99% claim accuracy with documented 25% revenue increases
HMS positions itself to modernize operations while improving patient satisfaction and financial performance.
6. iRCM
iRCM was among the best medical billing companies in New York, integrating advanced AI technology into revenue cycle management. Based in Brooklyn, the company serves practices nationwide with data-driven solutions combining automation and human expertise.
Key features include:
- AI-enhanced billing workflows reduce manual processing
- AAPC-certified coders (CPB and CPC credentials)
- Full-service credentialing accelerating insurance enrollment
- Real-time analytics providing immediate financial visibility
iRCM serves both small independent practices and larger multi-location groups across various specialties.
7. MediBill MD
MediBill MD provides comprehensive revenue cycle management across 45+ medical specialties. The company reduces denials through meticulous coding and proactive payer communication, serving solo providers and large groups alike.
Service offerings include:
- Specialty-specific billing expertise across diverse practices
- Advanced claim scrubbing catches errors before submission
- Dedicated account management with regular performance reviews
- Integration with popular EHR platforms
MediBill MD focuses on scalable solutions that adapt to changing needs and achieve strong client retention.
8. BellMedEx
BellMedEx specializes in serving New York practices with electronic billing solutions for the region’s fast-paced healthcare environment. Among the top 10 medical billing companies in New York, BellMedEx serves Manhattan clinics through Queens specialty centers, reporting 97% clean claim rates with rapid turnaround.
Key strengths include:
- Expertise with regional payer networks and New York insurance requirements
- Certified coders (CMRS, RHIA, CPB credentials) for each specialty
- Proven denial recovery strategies reclaiming missed payments
- Support for CMS-1500, CMS-1450, CMS-1728-20 forms
BellMedEx serves practices throughout the NYC boroughs and surrounding counties, with a strong understanding of local payers.
9. Medisys Data Solutions
Medisys Data Solutions specializes in New York billing guidelines while reducing denials and cutting costs. The company’s billing staff stays up to date on changing procedures and legislation across multiple specialties.
Services include:
- Full-service billing handling, complete revenue cycles
- Partial billing for practices maintaining internal control
- Specialty-specific expertise across diverse practices
- Flexible partnership models adapting to preferences
Medisys offers adaptable solutions for complete outsourcing or collaborative support.
10. BillingParadise
BillingParadise leverages technology-driven solutions to reduce errors and accelerate billing. Serving small to mid-sized New York practices with personalized solutions, the company emphasizes automation with experienced professionals.
Core features include:
- Claims processing with advanced automation improves accuracy
- AR follow-up systematically addresses outstanding balances
- Provider credentialing eliminates enrollment delays
- Medical transcription integrated with billing
BillingParadise focuses on technology-enabled efficiency with personalized service for smaller practices.
Comparing the Best Medical Billing Companies in New York
When evaluating the top 10 medical billing companies in New York, comparing key differentiators helps identify which partner aligns best with your practice needs:
| Company | Specialties | Experience | Compliance | Reporting & Transparency | Best For |
| Swift Medical Billing | Multi-specialty with specialty-specific services | Modern approach with proven denial reduction | HIPAA compliant with audit services | Real-time dashboards with dedicated account management | Practices seeking revenue predictability and operational transparency |
| Transcure | 40+ specialties | 10+ years | ISO 27001, HIPAA, SOC 2 | AI-powered analytics with regular reporting | Practices wanting advanced automation and technology |
| PRGMD | Multi-specialty, hospitalists, labs | Multi-state with NY focus | HIPAA compliant, NY Medicaid expert | Comprehensive financial reporting | Practices with significant Medicaid patient populations |
| Millenium Medical Billing | OB/GYN, therapy, general surgery | 15+ years | HIPAA compliant, AAPC member | 24/7 access with personal service | Specialty practices preferring domestic operations |
| HMS USA | Multi-specialty with virtual front desk | Technology-enabled consulting | HIPAA, ACA, state regulations | Custom reporting with consultative insights | Practices modernizing patient experience systems |
| iRCM | Multi-specialty | AI-focused modern approach | HIPAA, AAPC certified coders | Real-time analytics dashboards | Tech-forward practices seeking AI integration |
| MediBill MD | 45+ specialties | Established national presence | HIPAA compliant | Regular performance reviews | Growing practices needing scalable solutions |
| BellMedEx | Multi-specialty with regional focus | NYC market specialist | HIPAA, multiple certifications | Frequent updates on claim status | Practices throughout NYC boroughs |
| Medisys Data Solutions | Multi-specialty | NY market experience | NY-specific compliance focus | Standard financial reporting | Practices seeking flexible partial or full billing support |
| BillingParadise | Small to mid-sized practices | Technology-driven approach | HIPAA compliant | Automated reporting with personal touch | Smaller practices wanting efficient automation |
How to Choose the Medical Billing Company in NYC for Your Practice
When evaluating medical billing companies in New York, selecting the right partner requires assessing how well they align with your operational needs rather than comparing marketing materials. Focus on these critical factors:
- Specialty expertise matters significantly. Billing requirements differ substantially between cardiology, behavioral health, orthopedics, and primary care. Ask potential partners how many practices they serve in your specialty and request references from similar-sized practices.
- Examine denial management performance. The difference between recovering 60% and 90% of denied claims has a substantial impact on revenue. Ask about average appeal timeframes, success rates by denial reason, and pattern identification to prevent future denials.
- Verify technology integration. If your practice uses an EHR system, seamless integration is essential. Request demonstrations showing data flow between systems and reporting access. Poor integration creates manual work, defeating the benefits of outsourcing.
- Demand transparency in reporting. Ask how often you’ll receive reports, what metrics they include, and how quickly you can access current claim status. Request sample reports confirming they provide actionable insights rather than raw data.
- Understand pricing completely. Percentage-based pricing is common, but details matter. Ask whether percentages apply to all collections or specific payer types. Inquire about setup fees, software costs, and termination requirements.
- Assess compliance rigorously. Beyond basic HIPAA compliance, ask about data encryption, employee training, and incident response. Request information about auditing practices and cyber liability insurance.
- Test communication quality. Pay attention to response times during evaluation. Will you have dedicated account management or general support routing? Understanding communication patterns before signing reveals how partnerships function.
Choosing among the top 10 medical billing companies in New York requires finding a partner whose operational style matches your practice culture and whose expertise aligns with your needs. The right partner improves financial performance while reducing administrative stress.
