New York’s healthcare system serves a diverse population and relies heavily on Medicare and Medicaid, which cover 62% of outpatient services and 53% of hospital patient revenue. This reliance creates a complex multi-payer billing system, so many providers use outsourced billing services to reduce claim denials through accurate coding and proper claim submission.
Billing experts help practices improve coding and maintain compliance with payer requirements. To help you choose the best billing partner, this listicle gives you an overview of the top 10 medical billing companies in New York.
| Company | Rating | Best For |
|---|---|---|
Transcure
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Best For: Small practices, hospitals, and multi-specialty groups seeking AI-powered RCM | |
iRCM
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Best For: Solo practices and group practices needing end-to-end RCM solutions | |
BilNow
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Best For: Small practices, hospitals, and private practices across all specialties | |
Ambsi Medical Billing
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Best For: Medical group practices and large healthcare organizations | |
HMS USA LLC
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Best For: Small practices, private clinics, hospitals, and home health agencies | |
Sybrid MD
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Best For: Small to mid-sized healthcare practices and multi-specialty clinics | |
BellMedEx
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Best For: Both small and large practices, including primary care, specialty clinics, and urgent care | |
Millennium Medical Billing
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Best For: Multi‑specialty outpatient practices including cardiology, dermatology, gastroenterology, and oncology | |
SunKnowledge Inc.
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Best For: Hospitals and large healthcare organizations requiring comprehensive RCM | |
Swift Medical Billing
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Best For: Small and independent physician practices |
Transcure is a well-known billing company in New York that offers full-service AI-powered medical billing services. We also have a team of 1,100+ AAPC/AHMA-certified billers and coders, who are well-versed in 40+ specialties, including Surgery centers, Cardiology, OB GYN, and Orthopedic.
This AI-powered workflow, along with expert billers, results in a 99.99% clean claim accuracy and maintains only a 1% claim denial rate. Our company ensures compliance by securing medical billing, coding, and patient financial data through HIPAA-compliant and ISO27001-certified procedures.
Additionally, our company integrates with 40+ EHRs, such as Epic, AthenaHealth, and eClinicalWorks, so practices never need to switch platforms. Transcure stays updated with federal and New York-specific payer regulations, including Medicare, Medicaid, commercial payers, and New York state laws such as prompt-pay requirements and surprise billing regulations.
| Category | Details |
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| Best For |
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| Key Highlights |
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| Founded In | 2002 |
2. iRCM
iRCM Healthcare is a premium New York medical billing company with over 20 years of experience, offering comprehensive medical billing solutions to healthcare practices. Their team of AAPC-certified CPC and CPB professionals specializes in coding, billing, and denial management.
In addition, they offer end-to-end services like payment posting, A/R management, and IT solutions, helping practices to increase revenue. With HIPAA-compliant technology, the company boosts efficiency by resolving denied claims within 24 hours.
| Category | Details |
|---|---|
| Best For | Solo practices and group practices |
| Key Highlights |
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| Founded In | 2013 |
3. BilNow
BilNow is a reliable, full-service medical billing company based in New York and supports practices across all specialties. The company also serves 1,200 practices, and they cover 25+ specialities, including Nephrology, Cardiology, and Pain Management.
They offer a full range of services, including medical billing, RCM, credentialing, and healthcare digital marketing. In addition, they support practices of all sizes, including hospitals and labs, and offer transparent pricing as low as 2.7% of revenue with no upfront costs.
| Category | Details | ‘
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| Best For |
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| Founded In | 2017 |
4. Ambsi Medical Billing
Ambsi Medical Billing is a recognized billing company based in New York that offers comprehensive medical billing solutions across the US. Further, they assist companies, hospitals, medical groups, and independent practices in increasing revenue flow.
Additionally, the company serves more than 1,500 clients with a professional team of 1,200, ensuring prompt claim processing and reduced denials. The company provides end-to-end billing services across 75+ specialties, such as cardiology, orthopedics, and oncology.
| Category | Details |
|---|---|
| Best For | Medical Group Practices |
| Key Highlights |
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| Founded In | 2018 |
5. HMS USA LLC
A New York-based company, HMS USA LLC, provides complete medical billing and RCM services to healthcare providers across the United States. They also achieve strong outcomes, including 99% accuracy and 25% lower costs, which help practices to improve financial performance.
Their offerings include comprehensive credentialing, denial management, and quality payment programs such as MIPS and PCMH. Furthermore, it supports diverse specialties like cardiology, dermatology, and internal medicine while ensuring regulatory compliance.
| Category | Details |
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| Best For |
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| Founded In | 2017 |
6. Sybrid MD
SybridMD, a top New York-based medical billing company, provides affordable billing services to healthcare practices across 22 states. With skilled billing professionals and certified coders, they provide effective A/R management that helps practices to reduce administrative workload.
The company has partnered with over 100 healthcare practices and offers services including credentialing and telehealth billing support. In addition, they support all major medical specialties, including cardiology, dermatology, and nephrology, and adapt their approach as per the specific needs of practice.
| Category | Details |
|---|---|
| Best For | Small to mid-sized healthcare practices and multi-specialty clinics |
| Key Highlights |
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| Founded In | 2009 |
7. BellMedEx
BellMedEx is a leading full-service medical billing and RCM company in the United States, serving over 1,500 healthcare providers. With a team of 1,200+ certified medical coders and billers, BellMedEx offers end-to-end billing solutions, including medical coding, claims submission, denial management, and accounts receivable follow-up.
With a 4.8-star Trustpilot and Google rating, and an A+ rating from the BBB, BellMedEx is recognized for its high first-pass claim success and clean claim ratio.
| Category | Details |
|---|---|
| Best For | Both small and large practices, including primary care, specialty clinics, urgent care, mental health, and more |
| Key Highlights |
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| Founded In | 2016 |
8. Millennium Medical Billing
Millennium Medical Billing (MMB) is a reputable medical billing company in New York that delivers complete RCM services. In addition, it secures 30% of monthly revenue for clients by improving billing accuracy and reducing claim denial.
Further, the company is nationally recognized for holding MWBE certification, and it offers reliable HIPAA-compliant billing support. They also provide accurate claim submissions with no fees charged unless payments are successfully collected.
| Category | Details |
|---|---|
| Best for |
Multi‑specialty Outpatient Practices, Including
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| Key Highlights |
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| Founded In | 2009 |
9. SunKnowledge Inc.
SunKnowledge Services Inc, based in NY, has been providing reliable services to providers for almost two decades. They deliver complete RCM services, including authorizations, medical billing, coding, claims, and accounts receivable.
The company also secures 97% prior authorization approvals and integrates AI to enhance real-time documentation accuracy. Their certified coders handle complex coding tasks, including ICD-10, CPT, and HCPCS across 38 specialties, including Neurology and Oncology.
| Category | Details |
|---|---|
| Best For | Hospitals & Large Healthcare Organizations |
| Key Highlights |
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| Founded In | 2007 |
10. Swift Medical Billing
Swift Medical Billing Solutions is a leading billing company based in New York that handles end-to-end RCM for providers. The company covers core services, including coding accuracy, rapid claim processing, denial management, and helping practices to maximize revenue
Moreover, they offer physician billing, virtual front office support, and specialty-focused services covering fields such as surgery and pediatrics. With skilled staff and trusted expertise, the company maintains HIPAA compliance while allowing healthcare providers to prioritize patient care.
| Category | Details |
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| Best For | Small & Independent Physician Practices |
| Key Highlights |
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| Founded In | 2021 |
How Our Editors Selected the Top Medical Billing Companies in New York?
Our editors selected the top medical billing companies in New York based on a detailed evaluation of key criteria, focusing on those that provide reliable services. Companies were evaluated based on coding accuracy, clean claim rates, A/R days, client reviews, and specialty expertise. By analyzing metrics from healthcare providers, the editors compiled a trusted list of leading billing companies in New York.
What Are the Best Medical Billing Companies in the United States?
The best medical billing companies in the United States are Transcure, CBS Medical Billing & Consulting, and Med USA. These companies are recognized for their RCM expertise. Additionally, they utilize advanced billing systems to reduce claim denials and maximize reimbursements.
What Are the Benefits of Outsourcing Medical Billing in New York?
Outsourcing medical billing in New York allows practices to cut administrative workload, reduce claim denials, maintain compliance, and prioritize patient care. Many healthcare practices that switch to external billing can reduce operational costs by 30–40% while enhancing their billing processes.
How To Choose a Medical Billing Company in New York?
Choosing a medical billing company in New York requires evaluating performance metrics such as first-pass clean claim rates, denial reduction, and A/R turnaround. Ensure the billing company is HIPAA-compliant and integrates seamlessly with your current EHR/EMR to maintain workflow efficiency. Also, the company must offer billing across your medical specialty and provide transparency in reporting.
What Percentage Do Medical Billers Take in New York?
Medical billers typically charge 4% to 10% of the collected revenue for their services, depending on practice size and specialty. Some billers may also offer flat-fee or hybrid pricing models, but percentage-based fees remain most common.
Which Is the Best Medical Billing Company in New York?
Transcure is a top medical billing company in New York, known for 99.9% clean claim accuracy and a denial rate of just 1%, trusted by over 500 physicians. They follow state-specific billing regulations and have experience across 40+ medical specialties. The company provides AI-powered billing services supported by 1,100+ AAPC-certified billers and coders.
What Are the 5 Best Medical Billing Companies in New York?
The best 5 medical billing companies in New York are Transcure, iRCM, BILNOW, Providers Care Billing, and HMS USA LLC. These companies are trusted for their expertise in billing, accurate claim handling, and compliance with New York laws and insurer requirements.
What Factors Should I Consider Before Hiring a Medical Billing Company in New York?
Before hiring a medical billing company in New York, verify the company’s billing experience and review its performance metrics. Make sure a provider follows HIPAA standards to protect sensitive data. Additionally, it is important to choose a provider that aligns with your specialty and integrates seamlessly with your existing EHR/EMR system.
What Is The No Surprise Billing Law In NY?
The No Surprises Billing Law in New York protects patients from unexpected medical bills when they receive emergency care or out-of-network services without their knowledge. It limits how much providers can charge and ensures patients only pay in-network cost amounts, while insurers and providers resolve payment disputes separately.
How Do New York Medicaid Billing Rules Differ From Medicare Billing Requirements?
New York Medicaid billing is state-specific, with frequent eligibility checks, lower reimbursements, and more prior authorizations, often through managed care plans. Medicare billing is federally standardized, with stable eligibility, higher payments, fewer authorizations, and uniform coding rules. Medicaid is more complex and flexible, while Medicare is more consistent and predictable across providers nationwide.
What Is The Prompt‑pay Law In New York And How Does It Impact Claim Payments?
The Prompt-Pay Law in New York requires insurance companies to pay or deny medical claims within a set timeframe—typically 30 days for electronic claims and 45 days for paper claims. If insurers delay payment without valid reasons, they must pay interest on overdue amounts. This law helps healthcare providers by ensuring faster reimbursements, improved cash flow, and reduced payment delays, while also holding insurers accountable for timely and transparent claim processing.
What Medical Laws Should Medical Billing Companies in New York Know?
Medical billing companies in New York must understand several key laws to ensure compliance, accurate billing, and timely reimbursements. The most important include:
- No Surprises Act / New York Surprise Billing Law: Protects patients from unexpected out-of-network charges and limits balance billing.
- HIPAA: Ensures patient data privacy, security, and confidentiality in all billing processes.
- Prompt Pay Law: Requires insurers to pay clean claims within specific timeframes (e.g., 30–45 days), improving cash flow for providers.
- False Claims Act: Prohibits fraudulent billing and imposes penalties for submitting false or inaccurate claims.
- Anti-Kickback Statute: Prevents financial incentives for patient referrals that could influence billing practices.
- Stark Law: Restricts physicians from referring patients to entities where they have a financial interest.
- Medicaid Regulations: Include strict state-specific billing, documentation, and eligibility requirements.
- Medicare Regulations: Standardized federal billing rules, coding compliance, and audit requirements.
