“The best medical billing companies in Rochester include Transcure, Ibex, St. Ann’s Management, and Physician Credentialing Company. Many serve locally while others provide nationwide services through their offshore staff.”
According to Rochester Regional Health, the health sector in Rochester is anchored by their operations generating $3.2 billion in revenue. Such a scale means many local practices deal with complex payer networks. Partnering with a specialized medical billing company is essential to manage coding, denials, AR follow-up, and payer compliance.
That’s why billing firms like Transcure, Ibex, and Logical Billing Solutions become important allies in ensuring smooth claims and compliance. You can find your billing partner by going through the profiles of these top medical billing companies in Rochester, NY:
- Transcure
- Ibex Medical Billing LLC
- St. Ann’s Management Company Inc.
- Physician Credentialing Company
- Physician Billing Solutions
- Logical Billing Solutions
- Advantage Medical Billing Solutions, LLC
- Our Billing Co.
- Priority Medical Billing
- VB Billing Services
1. Transcure
Transcure is the best medical billing company in New York and its surrounding counties, including Rochester. With a nationwide presence, our billing firm provides billing support to 40+ specialties, including Family Practice, Radiology, and Pulmonology. After submitting claims worth $500M, Transcure boasts a first-pass clean claim rate of 98%.
We also employ over 1100 AAPC-certified billers and coders, making us ideal for billing hospitals and surgery centers. On top of billing, we provide denial appeals, complementary credentialing, billing audit oversight, and dashboards to guide client improvements.
With error-free billing and consistent persuasion, we reduce A/R days by 30% and increase client revenue by at least 5% to 10%. As for data security, Transcure is HIPAA and ISO 27001 certified, which means client data remains secure with us.
Why Choose Transcure for Medical Billing?
| Factor | Details |
|---|---|
| Established | Since 2002 |
| Key Services |
|
| AI-Powered Services |
|
| Service Area | All 50 states, including Rochester, New York |
| Best For | Larger practice sizes, Hospitals, and Surgery Centers |
2. Ibex Medical Billing LLC
Ibex provides medical billing in Rochester, managing workflows that verify insurance, calculate correct contracted rates, submit claims, and follow up on denials. Their team verifies patient insurance eligibility in real time, scrubs claims before sending to insurers, and provides custom reports.
They also designate a single point of contact so clients aren’t chasing multiple reps. Along with that, this medical billing partner covers 27 specialties, including Anesthesiology, Cardiology, and Dermatology.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Rochester, New York |
| Best For | Small practices located within Rochester |
3. St. Ann’s Management Company Inc.
St. Ann’s in Rochester offers medical billing and collections support for skilled nursing, outpatient, internal medicine, and FQHC providers. As with other billing firms, their billing team handles every stage of the revenue cycle, from charge capture to denial appeals.
What makes them rank among the top medical billing companies in Rochester is their ability to provide staff training in billing and workflow improvement consulting. St. Ann’s also helps healthcare organizations with compliance tracking, reporting, and documentation review to ensure financial transparency.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Rochester, NY, and nearby regions |
| Best For | Nursing homes, senior care centers, and long-term care facilities |
4. Physician Credentialing Company
Physician Credentialing Company focuses on provider credentialing, payer enrollment, re-credentialing, and verification services across U.S. insurance networks. They claim a 97% on-time submission rate and emphasize that their work enables practices to be “billing ready.”
PCC also supports billing for eight specialties, payer communications, credential status tracking, and follow-up with payers to reduce delays. Their USP is streamlining the credentialing complexity so practices can focus on clinical work rather than paperwork.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Nationwide, across multiple payers and insurance networks |
| Best For | Practices wanting quick credentialing and basic billing |
5. Physician Business Solutions
Physician Business Solutions offers billing management, shared services, and software subscription models for medical practices. They handle claim submissions, posting, adjustments, and patient billing inquiries.
Their Health ePay™ program supports automated patient payments by credit card and payment plans tied to their billing operations. Services like practice consultation, EMR integration, and RCM make them rank among reliable medical billing companies in Rochester.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | East Rochester, NY, and regional practices |
| Best For | Practices seeking integrated billing and patient payment automation |
6. Logical Billing Solutions
Logical Billing Solutions specializes in ambulance billing and EMS service claims processing throughout Rochester, NY. They submit emergency transport claims, verify run data, and track each claim through to payment.
They also offer skip-tracing for overdue accounts, customizable reporting dashboards, and continuous training in coding and documentation compliance. Along with that, their software stages over 30 data verification points before each claim is sent to reduce denials.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Rochester, NY, and national ambulance/EMS providers |
| Best For | EMS agencies and ambulance services needing specialized billing and claims recovery support |
7. Advantage Medical Billing Solutions, LLC
Advantage Medical Billing Solutions handles billing for multi-specialty practices, solo physicians, and group providers. With 24 years of experience, they submit claims, process payouts, and address denials to maximize reimbursements.
Advantage Medical Billing Solutions handles billing for multi-specialty practices, solo physicians, and group providers. As with other medical billing companies in Rochester, they submit claims, process payouts, and address denials to maximize reimbursements.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Local presence in Rochester with nationwide presence |
| Best For | Practices seeking billing and EHR integration in one vendor package |
8. Our Billing Co.
OBC is a Rochester-based RCM firm providing medical billing and coding alongside other revenue services. Their model blends in-house and offshore support to balance cost and quality. Additionally, OBC manages claim submission, remittance posting, AR follow-up, and denial resolution.
OBC also supports health systems with compliance review, dashboard reporting, and revenue optimization tools. The billing firm’s local presence ensures you can review their billing process on the spot, while the offshore team ensures scalability.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Rochester, NY, and regional health systems |
| Best For | Practices and health systems needing scalable hybrid support |
9. Priority Medical Billing
With services like claims submission, patient statements, and denial resolution, PMB ranks among the best billing companies in Rochester. They also support credentialing and attestation processes so providers can secure insurance payments without delays.
Priority Medical Billing customizes billing workflows per practice’s specialty and volume, offering financial reports to track revenue. Their fee structure is tied to collections rather than flat billing, and they promise 95% first-submission claim success along with transparent contracts.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | Honeoye Falls, Rochester, and the counties around New York |
| Best For | Practices preferring fee-based on collections and long-term billing partners |
10. VB Billing Services
VB Billing Services offers full medical billing and coding support across many specialties, including physical therapy, cardiology, neurology, dermatology, and orthopedics. They scrub claims, submit to payers, post payments, and manage denials to maximize reimbursements.
They also provide credentialing, insurance verification, DME billing, out-of-network claim handling, and business development consulting for practices. Their USP is combining billing with free EHR, financial analytics, and wide specialty coverage.
| Factor | Details |
|---|---|
| Key Services |
|
| Service Area | New York with national specialty coverage |
| Best For | Practices seeking full service billing, credentialing, and software integration |
How Our Editors Selected the Top Medical Billing Companies in Rochester, New York?
Our editors researched thoroughly on platforms like YELP, TrustPilot, and visited the GBP of selected companies. We also assessed transparency, response times, and compliance with New York’s healthcare billing regulations to ensure the most reliable companies were featured.
What are the Best Medical Billing Companies in New York?
Top medical billing companies in New York include Transcure, Cures MB, iRCM, HMS, and Sybrid MD. These providers offer billing automation, clean claim submission processes, and comprehensive RCM tailored to New York-based healthcare practices.
What are the benefits of outsourcing medical billing in Rochester, NY?
Outsourcing billing reduces administrative burden, accelerates claim turnaround, and minimizes errors. It also helps medical practices improve revenue flow, maintain compliance with New York’s payer regulations, and focus on patient care instead of time-consuming billing tasks.
How to Choose a Medical Billing Company in Rochester, NY?
Choose a company with proven expertise in New York payer rules, denial prevention, and specialty billing. Look for transparent reporting, certified billing specialists, and reliable support teams to ensure smooth claim management.
What Percentage Do Medical Billers Take in Rochester, NY?
Most medical billing companies in Rochester charge 5% to 8% of total collections. The rate depends on claim volume, specialty type, and included services such as credentialing, coding audits, or RCM consulting.
Which is the Best Medical Billing Company in Rochester, NY?
Transcure is the best medical billing company in Rochester. It offers end-to-end billing, denial management, and RCM automation. Transcure’s certified billers ensure faster reimbursements, lower A/R days, and full compliance with New York’s billing and payer regulations.
What are the Five Best Medical Billing Companies in Rochester, NY?
The five best companies are Transcure, Ibex Medical Billing LLC, St. Ann’s Management Company Inc., Physician Business Solutions, and Advantage Medical Billing Solutions LLC. These providers deliver transparent, specialty-specific billing services optimized for Rochester’s healthcare ecosystem.
What Factors Should I Consider Before Hiring a Medical Billing Company in Rochester, NY?
Evaluate the company’s experience, state-specific expertise, technology use, and specialty focus. Transcure excels in all these areas, combining EHR integration, claim analytics, and proven billing workflows designed for New York medical practices.
