A medical practice can provide excellent care while still struggling financially because of billing inefficiencies. You can’t submit claims, authorizations can expire, you can get denied because of coding issues and then you have unpaid balances sitting in your accounts receivables for months. These are harder in New York.

Providers must negotiate with commercial payers, Medicare, New York Medicaid, eMedNY billing restrictions, credentialing delays, patient cost sharing, prompt-payment rules and protections against surprise billing. There are various medical billing firms in New York, you can find the proper partner to relieve the load.

But choosing the incorrect provider could generate new problems including bad reporting, no follow-up, hidden fees, data-security risks and a hard transition when the contract ends. Here are 10 companies offering medical billing services in New York in 2026. It covers their services, ideal clients, strengths, and issues providers should investigate before signing a contract.

What Is the Best Medical Billing Company in New York?

NYC Medical Billing is the top entry on this 2026 list. It has a New York City location and combines medical billing, coding, credentialing, eligibility verification, denial management, physician billing, remote patient monitoring billing, chronic care management billing, and full revenue cycle management.

Its published specialty coverage includes cardiology, mental health, orthopedics, pediatrics, nephrology, neurology, anesthesia, dentistry, laboratory, urgent care, oncology, radiology, and podiatry. It serves independent physicians, clinics, hospitals, laboratories, emergency care providers and multispecialty organisations.

Not that it’s the right decision for every provider, however. If you are a practice looking for a complete EHR and billing solution, CureMD may be a better option. SunKnowledge is a good choice for DME suppliers or organisations that require large-scale prior authorisation and RCM support. Coronis Health may be more appropriate for hospitals or larger physician groups.

How These Medical Billing Companies Were Evaluated

This ranking is based on publicly available information as of August 5, 2026. Each medical billing company was assessed using the following evaluation criteria.

Evaluation Criteria
New York headquarters, office location, or documented New York service coverage.
Full-cycle and modular medical billing capabilities.
Specialty-specific medical billing experience.
Medical coding expertise and denial management support.
Credentialing, enrollment, and insurance eligibility verification services.
Compatibility with EHR systems, practice management software, and clearinghouses.
Compliance, HIPAA security, and data protection information.
Support for independent practices, hospitals, clinics, and physician groups.
Reporting, analytics, and dedicated account management capabilities.
Ability to support practices of different sizes, from solo providers to large healthcare organizations.

Evaluation Methodology

Companies were evaluated using publicly available information related to service capabilities, technology, compliance, specialty expertise, customer support, and their ability to meet the operational needs of healthcare providers throughout New York.

Medical Billing Companies in New York: Comparison Table

Rank Company New York Connection Best Suited For Key Services
1 NYC Medical Billing Based in New York City Independent physicians, clinics, hospitals and multispecialty groups Billing, coding, credentialing, denials, eligibility, RCM, RPM and CCM
2 CureMD Corporate presence in New York City Practices wanting billing connected to EHR and practice management Medical billing, EHR, practice management, patient engagement and analytics
3 SunKnowledge Headquartered in Manhattan DME, payer operations, specialty practices and larger organizations RCM, coding, prior authorization, AR, billing, virtual assistance
4 Precision Practice Management Serves NYC, Buffalo and providers statewide Practices with complex EHR or technical workflows Billing, coding, credentialing, consulting, EHR implementation and support
5 Millennium Medical Billing Staten Island office Specialty and independent practices Medical billing, patient billing, collections and specialty claims
6 HMS USA LLC New York office in Floral Park Small and midsized practices, urgent care and nursing facilities Billing, coding, RCM, credentialing, denial management and quality programs
7 BellMedEx Dedicated New York billing services High-volume and multispecialty practices Billing, coding, AR recovery, denials, enrollment and eligibility
8 AMBSI Serves the NYC metro area and Long Island ASCs, pain management, anesthesia and physician groups RCM, prior authorization, credentialing, AR recovery and denial management
9 AnnexMed National provider with New York service coverage Hospitals, health systems and practices needing modular RCM Patient access, coding, billing, AR, denials and analytics
10 Coronis Health National company serving provider organizations Hospitals, laboratories and large physician groups Billing, coding, credentialing, collections, integrations and reporting

1. NYC Medical Billing

Best for: New York providers seeking a locally based, full-service billing partner

NYC Medical Billing is #1 as their service offering is very well aligned with the needs of New York physicians, clinics, laboratories, hospitals other speciality care organisations.

The services they provide include medical billing, CPT & ICD coding, credentialing, insurer eligibility verification, denial management, revenue cycle management, physician billing, remote patient monitoring billing and chronic care management billing.

Its broad specialty coverage is another advantage. A cardiology practice, for example, faces different coding, documentation, authorization, and modifier requirements than a mental health clinic or laboratory.

If you work for a company with numerous existing specialities, you may receive less basic training during onboarding.

NYC Medical Billing also says it is available 24 hours a day, and helps practices across the United States, but still has an office located at East 118th Street in New York City.

Why It Ranks First

  • Local New York City presence
  • Full revenue cycle coverage
  • Broad medical specialty support
  • Services for practices and larger facilities
  • Eligibility and credentialing assistance
  • Denial-management capabilities
  • RPM and CCM billing support

What to Verify

Ask for sample reports, specialty-specific references, EHR compatibility details, service-level commitments, cybersecurity documentation, and a written explanation of which tasks are included in the base fee.

2. CureMD

Best for: Practices that want medical billing connected to an EHR and practice management platform

CureMD operates from New York City and combines medical billing services with electronic health records, practice management, telemedicine, patient engagement, and related healthcare technology.

This integrated model can be valuable when billing problems begin before a claim is created. Missing documentation, incorrect demographic data, incomplete charge capture, and disconnected systems can all cause denials. An integrated vendor may be able to address both clinical workflow and billing workflow problems.

CureMD offers New York-specific medical billing support and allows providers to select full-service billing or modular assistance. Its New York materials position the service for providers that need flexibility rather than a single fixed package.

Main Strengths

  • Integrated EHR and billing environment
  • Practice management tools
  • Specialty-focused billing support
  • Modular and full-service options
  • New York City corporate presence
  • Useful for practices replacing several disconnected systems

What to Verify

A provider should compare the total cost of the complete platform against keeping its current EHR. Also ask about data migration, interface fees, contract length, implementation support, and access to data after termination.

3. SunKnowledge

Best for: DME suppliers, payer operations, specialty providers and organizations needing scalable support

SunKnowledge is headquartered in Manhattan and provides services to healthcare providers and payers. Published services include medical billing, medical coding, prior authorisation, insurance verification, accounts receivable follow-up, practice administration, virtual assistance and full revenue cycle support.

Founded in 2007, the company claims to be ISO 27001:2022 certified. It also supports DME and HME invoicing which includes medical-necessity paperwork, extensive documentation requirements, modifiers, authorisation rules, and recurring supply claims.

Main Strengths

  • Manhattan headquarters
  • Provider and payer-side experience
  • Prior authorization support
  • DME and HME billing knowledge
  • Medical coding and AR follow-up
  • Information-security certification
  • Ability to support larger workflows

What to Verify

Ask where each part of the work is performed, who can access protected health information, how subcontractors are managed, and whether a named account manager will be available during New York business hours.

4. Precision Practice Management

Best for: Practices requiring technical assistance for invoicing, clinical workflow and EHR

Precision Practice Management supports providers in New York City, Buffalo, Queens, the Bronx, Nassau County, Suffolk County, Westchester County and Erie County.

It’s not only about filing claims. The company offers services in medical coding, credentialing, patient balance processing, reporting, clinical consulting, EHR implementation, system customisation, technical support and staff training.

It says it supports systems like as Epic, NextGen, eClinicalWorks, Greenway, Allscripts, Cerner and Modernising Medicine. This makes it a good solution for practices struggling with bad templates, redundant data entry, insufficient system interfaces, or uneven staff procedures.

Main Strengths

  • Statewide New York service coverage
  • Wide EHR and practice management experience
  • Technical and operational consulting
  • Credentialing and coding
  • Custom financial reporting
  • Support for workflow redesign

What to Verify

Request examples of similar EHR projects. Determine whether technical support, interfaces, customization, training, and data migration are included or charged separately.

5. Millennium Medical Billing

Best for Speciality practices looking for a hands-on billing service located in New York

Millennium Medical Billing is a Staten Island based medical billing company providing medical billing, patient billing, collection, coding support and speciality specific claims management.

The company says it has been serving health care providers for more than 15 years and has locations in New York and Florida. It also boasts it is MWBE certified with both New York City and New York State.

These credentials should still be confirmed through the relevant public certification directories during vendor due diligence.

Its services may be useful for practices needing assistance with patient statements, accounts receivable, out-of-network claims, workers’ compensation, motor vehicle claims, and specialty billing.

Main Strengths

  • Staten Island presence
  • Patient billing and collections
  • Specialty-practice focus
  • Out-of-network claim experience
  • Workers’ compensation and motor vehicle billing support
  • Potential fit for smaller practices seeking direct communication

What to Verify

Ask how the company separates patient collection work from insurance follow-up, how disputed balances are handled, and whether collection activities meet applicable federal and New York consumer requirements.

6. HMS USA LLC

Best for: Small and midsized practices, urgent care providers and nursing facilities

HMS USA LLC lists a New York office in Floral Park and provides medical billing, coding, credentialing, denial management, revenue cycle management, AR services, consulting, and provider quality program assistance.

Its published materials state that it has more than a decade of New York medical billing experience. The company also describes work with primary care, urgent care and nursing home clients in New York.

HMS may appeal to practices that need both routine billing and help with quality reporting or provider enrollment.

Main Strengths

  • New York office
  • Full-service billing and coding
  • Credentialing support
  • Denial and AR management
  • Quality Payment Program assistance
  • Experience across several provider types

What to Verify

Request current New York client references in the same specialty. Also confirm the qualifications of assigned coders, staff turnover, escalation procedures, payer follow-up frequency, and reporting schedule.

7. BellMedEx

Best for: Multispecialty practices needing robust operational assistance at big volumes

BellMedEx is a New York medical billing service that provides New York specific medical billing services. Services include provider enrolment, insurance verification, charge entry, claim submission, payment posting, AR management, denial appeals, patient billing, reimbursement tracking and collections.

Its New York service page highlights support for physicians and facilities throughout the five boroughs and other parts of the state. The company also promotes support for more than 75 specialties. These scale and performance statements come from the vendor and should be checked through references and contractually defined reporting.

Main Strengths

  • Broad end-to-end service range
  • Multi-specialty support
  • Provider enrollment and eligibility
  • Denial and appeal management
  • AR recovery
  • Dedicated New York service offering

What to Verify

Do not accept a general clean-claim percentage without asking how it is calculated. Find out whether the figure excludes rejected claims, corrected claims, secondary claims, or claims delayed by missing documentation.

8. AMBSI

Ideal For: Ambulatory Surgery Centres, Anaesthesia, Pain Management & Regional Groups of Physicians

AMBSI is a one-stop shop for products and services for healthcare professionals in Manhattan, Brooklyn, Queens, the Bronx, Nassau County and Long Island, Westchester County, Rockland County and surrounding New Jersey areas.

Its strongest markets are ambulatory surgery centres, anaesthesia, pain management, denial management, prior authorisation, credentialing, AR recovery and revenue cycle management.

This regional and specialty concentration may be valuable for practices that deal with facility claims, professional claims, authorization-dependent procedures, modifiers, implants, out-of-network benefits, or complicated payer follow-up.

Main Strengths

  • NYC metropolitan service coverage
  • ASC and anesthesia focus
  • Pain management billing
  • Prior authorization support
  • Credentialing and AR recovery
  • Regional payer familiarity

What to Verify

Ask whether the company handles both facility and professional claims. ASC owners should also request details about implant billing, authorization tracking, case costing, payer contracts, and reconciliation between scheduled procedures and submitted charges.

9. AnnexMed

Best for: Hospitals, larger groups and organizations needing modular revenue cycle support

AnnexMed provides patient access, medical coding, medical billing, payment posting, accounts receivable follow-up, denial management, payer services, health information management and analytics.

Its New York comparison materials emphasize specialty expertise, technology, compliance, reporting and end-to-end revenue cycle services. Because those rankings and performance claims are published by AnnexMed itself, buyers should treat them as marketing information rather than independent evidence. Its listed service capabilities, however, make it a viable company to include in a formal request-for-proposal process.

Main Strengths

  • Modular and full-cycle services
  • Hospital and physician coding
  • Patient access support
  • Payment posting and reconciliation
  • Denial management
  • Specialty-focused workflows

What to Verify

Ask for independently contactable references, details about its New York payer experience, security audit reports, coder certifications, implementation timelines, and responsibility matrices.

10. Coronis Health

Best for: Hospitals, laboratories, hospital-affiliated groups and large specialty organizations

Coronis Health offers medical billing, coding, account management, collections, AR follow-up, denial management, eligibility verification, credentialing, consulting, technology integration, and financial reporting.

The company supports physician groups, hospitals, emergency medicine, behavioral health, anesthesia, pathology, laboratories, primary care, ophthalmology, OB-GYN and other specialties. It reports more than 30 years of experience and substantial annual claim volume, although providers should independently verify all performance and scale claims.

Main Strengths

  • Hospital and enterprise capabilities
  • Broad specialty experience
  • System integration
  • Financial reporting and analytics
  • Credentialing and patient access
  • Coding and revenue cycle consulting

What to Verify

Large organizations should assess implementation governance, integration ownership, downtime procedures, cybersecurity controls, staffing locations, service continuity, executive reporting, and escalation paths.

Why New York Medical Billing Requires Local Knowledge

New York billing is not simply standard claim submission with a different address.

New York Medicaid and eMedNY

Providers participating in New York Medicaid must follow eMedNY’s professional or institutional claim guidelines, transaction requirements, timely billing rules, documentation policies, and provider-specific manuals. A billing company should know how to identify delayed-claim reasons and correct state-specific submission errors.

New York Prompt-Payment Requirements

Under the current version of New York Insurance Law Section 3224-a, covered electronic claims must generally be paid within 30 days when the payment obligation is reasonably clear. Claims submitted through paper, fax or other non-electronic methods generally have a 45-day timeframe. The law also establishes notice and interest requirements in certain cases.

A capable billing partner should track delayed payments rather than merely resubmitting the same claim.

Surprise-Billing and Patient Disclosure Rules

New York limits balance billing for qualifying emergency services and surprise bills. Providers also have disclosure responsibilities concerning network participation, estimated charges, hospital relationships and certain referrals.

Your billing company must understand when a patient balance can legally be billed and when the payer-provider dispute process applies.

How to Choose a Medical Billing Company in New York

1. Define the Work Before Requesting Prices

Decide whether you need:

  • Claim submission only
  • Complete revenue cycle management
  • Coding and auditing
  • Credentialing
  • Prior authorization
  • Eligibility verification
  • Payment posting
  • Patient billing
  • Denial appeals
  • Old AR recovery
  • Call-center support
  • Quality reporting
  • EHR implementation

A low quote may exclude the work causing most of your revenue loss.

2. Demand Specialty Experience

Ask how many current clients work in your specialty. Then ask more detailed questions.

A behavioral health company should understand time-based psychotherapy codes, telehealth rules and authorization limits. An orthopedic billing team should understand global periods, modifiers, imaging, injections and surgical claims. A laboratory biller should understand medical necessity, ordering-provider data and payer edits.

General experience is not the same as specialty competence.

3. Review Real Performance Metrics

Request at least six months of reporting on:

  • First-pass acceptance rate
  • Claim rejection rate
  • Initial denial rate
  • Net collection rate
  • Gross collection rate
  • Days in accounts receivable
  • Percentage of AR over 90 days
  • Charge-entry lag
  • Payment-posting lag
  • Denial overturn rate
  • Prior authorization turnaround
  • Unbilled encounters

Ask the company to define every formula. Vendors often calculate similar metrics differently.

4. Confirm HIPAA Responsibilities

Medical billing companies that create, receive, maintain or transmit protected health information for a provider are generally business associates under HIPAA.

The provider should obtain a written Business Associate Agreement that defines permitted PHI use, safeguards, breach reporting, subcontractor duties, data return, data destruction and termination responsibilities.

Do not accept “HIPAA compliant” as sufficient evidence. Request security policies, recent risk assessments, workforce training procedures, incident-response plans, backup controls, access logs, encryption details and relevant audit reports.

5. Investigate Subcontractors and Offshore Teams

Ask:

  • Where will our data be accessed?
  • Which tasks will be performed offshore?
  • Does the company use subcontractors?
  • Will subcontractors sign appropriate agreements?
  • How are staff background checks performed?
  • Can staff download data to local devices?
  • How quickly is access removed after termination?
  • Who reports a security incident?

Hidden subcontracting creates operational and compliance risk.

6. Examine the Contract’s Exit Terms

The contract should explain:

  • Contract duration
  • Renewal process
  • Termination notice
  • Data ownership
  • Data export format
  • Transition support
  • Final AR responsibility
  • Record retention
  • Excluded services
  • Additional fees
  • Cybersecurity obligations
  • Liability and indemnification
  • Service-level standards

A vendor that makes leaving difficult is not a safe long-term partner.

7. Speak With Comparable Clients

Request at least three references that match your:

  • Specialty
  • Practice size
  • Payer mix
  • EHR
  • Claim volume
  • New York location

Avoid relying only on testimonials selected for the vendor’s website.

Common Mistakes When Outsourcing Medical Billing

Choosing the Lowest Percentage

The cheapest vendor may exclude coding, prior authorization, credentialing, patient calls, appeals, clearinghouse costs, reporting, or old AR.

Compare total cost, not the headline rate.

Believing Collection Guarantees

No ethical billing company can guarantee that every claim will be paid. Payment depends on coverage, documentation, coding, authorization, medical necessity, payer policy, filing deadlines and contract terms.

Ignoring Old Accounts Receivable

Some companies focus on new claims while older balances continue to age. Define responsibility for existing AR before the transition begins.

Failing to Audit the Vendor

Outsourcing transfers work, not accountability. Providers remain responsible for claims submitted under their names and identifiers.

The HHS Office of Inspector General maintains compliance guidance for third-party medical billing companies and emphasizes internal controls, accurate claims, compliance responsibilities and coordination between billing companies and providers.

Switching Without a Transition Plan

A rushed transition can cause missing encounters, duplicate claims, lost remittance files, incomplete payment posting and payer enrollment problems.

Run a documented reconciliation before and after the cutover date.

Expert Checklist for Vendor Interviews

Ask every shortlisted medical billing company in New York these questions:

  1. How many active New York clients do you support?
  2. How many clients are in our specialty?
  3. Which New York Medicaid and managed care plans do you work with?
  4. Will you sign our Business Associate Agreement?
  5. Which services are excluded from your standard fee?
  6. Which EHR and clearinghouse platforms do you support?
  7. Where are our assigned staff located?
  8. How frequently do staff follow up on unpaid claims?
  9. What reports will we receive each month?
  10. How do you calculate clean-claim and collection rates?
  11. Who owns our billing data?
  12. How will you return our data at contract termination?
  13. Can we speak with three similar clients?
  14. What is your average client implementation timeline?
  15. How do you handle payer recoupments and underpayments?
  16. What happens after a security incident?
  17. Will we have a named account manager?
  18. How are coding disputes escalated?
  19. Do you audit documentation before claim submission?
  20. What service levels will you include in the contract?

Frequently Asked Questions

What do medical billing companies in New York do?

They may handle eligibility checks, charge entry, medical coding, claim submission, payment posting, denial follow-up, patient statements, credentialing, prior authorization, reporting and accounts receivable. Service scope varies by company.

Which medical billing company ranks first in New York for 2026?

NYC Medical Billing ranks first in this comparison because of its New York City presence, full-cycle RCM services, specialty coverage and support for physicians, clinics, hospitals, laboratories and other healthcare organizations.

How much do medical billing services in NYC cost?

Pricing may use a fixed monthly fee, per-claim fee, hourly rate, full-time-equivalent rate, or another contract structure. The final cost depends on specialty, claim volume, payer mix, service scope, AR age and technical requirements. Providers should have New York counsel review percentage-based arrangements and other compensation terms for compliance.

Is outsourced medical billing suitable for a small practice?

It can be. A small practice may reduce hiring and training pressure by outsourcing. However, the provider should compare the vendor’s complete cost with its current staff cost and confirm that the company will give a small account enough attention.

Can a billing company reduce claim denials?

A qualified company can help prevent avoidable denials through eligibility checks, coding review, claim scrubbing, authorization tracking, documentation feedback and timely filing. It cannot prevent denials caused by uncovered services or missing clinical support.

Should a billing company sign a Business Associate Agreement?

Generally, yes. A billing company that handles protected health information for a covered healthcare provider is normally a HIPAA business associate and should enter into an appropriate written agreement.

What is the difference between medical billing and revenue cycle management?

Medical billing usually focuses on creating, submitting and following claims. Revenue cycle management covers the wider financial process, from registration and eligibility through coding, payment, denials, patient balances, reporting and final reconciliation.

How long does switching billing companies take?

The timeline depends on payer enrollment, EHR access, data transfer, claim volume, clearinghouse setup and whether old AR is included. A provider should use a written implementation plan instead of relying on a verbal estimate.

What metrics should a medical billing company report?

Important metrics include net collection rate, initial denial rate, first-pass acceptance, days in AR, AR over 90 days, charge lag, payment-posting lag, rejection rate and denial overturn rate.

Can one company handle billing for several specialties?

Some companies support multiple specialties. The provider should still confirm that its assigned coders and billers have direct experience with the specific procedures, modifiers, payer policies and documentation rules used by the practice.

Conclusion

The best billing partner is not necessarily the largest company or the company offering the lowest price.

NYC Medical Billing ranks first in this 2026 comparison because it offers broad revenue cycle services from a New York City base and supports many provider types and medical specialties.

CureMD is a strong candidate for integrated EHR and billing needs. SunKnowledge offers extensive operational support for providers, payers and DME organizations. Precision Practice Management may suit practices needing technical workflow help. Millennium, HMS, BellMedEx and AMBSI provide more regional or specialty-focused options. AnnexMed and Coronis Health may be appropriate for larger or more complex organizations.