Best Medical Billing Companies in New York in 2026

Top 10 medical billing companies in New York are MediBillMD, iRCM, HMS USA, Sunknowledge, SybridMD, VB Billing, Millennium Medical Billing, ADO Billing, Barbara Young Medical Billing, and RevenueES. These are evaluated on five weighted standard criteria, which include public ratings & reviews, Service depth, specialty coverage, pricing transparency, and track record. Plus, they are also assessed on two New York-specific criteria reflecting the state’s complex payer environment. These include New York payer knowledge and regulatory compliance.

Did you know that New York is the fourth most populous state in the country, with over 219 active hospitals? Besides, 9 million New Yorkers are enrolled in Medicaid, the Essential Plan, and Child Health Plus, whereas 13.5% are enrolled in Medicare.

Contrarily, the New York State Catholic Health Plan, Healthfirst, and American International Group (AIG) are the leading commercial payers in the state with 30%, 15%, and 14% market share, respectively.

This guide lists the top 10 medical billing companies in New York to help you partner with the one that best aligns with your practice’s unique needs. So, continue reading!

Comparing the Leading Medical Billing Companies in New York

1. MediBillMD

MediBillMD is one of the leading medical billing companies in New York that guarantees a 10-15% revenue increase. It also claims to ensure a 97% first-pass ratio, 96% collection ratio, and 98% clean claim rate. Besides, its billing team strives to limit accounts receivable to less than 30 days.

From patient registration to payment posting and follow-ups, its medical billing services in New York cover every step of your billing process to maximize your revenue. Its team has hands-on experience billing New York State Catholic Health Plan, Healthfirst, Anthem BCBS, EmblemHealth, Healthfirst, and other NY Medicaid Managed Care Organizations (MCOs).

Choose MediBillMD if you want an all-in-one RCM partner that guarantees revenue growth, fast 30-day AR turnarounds, and seamless billing across top New York Medicaid MCOs.

2. iRCM

Located in the most populated borough of New York City, Brooklyn, iRCM is the second name that made its way to our top 10 medical billing companies in New York. 

It provides AI-powered billing solutions, such as medical billing, credentialing, claim processing, and denial management, to streamline your revenue. With an experienced team of consultants and coders, iRCM efficiently deals with the complicated healthcare landscape of this state, including local regulations and varying insurance requirements. 

That is not all; this medical billing company in New York offers billing audits at zero cost, reduces administrative costs by 30%, and ensures 100% effective denial management. Additionally, it actively bills leading NYS Medicaid MCOs, including Anthem BCBS and EmblemHealth.

Choose iRCM if you are looking for local Brooklyn-based expertise to slash administrative costs by 30% through zero-cost billing audits and AI-powered denial management.

3. HMS

HMS prioritizes quality over everything. Located in Floral Park, a village on Long Island, this medical billing company in New York guarantees a 99% first-pass rate and 99% billing accuracy. Additionally, it ensures a 25% cost reduction and 25% revenue increase for its partnered practices. 

Like all the top-rated medical billing companies in New York, it also tailors its offerings to your unique needs and provides credentialing and coding solutions along with a quality improvement program.

HMS manages the revenue cycle from patient registration to insurance verification, charge capture, and claim submission. Additionally, it complies with all state-specific regulations, helping you avoid legal consequences.

Choose HMS if you want to achieve a 99% billing accuracy and first-pass rates while reducing operating expenses.

4. Sunknowledge Services

If you are looking for a DME medical billing company in New York, Sunknowledge is your best choice. Located in the heart of New York City, it is a leading Business and Knowledge Process Outsourcing (BPO) company in the healthcare industry. 

Beyond DME, the company offers customized billing solutions to more than 30 specialties, including cardiology, radiology, urology, acute care, and specialty pharmacy. It guarantees 99% billing accuracy and 80% cost reduction. 

Sunknowledge is one of the best medical billing companies in New York because of its unmatched knowledge and 17 years of experience. It addresses your changing needs and reduces compliance issues by keeping up with global security standards.

Choose Sunknowledge if you want to leverage DME billing expertise coupled with a massive BPO scale to cut billing costs by up to 80%.

5. MD Syhealth LLC (SybridMD)

The next best medical billing company in New York that we hand-picked for you is SybridMD. What makes it stand out? It guarantees a 98.9% clean claim rate, a 30% average revenue increase, a 28% denial reduction, and a 99% first-pass rate.

Over the years, SybridMD has grown its expertise in over 37 specialties, including cardiology, urology, psychiatry, podiatry, and dermatology. This full-service billing company specializes in front-office management, medical billing, coding, and credentialing. 

Besides, this medical billing company in New York serves over 100 practices in 22 states. It follows a mixed delivery model, combining offshore and onshore billing resources for excellent results.

Choose SybridMD if you need a scalable hybrid model that combines offshore and onshore resources to manage both front-office tasks and complex multi-specialty billing.

6. VB Billing

This medical billing company in New York offers access to free EHR and billing software (Myriad Health).

With 25 years of industry experience, VB Billing has dedicated 7 years to efficiently managing the financial operations and growth of high-end medical wellness centers. As a result, VB Billing has developed specialized expertise in addressing unique financial needs across 9 specialties.

Moreover, it is known as one of the top 10 medical billing companies in New York due to its growth mindset. The company’s comprehensive suite of billing solutions, such as coding, denial management, staffing, credentialing, and follow-ups, focuses on achieving measurable outcomes.

Choose VB Billing if you operate a high-end medical wellness center and want full-service RCM combined with free EHR and billing software.

7. Millenium Medical Billing

Millennium Medical Billing made its way to our top 10 listicle due to its impressive metrics. That is, it claims an 80% billing cost reduction, a 98% overall collection boost, a 30% increase in monthly revenue, and a 98% clean claim rate. 

That is not all; it says straight away that you do not have to pay a single penny if their billing team fails to obtain or recover reimbursement.

This medical billing company in New York guarantees claim submission within 24 hours and offers around-the-clock support.

Choose Millenium if you want risk-free billing, backed by 24/7 client support and 24-hour claim submissions.

8. ADO Billing Services

ADO Billing is one of the best medical billing companies in New York. Its key offerings include claim submission, insurance follow-up, patient billing, appeals, credentialing, and practice consulting.

Its solutions are designed to not only meet but exceed the needs and requests of its clients. The company provides a free consultation to understand your current position and then devises a plan to minimize your claim denials.

ADO Billing is an excellent choice for outsourcing in New York because it offers open communication throughout your billing and fast claim submission process.

Choose ADO Billing if you prefer direct, open communication and personalized consultation to create custom plans for reducing claim denials.

9. Barbara Young Medical Billing Services

Barbara Young is the only American Academy of Professional Coders (AAPC) and American Medical Billing Association (AMBA) surgical billing specialist in New York.

Additionally, it claims to ensure a 100% first-pass rate and quick reimbursements within 7 to 14 days. It has a diverse team of specialists trained in all aspects of the billing process, from coding to claim submission.

It ranks among the top-rated medical billing companies in New York due to its industry expertise. That is not all; it utilizes advanced billing software for weekly reports and tracking claims without charging extra.

Choose Barbara Young if you operate a surgical practice requiring specialized AAPC/AMBA-certified coders for faster reimbursements.

10. RevenueES

With a huge team of 500+ certified coders and billers, RevenueES is another medical billing company in New York that caught our attention.

It has a 99% client retention rate, and over the years, it has recovered $10 million worth of medical claims. Additionally, it claims to accelerate payment by 25-45% faster than the industry average and reduce denials by 40% with AI scrubbing tools. 

Its key offerings include coding, billing, credentialing, patient collection, and A/R follow-up. Besides, this medical billing company in New York offers 24/7 claim tracking and guarantees a quick 1-hour response time.

Choose RevenueES if you are a large practice requiring a massive 500+ coding and billing workforce, AI claim-scrubbing tools, and a guaranteed 1-hour support response time.

The Complexity of Medical Billing in New York

Discussed below are the medical billing complexities that healthcare providers and practices encounter in New York:

New York’s Complex MCO Landscape

Did you know that approximately 7.5 million New Yorkers are enrolled in Medicaid? These 7.5 million beneficiaries are covered by 21 MCOs. 

This means that billing teams are required to navigate through extensive plan-specific expertise. 

For context, the following six MCOs dominate the NYS:

1. EmblemHealth
2. Fidelis Care (a Centene company)
3. Healthfirst
4. MetroPlus Health Plan
5. Molina Healthcare of New York
6. WellCare of New York

Each of these MCOs has its unique clearinghouse routing portals, pre-auth requirements, and timely filing limits. Thus, you cannot implement a standardized billing workflow.

Thus, before partnering with a medical billing company in New York, you must verify that the vendor has hands-on experience with specific MCOs.

Understanding New York’s Mental Health Parity Law

Under the NY mental health parity framework anchored by Timothy’s Law, all private payers must cover mental health and substance use disorder services on par with surgical and medical care.

Impact on billing teams? Billers must meet the clinical documentation standards and medical necessity criteria to ensure timely and fair reimbursements. Failure to adhere to these guidelines can lead to high claim denials and a strained revenue cycle.

Additionally, practices that render remote patient monitoring (RPM), Chronic Care Management (CCM), and behavioral health services must also comply with federal laws, including No Surprises Act Independent Dispute Resolution (IDR) rules.

Navigating New York’s Split Commercial Market

The private payer market in New York State is split between BCBS entities. That is, Excellus Blue Cross Blue Shield covers upstate New York, including Rochester, Syracuse, and Buffalo. On the other hand, Anthem BCBS serves the NYC metropolitan area, Long Island, and downstate regions.

Out-of-state billing vendors may confuse the two or consider them the same. However, they both have pre-auth requirements, different clinical policies, fee schedules, and timely filing limits.

Adhering to the Prompt Pay Law and the No Surprises Act

New York’s Prompt Pay Law mandates private insurance carriers to pay undisputed clean claims within 30 days for electronic submissions or 45 days for paper submissions. 

If any payer fails to comply with this law, they are subject to a 12% annual interest penalty. Partnering with medical billing companies in New York with knowledge of state-specific laws will enable you to not only actively track claims, but also collect on behalf of your practice.

Note that New York was an early adopter of out-of-network consumer protections. With the federal No Surprises Act, New Yorkers received an even stronger protection against surprise medical bills.

Regardless of which medical billing company in New York you select, ensure they actively monitor prompt pay windows and manage IDR arbitrations to safeguard your revenue cycle.

Medical Billing Service Costs in New York

As of 2026, outsourced billing charges in New York are 4-9% of your monthly collections. This rate depends on several factors, including claim volume, specialty, service scope, and payer mix.

Note that New York has a dense payer environment. For example, the state has 21 Medicaid MCOs. This means practices with complex payer mixes may be charged more.

The table below offers an at-a-glance view of what New York medical billing companies charge:

Disclaimer: These are market benchmarks, not the rates quoted by any billing vendor on this list.

How We Selected These Medical Billing Companies in New York

The top 10 New York medical billing companies we hand-picked are evaluated using the five standard weighted criteria. Besides, we assessed vendors on two New York-specific criteria to reflect the state’s complex payer environment. 

All public ratings and other states were reviewed in October 2026 and are subject to fluctuation over time. Also, we evaluated MediBillMD using the same criteria.

Check the table below to better understand how the top 10 billing companies were decided:

Any billing vendor that failed to demonstrate active New York Medicaid MCO billing experience or lacked documented knowledge of Anthem BCBS or Excellus BCBS state-specific protocols was excluded from the final list regardless of their score on the other five criteria.

Bottom Line

With that said, it is time to bid farewell. But before concluding, here is a quick recap!

It does not matter whether you choose a billing vendor from this top 10 medical billing companies in New York listicle. What truly matters is understanding your practice’s unique needs. That should be the starting point for you to start your hunt for a reliable billing provider.

Shortlist a few candidates, and then evaluate them on the evaluation matrix we shared earlier in this guide. Also, ask questions about setup costs, hidden charges, and contract bindings to prevent distasteful situations.

FREQUENTLY ASKED QUESTIONS