Medical Billing Companies & Consultants in New York, NY

Headquartered in Manhattan, Billing Geeks Inc. handles medical billing and practice management for its clients, and it has been working alongside doctors and insurers since 2001. Its primary office sits in Midtown, with a second branch in West Palm Beach, Florida. Beyond its home markets of New York and Florida, the firm reports clients in Ohio, Illinois and California, in New Jersey and Connecticut, and in both Carolinas. Provider groups operating across state lines may find this broad footprint useful.

Services

Billing Geeks positions itself as a complete replacement for a practice's administrative staff. Claim submission is only one piece. The company will also take patient phone calls, confirm benefits, schedule visits, negotiate rates, and collect co-pays, co-insurance and self-pay amounts on the provider's behalf. Its official offerings include:

• Medical coding
• Tracking and handling of claims
• Confirming patient eligibility and benefits
• Preparing and sending claims to payers
• Following up on receivables and recovering aged, unpaid accounts
• Reviewing treatment plans against coverage
• Assessing operations and supporting regulatory adherence
• Instruction for office staff

When a practice is just starting out, or when an existing office's revenue cycle has become chaotic, the company will carry out a top-to-bottom evaluation of the practice, lab or treatment facility. The goal is to uncover changes that boost efficiency, increase profit and keep patients coming back. On the coverage side, its reviewers examine treatment plans to make sure patients receive everything their policies allow. Its collections staff work to shorten the time money sits outstanding and to bring in payments that had previously been abandoned as too old to pursue.

Specialties and Facilities Served

Rather than assigning generalists to every account, Billing Geeks maintains dedicated internal teams organized around its most common client types. These teams can bill as a participating provider, as a non-participating provider, or using a combination of both arrangements. The company concentrates on:

• Organizations focused on one specialty (SSOs)
• Offices offering several specialties (MSOs)
• Behavioral and mental health practitioners
• Clinical labs
• Skilled nursing facilities
• Short-term physical therapy and rehabilitation centers

Approach and Background

Human expertise is at the center of the company's pitch. Instead of leaning on software, it employs billers, coders and clinical nurses familiar with the specialties they handle. These staff members speak with insurers themselves, comb through historical charge tickets manually, and push each case toward an approved claim, a granted preauthorization or a completed payment. According to the firm, people catch errors and discrepancies that automated tools overlook. Billing Geeks also emphasizes that its workforce is located domestically, and it promotes open communication and individualized attention as hallmarks of its service.

Sean P. Lillis, who founded the business and serves as its chief executive, brings over twenty years of experience running medical practices. The company credits him with helping get several of the city's biggest physician groups off the ground. Attorneys have sought him out to author pieces on coding analysis and to speak on compliance with CPT standards. Prospective clients concerned about accurate coding and regulatory risk may view this history favorably. The Florida branch, the company explains, grew out of many years spent advising and billing for healthcare providers throughout the Southeast, and it was established to give those clients a closer point of contact.

eBridge RCM LLC is a New York City revenue cycle management company with its office in northern Manhattan. It handles billing, coding and payer enrollment for healthcare providers, and although it is based in New York, it takes on practices in every U.S. state. Most of its clients are smaller organizations: solo physicians, independent clinics and practices of small to mid size that would rather not build a full billing department of their own.

Core Revenue Cycle Services

The firm covers the work between a patient visit and final payment. It prepares and submits claims, follows up on unpaid ones and works to resolve rejections before they hold up revenue. Certified coders assign codes that fit each specialty and follow payer rules. A separate credentialing team enrolls providers with Medicare, Medicaid and commercial insurers so new clinicians can start billing sooner. Its main offerings include:

• Medical billing and claims management
• Medical coding by certified coders
• Provider credentialing and payer enrollment
• Accounts receivable recovery for aged balances
• Monthly audits of claims and payments
• Clearinghouse setup and support
• EHR and EMR integration
• Search engine optimization for healthcare practices

The monthly audit service is meant to find lost revenue. Auditors check submitted claims against the payments received, flag coding mistakes, try to recover underpaid amounts and point out patterns that could cause future denials. The AR recovery service focuses on older receivables that in-house staff have not been able to collect.

Specialties Served

eBridge RCM says it supports more than 40 medical specialties and has dedicated billing programs for several of them. These include mental and behavioral health (psychiatrists, psychotherapists and licensed clinical social workers), pain management, cardiology, urology, orthopedics, pediatrics, OB-GYN, podiatry, physical therapy, internal medicine, family medicine and emergency departments. For each one it highlights the coding issues that come up most often, for example interventional pain procedures, invasive and non-invasive cardiac testing, maternity care, immunizations and wound care.

Working Model

Each client gets a revenue cycle manager who learns how the practice operates, keeps an eye on claims and handles problems as they arise. The company describes its staff as a U.S.-based team that specializes in billing, coding and credentialing and knows state-specific payer requirements. Pricing comes as flat-rate or scalable subscription plans, which the firm presents as a way for practices to plan costs without surprise fees. Before signing on, practices can request a free revenue assessment and a 30-minute consultation with no obligation. The firm says it can add capacity as a client's patient volume rises so that claims keep moving without backlogs.

Operations are described as fully HIPAA compliant. The company also publishes resources such as a blog, FAQs, a reference on timely filing limits and downloadable guides. eBridge RCM is registered as a New York limited liability company. For buyers comparing vendors, its main selling points are a single company covering billing, coding, credentialing and audits, a named account manager for each practice, subscription pricing and a focus on smaller practices across many specialties.

Sunknowledge Services, Inc. is a revenue cycle management and medical billing firm. Its office is in Carnegie Hall Tower in Midtown Manhattan. The company has worked in healthcare outsourcing for more than 19 years and serves two kinds of clients: healthcare providers and health insurance payers. Its provider clients include independent practices, clinics, urgent care centers, nursing homes, hospitals and durable medical equipment suppliers. Its payer clients use it for back-office administration. For buyers comparing billing vendors, its main pitch is that one outsourcing partner can handle the whole cycle, from the first patient contact through final collection.

Revenue Cycle Services

For providers, Sunknowledge covers both the front-end and back-end steps of reimbursement. The work starts with charge entry, moves through claim submission and continues until each payment is resolved. Its main offerings include:

• Prior authorization and reauthorization follow-up
• Medical coding by CPC-certified coders using ICD-10, CPT and HCPCS code sets
• Claims management, charge entry and payment posting
• Eligibility and benefits verification and patient intake
• Accounts receivable follow-up on aged and denied claims, plus denial management
• Patient collections carried out under the Fair Debt Collection Practices Act
• Credentialing, out-of-network collections, medical transcription, and bookkeeping and accounting

Specialties and Verticals

The company says it supports 38 specialties. Several get dedicated programs. Durable and home medical equipment billing is its longest-running vertical at over 15 years. That work covers authorizations, gathering documentation and collecting receivables. In orthotics and prosthetics, the team handles the full workflow: entering prescription orders, demographics and insurance, checking eligibility, getting authorizations, submitting claims and following up on accounts receivable. Its urgent care service focuses on clean claims and capturing ancillary codes, and the firm says it works with a large urgent care operator in New York. Other areas include gastroenterology, cardiology, infusion, fertility, radiology, skilled nursing facilities and genomics laboratories. For labs, the company says it uses Six Sigma tools to improve billing processes.

How It Works With Clients

Sunknowledge works as an outside extension of a client's own staff. Its billers and coders work inside the client's existing systems, which the company sums up as using the client's software with Sunknowledge's services. It says it can work with any EHR or EMR platform, specialty, provider type and practice size. It also offers virtual medical assistants, office assistants and scribes trained in US clinical workflows, with coverage across all US time zones. Remote patient monitoring, contact center support, and telephone and message triage are also available. Before starting, prospective clients can request a demo or a free accounts receivable analysis.

Payer Solutions and Technology

For health plans, the firm handles claim processing and adjudication, member enrollment, provider credentialing, utilization management, document management, customer support and Medicare Part D work. On the technology side, it sells a product called MTM 2.0. It also offers AI ambient listening that drafts clinical notes from physician-patient visits, with professional reviewers checking the output. The company reports more than $43 billion collected for clients to date, a 97% prior authorization approval rate and 99.9% coding accuracy. It also stresses that its processes are HIPAA-compliant.

SybridMD is the trading name of MD Syhealth LLC, a medical billing and practice management company that has been operating since 2009. It works with physicians, group practices, clinics and hospitals across the United States, and its site states that the firm has handled billing for more than 100 practices in 22 states. The company presents itself as an outsourced partner for providers who want to cut administrative overhead, shrink outstanding receivables and spend less physician time on overseeing claims.

Services offered

Its offering covers both the front and back ends of a practice's revenue cycle. Buyers comparing vendors can expect the following core services:

• Medical billing management, including claim preparation, coding and submission
• Revenue cycle management and accounts receivable follow-up
• Medical coding across specialties
• Provider credentialing for practices seeking payer enrollment
• Front office management and front desk support
• Medical transcription for hospitals, clinics and solo practitioners
• Free consulting for practices with operational questions

Beyond individual practices, SybridMD also serves Accountable Care Organizations. For ACOs it supports care coordination, management of ancillary services and quality programs, and it offers governance models to help form and maintain these organizations as they pursue shared savings.

How the company works with clients

New clients start with a scheduled meeting where the team collects the practice details needed to begin. Client testimonials on the site describe an onboarding process led by an implementation manager, with a written project plan pointing to a go-live date and training by phone. After launch, account managers handle questions about software and billing operations, and support cases are tracked until they are closed. At month end, clients receive reports such as account activity and aging summaries, and custom reports can be requested. The company also suggests a monthly review meeting to compare collections against the prior period and spot trends. SybridMD describes its role as working alongside in-house staff every day, functioning much like an extension of the office.

Delivery model and specialties

The firm uses a blended staffing model that combines onshore and offshore billing resources, which it positions as a way to keep costs down while maintaining quality. It says it can serve all medical specialties, and the providers quoted on its site include internal medicine, infectious disease, psychiatry and professional counseling practices. The company states two goals for each engagement: making the practice more profitable without necessarily adding patient volume, and freeing clinicians and staff to concentrate on patient care.

Background

According to SybridMD, its management team has more than fifty years of combined experience running revenue cycles for practices in many disciplines. Its listed areas of expertise include revenue cycle management, EMR, credentialing and front and back office billing. The site also notes industry memberships, certifications and quality compliance credentials. Its fees are described as a percentage of practice collections, scaled to volume and specialty, which may suit buyers who want costs tied to results.