Medical Billing Companies & Consultants in Rosedale, NY

Medbilling RCM is a U.S. firm that takes over the financial side of medical care so that providers can concentrate on treatment. Its clients range from outpatient surgical facilities to inpatient hospitals to independent doctors' groups, and it serves them nationwide. The business runs two sites. The main office is in Richmond, Texas, and a second office is in the Rosedale neighborhood of Queens, near Valley Stream on the New York side. According to the history published by the firm, it began operating in 2024. Since then, its coverage has grown to more than 30 fields of medicine.

Services offered

Medbilling RCM manages claims for both clinicians and facilities. A client can assign it one narrow function or the entire chain of work from scheduling to final payment:

• Clinician-side claims submitted on the CMS-1500 form, with checks on evaluation and management levels, handling of pre-approvals from insurers, and processing of virtual-visit claims
• Facility claims on the UB-04 for admitted and outpatient encounters, covering diagnosis-related group assignment, adherence to the 340B drug program, and facility charges
• Code assignment using ICD-10, CPT and HCPCS, performed by staff certified through the AAPC with CPC, CCS or COC credentials
• Pursuit of unpaid balances in the 30-, 60- and 90-plus-day aging buckets, with each rejection investigated until its underlying cause is found
• Billing for clinical, pathology, molecular and toxicology laboratories in line with PAMA requirements
• Claims for outpatient surgical facilities, including APC assignment, pass-through billing for implants and NCCI edit checks
• Provider enrollment with insurers using NPI, CAQH and PECOS, plus monitoring of upcoming re-credentialing deadlines
• Confirmation of patient insurance and searches for unknown coverage before appointments take place
• Remote billing personnel who operate directly within the client's electronic health record

Specialties and clients

The firm publishes dedicated pages on six areas of medicine: cardiology, oncology, radiology, dermatology, mental health and primary care. When a new account starts, it is paired with coders who know that field. A skin-care practice, for instance, would have its claims handled by people familiar with the coding rules specific to dermatology, rather than by a pool of generalists. The organizations the firm lists as clients include Choice Medical Transport and Divine Dermatology, along with Psychiatric Connections and Patient First Primary Care. One case it describes involves a six-clinician primary care group. That group had sent out its claims but had no one tracking them afterward.

How engagements work

Medbilling RCM operates within whatever health record platform a practice already uses, so no migration is needed. It does not lock clients into lengthy agreements, and it does not bill an upfront fee to get started. The firm estimates that getting a new account running takes roughly five days. Prospective clients may request a no-cost revenue review. For this review, staff examine three months of claims, rejections and receivables aging, then deliver a written summary showing where money is slipping away. The firm states that it meets HIPAA requirements and executes a business associate agreement at the very start of each engagement.

Its approach pairs software tools with people. Coverage is verified against insurer databases ahead of each visit. Every claim is screened against the individual insurer's requirements before submission, and incoming payments are compared with the rates in each contract. Tasks that call for professional judgment, such as appeals based on clinical grounds, go to experienced specialists. The firm calculates its first-pass yield based on insurer acceptance, not clearinghouse acceptance, and it also reports its gross collection rate. These measures give prospective buyers a consistent basis for weighing the performance figures that competing billing firms advertise.