New Rochelle is one of Westchester County's larger cities, with practices serving a mix of commuter families on commercial plans and patients on Medicaid managed care and Medicare.
Medical Coder is an outsourced medical billing company serving New Rochelle practices of every size. We take over coding, claims, denials and A/R follow-up so your team can focus on patients.
New Rochelle Medical Billing Built Around New York Payers
Most avoidable denials start with payer rules. For New Rochelle practices we work every major payer in New York:
- Medicaid: New York Medicaid, administered by the Department of Health through eMedNY, and Medicaid managed care plans such as Fidelis Care, Healthfirst, MetroPlus Health and EmblemHealth.
- Medicare: Part A and Part B claims through National Government Services (Jurisdiction K), plus Medicare Advantage plans.
- Commercial plans: Empire BlueCross BlueShield, Excellus BCBS, Highmark BCBS of Western New York, EmblemHealth, MVP Health Care, CDPHP, Independent Health, UnitedHealthcare, Aetna and Cigna.
- TRICARE and VA Community Care for military families and veterans.
New York has payer rules of its own — see medical billing in New York for how we handle them.
Billing Challenges for New Rochelle Practices
Commuter patients bring commercial plans from employers across the New York metro area. We confirm networks and benefits up front so out-of-network surprises don't become denials.
What Our New Rochelle Medical Billing Services Include
- Electronic claim submission and payment posting
- Denial management and appeals
- A/R follow-up on every unpaid claim, including aged A/R
- Patient statements and balance support
- Provider credentialing and payer enrollment
- Monthly reporting on collections, denials and days in A/R
- Eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
Healthcare in New Rochelle
New Rochelle's healthcare market includes major systems such as Montefiore New Rochelle Hospital, close to the major Westchester and Bronx health systems. Independent practices compete with these systems for patients and staff — outsourced billing gives you the same revenue cycle depth without building a billing department. We support practices across New Rochelle, Larchmont, Pelham, Mamaroneck, Scarsdale and Eastchester.
Specialties We Bill For in New Rochelle
We bill for 45+ specialties, including pain management, chiropractic, podiatry, internal medicine. See all specialties.
Why New Rochelle Practices Outsource Medical Billing
- Faster payments — consistent follow-up on every open claim, not just the big ones.
- Clear monthly reporting on collections, denials and A/R.
- Lower cost than in-house billing — no salaries, benefits, training or billing software to pay for.
- Fewer denials — every claim is scrubbed before submission and every denial is worked.
Get a Free Medical Billing Audit in New Rochelle
We will review your claims, denials and A/R at no cost and show you where revenue is being lost. Start with a medical billing audit, see how pricing works, or explore our New York medical billing services and nearby pages for Mount Vernon and New York City.