Optimal Billing Solutions is your highly effective medical billing company.

It was established by a medical billing consultant with many years of experience in Surgical Billing and collections. Our firm understanding of the industry enables us to create a positive billing solution for your practice. Pro-active dedication and a keen awareness of our client's needs have revolutionized billing and collection for our practices. Quality service is the cornerstone of our success. The most up to date resources and state of the art tools empower our staff to provide optimal service.

We offer something no other billing company offers... the option of co-sourced solution vs. traditional outsourcing by setting up your billing in-house.

We expertly tailor our services to meet the needs of each practice. We offer a unique approach to your profits while eliminating all your management hassles. Optimal Billing Solutions offers you services of an array of credentialing staff, compliance officers, expert coders, network engineers, and computer programmers. We are the foremost Medical billing service providers in the tri-state area. Our clients include Interventional Radiologists, Cardiologist, Urologist, Vascular surgeons, Laparoscopic surgeons, Anesthesiologists, Sleep Centers, Gastroenterologists and more.

Our staff attends Medicare compliance seminars, billing and coding workshops, and other legal and professional seminars. We utilize a customized compliance program and are HIPAA certified. We engage in contractual negotiations with all major carriers on your behalf. We secure OPTIMAL fee schedules for large groups as well as the single practitioner consistently resulting in a 95% collection rate.

We use the most advanced server technology with multiple on-site and off-site backups. We use custom-designed software and reporting program. We adapt swiftly to new regulations and compliance laws.

Custom designed scanning software, indexing programs and high-speed scanner keep all billing records accessible and secure. We are readily available to our clients and their patients. Real people pick up the phones and respond to our callers!

We will review your billing process to assess effectiveness of staff and methodology. We can help you to determine if your biller is sufficiently accountable to you. We take complete charge of all your credentialing needs, including the processing of network enrollment and termination. We submit all your demographic updates, such as tax id or address changes and follow through with insurance carriers until your update is processed.

Optimal Billing Solutions gives us peace of mind knowing that our accounts are being handled correctly and professionally so we can focus on what we do best.

Mount Sinai New York

The Optimal Difference

Patient ineligibility rejections comprise 40% of denials. Optimal Billing Solutions will verify patient eligibility and benefits at the time of treatment, thereby optimizing likelihood of immediate successful payment.

Optimal Billing Solutions will educate clients to increase revenue while decreasing your workload. We are experts at out-of-network billing. We review your patient base to determine with which carriers contracts can be terminated without compromising patient care.

We offer a unique approach to dispute rejections. Attention to detail and our highly educated staff along with experience and perseverance result in payment for virtually all denied claims. We have a proven record of virtually eliminating outstanding patient and insurance balances.

HIPAA compliant
Fraud and abuse compliance audits
OPTIMAL stands by you for all your audits
Denial Analysis
Comprehensive Financial Reviews
Monthly reports based on your inquiries