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Now Serving Queens, NY

Queens Medical Billing Engineered to Collect

Most Queens practices lose thousands every year to denials, slow A/R, and NYC payer complexity. ParaMed runs the full revenue cycle with a 98% clean claim rate, 92% denial recovery, and 15 day faster A/R. Money in your account weeks before you used to see it.

HIPAA & SOC 2 Compliant
AAPC Certified Coders
No Long Term Contracts
Live Data Flow Queens County · Real Time
MetroPlus Empire BCBS NY Medicaid Medicare PARAMED PROCESSOR CLEAN CLAIM $95 PAID $47 RECOVERED $23

Active Claims

11

Collected MTD

$31.2K

First Pass

98.4%

98%+

Clean Claim Rate

First pass acceptance across all Queens County payers

+27%

Revenue Uplift

Average net collections lift in first 90 days

15d

Faster A/R

Days reduction in collection cycle versus baseline

92%

Denial Recovery

Denied claims successfully appealed and paid

15

The Hidden Cost

That's how much collectible revenue the average Queens practice loses every year to denials, slow A/R, and miscoded claims.

On a $10K–$40K monthly billing practice in Queens County, that's $15,000 to $72,000 bleeding out annually before it ever hits your bank account. NYC's dense payer environment and high Medicaid volumes make the problem worse here than almost anywhere else. We built ParaMed to make that bleed visible and then stop it.

02 · The Diagnosis

What's quietly breaking your revenue cycle, and how we fix it

Current State

The bleed you can't see

  • Denials piling up with no one having time to appeal them — written off at 90 days
  • National billers unfamiliar with MetroPlus or EmblemHealth NYC timely filing rules and Queens-specific adjudication quirks
  • Generalist coders downcoding to play it safe, leaving RVU value on the table
  • A/R aging past 60 days with no clear plan to recover it
  • High multilingual patient population causing front desk eligibility errors that trigger denials weeks later
  • NY Workers' Comp, no-fault, and NYC Health + Hospitals claims fumbled by billers who rarely touch them
The Fix

A revenue engine built for Queens

  • Every denied claim worked within 48 hours by a human, not a queue
  • Specialists who know MetroPlus, EmblemHealth, and Empire BCBS NYC contracts cold
  • Specialty certified coders capturing full RVU value without triggering audits
  • Real-time dashboards showing where every dollar is in the cycle
  • Real-time eligibility verification before the patient checks in
  • Dedicated NY Workers' Comp Board, no-fault PIP, and NYC Health + Hospitals specialists on staff
03 · Live Revenue Flow

Watch real money move through Queens practices, in real time

Every claim submitted, every dollar collected, every denial recovered across our Queens client base updates here continuously.

Collected This Month

$31,200

METROPLUS $10,200 EMPIRE BCBS $9,400 NY MEDICAID $8,200 MEDICARE $3,400 PARAMED RCM PROCESSING ENGINE CLEAN CLAIMS 98.4% RECOVERED 92% PAID OUT $31,200 A/R DAYS 31
Commercial $19,600
Medicare $3,400
Medicaid $8,200
Recovered $2,600
04 · The Ledger

Where Queens practices lose 8 to 15% of collectible revenue

$15,000–$72,000

Annual leak on $10K–$40K monthly practice

01 3-5%

Denials never reworked

65% of denied claims never get appealed. Teams write them off instead of fighting. We recover 92% in Queens.

$7,200–$24,000Annual
02 2-4%

Undercoding and missed modifiers

Generalist coders downcode to play it safe. Specialty coders capture full RVU value without triggering NYC Medicaid audits.

$4,800–$19,200Annual
03 1-3%

Slow A/R and timely filing misses

Claims past 90 days are 4x less likely to collect. NYC payer timely filing windows vary widely — miss one and the claim is gone forever.

$2,400–$14,400Annual
04 1-2%

Eligibility errors at front desk

Queens' diverse, multilingual population makes eligibility verification harder. Wrong plan verified at check-in means denial weeks later.

$2,400–$9,600Annual
05 1-2%

Patient balance write-offs

Statements never sent, copays never collected, balances under $50 ignored. Adds up fast across a high-volume Queens practice.

$2,400–$9,600Annual
06 0-1%

Credentialing gaps

New provider sees patients before credentialed with NYC Health + Hospitals or Medicaid MCOs. Every claim denied with no recourse.

$0–$4,800Annual

See exactly where your Queens practice is leaking revenue

Free 30 minute audit. We pull 90 days of data and show you the real number.

Book Audit
05 · Comparison

In-house vs national billers vs ParaMed

Most Queens practices have tried one of the first two. Here's how each model actually performs in real Queens County conditions.

Capability In House National Biller ParaMed
Queens NYC Payer Expertise
Clean Claim Rate82-88%90-94%98%+
Denial Recovery30-50%55-70%92%
A/R Days45-6040-5028-35
Dedicated Account Lead
Specialty Certified Coders
True Cost of Collections9-12%6-9%4-7%
Real Time Dashboard
Long Term Contract
06 · Network Coverage

Every Queens payer, every program

Commercial Network

MetroPlus Health Empire BCBS EmblemHealth UnitedHealth NYC Aetna NY Cigna Healthfirst NY WellCare NY Fidelis Care GHI / HIP Plans

Public Programs & Specialty Lines

  • New York Medicaid managed care & FFS (high volume in Queens)
  • Medicare Part A, B & Medicare Advantage
  • NYC Health + Hospitals / Gotham Health plans
  • Dual eligible (Medicare + Medicaid) crossover
  • NY Workers' Comp & no-fault auto liability
  • TriCare and VA claims for Queens veterans
07 · Specialty Coverage

Built for every Queens specialty

Specialty certified coders mean modifier accuracy, fewer denials, and reimbursements aligned with how Queens County payers and NYC Medicaid actually adjudicate.

Cardiology

CPC-CARDIO certified

Primary Care

CPC certified

Behavioral Health

CPB certified

Orthopedics

CPC-ORTHO certified

Pain Management

CPC-PAIN certified

Pediatrics

CPC-PEDS certified

Ophthalmology

COPC certified

Dermatology

CPC-DERM certified
08 · Fit Check

Who we're built for, and who we're not

We're not the right fit for every practice. This honest filter saves both of us a 30 minute discovery call if it's not a match.

A Strong Fit

You should book a call if

  • You're a Queens County practice billing $10K to $40K+ monthly
  • Your A/R days are creeping past 40 and you don't know why
  • You're tired of denied claims piling up in folders no one touches
  • You want real-time visibility into your money, not monthly PDFs
  • You serve a diverse patient population and need billers who understand NYC Medicaid complexity
  • You want a phone call answered when you have a question
B Not a Fit

You should look elsewhere if

  • You want the absolute cheapest biller and only care about price per claim
  • You're looking for someone to just push claims without thinking
  • You're unwilling to share access to your EMR or clearinghouse data
  • You expect overnight transformation without a 30 to 60 day transition
  • You're not willing to fix front-desk eligibility gaps if we find them
  • You'd rather keep losing money than change a broken workflow
09 · The Journey

From onboarding to cash in bank

Four steps. Zero guesswork. We take over the revenue cycle while your team stays focused on patients.

01
Week 1

Audit & Onboard

Free revenue cycle audit pinpointing leakage. We pull 90 days of historical claims and show you the exact dollar amount on the table.

02
Week 2-4

Credential & Enroll

Rapid enrollment with every Queens County and NYC payer. EFT and ERA setup, EDI connections, clearinghouse routing all handled.

03
Ongoing

Submit & Track

Clean claims submitted within 24 hours. One dashboard shows everything in flight across every NYC payer portal.

04
Ongoing

Recover & Report

Aggressive denial follow-up plus weekly reports. Monthly performance reviews find the next dollar to capture.

10 · Why ParaMed

Why Queens practices switch to us

Generic national billers don't understand NYC's payer complexity. We do. Every claim is handled by someone who knows Queens County payer rules and NYC Medicaid managed care cold.

NYC payer expertise no one outside the city can replicate

Deep working knowledge of MetroPlus contract nuances, EmblemHealth timely filing windows, Healthfirst NY modifier rules, and Queens County Medicaid managed care plans. Out-of-market billers don't know these — and the revenue gap shows up in your collections every month.

Faster Reimbursements

A/R days cut by 15 on average through clean submissions and daily follow-up.

Certified Specialist Coders

AAPC and AHIMA certified, specialized by vertical — not generalists.

Real Time Analytics

Live dashboards show claim status, denial trends, and aging buckets.

Dedicated Account Lead

One named contact who knows your practice. No ticket queues, no offshore handoffs.

11 · Pricing

Straight talk on what this costs

We charge a percentage of what we actually collect for you. If we don't bring in the money, we don't get paid. Skin in the game on every claim.

  • No setup fees, no per claim fees, no software licenses
  • Final rate depends on specialty, volume, and payer mix
  • Billed monthly against collections, fully transparent
  • Includes coding, submission, denials, A/R, and reporting
  • Credentialing and patient billing available as add-ons
Performance Based

4-7%

of monthly collections

Most Queens practices pay between $1,200 and $2,800 monthly and net $2,500+ more in collections within 90 days.

12 · What Happens Next

The exact timeline after you submit the form

No mystery, no sales funnel maze. Submit your info and this is what happens, step by step.

24H
Response within 24 hours

Real human reply, not a bot. We confirm fit and book a time.

D1
30 minute audit call

We review your A/R aging, denial patterns, and current process. No pitch yet.

D3
Free written audit report

You get a document showing exactly where you're leaking revenue.

D7
You decide

If we're a fit, simple agreement. If not, you keep the audit. Zero pressure.

30 Day Review
13 · Risk Reversal

The Queens Promise

We earn the relationship every month. No 12-month contracts, no early termination fees, no holding your data hostage. If we don't improve your collections inside 30 days of full onboarding, walk away clean.

No long term contract Cancel anytime, 30 day notice You own all your data No setup or exit fees
14 · Common Questions

What Queens practice owners ask us

The eight questions we hear on almost every discovery call. If yours isn't here, ask us on the call.

How long does onboarding take?

Most Queens practices are fully transitioned in 30 to 45 days. Week one is audit and access setup. Weeks two through four cover payer enrollment, EDI/ERA setup, and EMR integration with NYC-specific payer portals. By week five we're submitting clean claims under your tax ID.

Do I have to switch my EMR or PM system?

No. We work with every major system used in Queens including AdvancedMD, Athenahealth, eClinicalWorks, Kareo, NextGen, Practice Fusion, DrChrono, and most legacy systems popular in NYC practices. We integrate where you are.

What happens to my existing biller or in-house team?

That's your call. Some practices reassign in-house billers to front-desk eligibility roles. Others let team members go gradually. We can run parallel for the first 30 days if you want a soft transition.

How do I know you're actually working my claims?

You get a real-time dashboard. Every claim status, every denial, every payer touch is logged. You see exactly what we did, when we did it, and what the outcome was. No black box.

Do you handle credentialing too?

Yes. Full credentialing for new providers with Queens commercial payers, NYC Health + Hospitals, NY Medicaid, and Medicare is available as an add-on. Most credentialing completes in 60 to 120 days depending on the payer.

What about patient statements and collections?

Available as a separate service. We send statements, run electronic balance reminders, handle patient calls about bills, and route balances past 90 days to collections agencies of your choice.

Are you HIPAA compliant?

Yes. HIPAA, HITECH, SOC 2 Type II, and we sign a full BAA before any data flows. All staff trained annually, access is role-based with audit logs, every transmission encrypted at rest and in transit.

What if I'm under contract with my current biller?

Send us your contract. We'll review it and tell you exactly when and how you can switch. In most cases there's a 30 to 90 day exit clause. We can time the transition so it doesn't disrupt cash flow.

HIPAA, HITECH & NY State Compliance

Every claim, every transmission, every staff member audited and trained. Your data stays protected.

HIPAA HITECH SOC 2 AAPC
Free Audit · 24h Response

Stop leaving money on the table in Queens

Most Queens practices we audit are losing 8 to 15 percent of collectible revenue to NYC payer complexity, Medicaid volume, and denial backlogs. Find out exactly what your practice is losing in a free 30 minute audit.

Line by line denial pattern review
Payer mix and reimbursement benchmark
Exact dollar amount you're leaving behind
Zero obligation, zero sales pitch

Book Your Free Audit

Takes 60 seconds. We respond within 24 hours.