Medical Billing Services in Long Island

From our office in Melville, Long Island, Fast Billing Solutions helps private practices across Nassau and Suffolk counties get paid faster and more completely. We’re not a distant national call center — we’re a Long Island medical billing company that understands New York payers, NY Medicaid enrollment, no-fault and workers’ compensation billing, and what it really takes to run a profitable practice here.

A Billing Partner That Knows Long Island Healthcare

Long Island’s healthcare market is unlike anywhere else. Major systems anchor the region — Northwell Health in New Hyde Park, NYU Langone Hospital–Long Island in Mineola, Stony Brook Medicine in Suffolk County, plus Catholic Health and Mount Sinai South Nassau. Yet between these giants, thousands of independent private practices thrive: orthopedics in Garden City, cardiology in Great Neck, dermatology from the Five Towns to the Hamptons, physical therapy groups across Suffolk, urgent care centers along every commercial corridor, and podiatry, ophthalmology, ENT, gastroenterology, behavioral health, and oral surgery practices in nearly every town.

Every specialty — and every payer contract — carries its own billing rules. We represent 20+ physician specialties, bill more than $60 million in claims annually, and hold an average 98% net collection rate.

Billing Pain Points We Solve for Long Island Practices

• New York payer credentialing and enrollment. CAQH, NPI, Medicare (PECOS), NY Medicaid through eMedNY, plus commercial credentialing with Empire BlueCross BlueShield, UnitedHealthcare/Oxford, Aetna, Cigna, EmblemHealth (GHI/HIP), Healthfirst, and Fidelis Care. A single lapsed enrollment means denied claims — we keep every provider current. Learn about our credentialing services.
• No-fault and workers’ compensation billing. NY auto no-fault (PIP) and Workers’ Compensation Board claims run on their own forms, fee schedules, authorization rules, and strict timely-filing windows. We handle them every day for Long Island practices that treat accident and work-injury patients.
• Denials and prior authorizations. Commercial payers deny aggressively — medical necessity, coding edits, missing authorizations. Our denial management team works every denial to resolution and fixes the root cause.
• The cost of in-house billing staff. Hiring and retaining billing staff on Long Island is expensive, and turnover stalls cash flow. Outsourcing gives you a full revenue-cycle team for less than the cost of one experienced in-house biller.
• No visibility into your revenue cycle. Daily, weekly, and monthly reports plus customized reporting, so you always know what’s billed, paid, and outstanding.

Medical Billing Services Built for Long Island Practices

• Medical Billing & Coding — charge entry, clean claim submission, payment posting, and payer follow-up.
• Credentialing & Enrollment — CAQH, NPI, Medicare and NY Medicaid enrollment, commercial payer credentialing, revalidation.
• Denial Management — every denial worked, appealed, and tracked, with root-cause fixes.
• Eligibility Verification & Pre-Authorization — benefits checked before the visit.
• AR Management — accounts receivable follow-up, EOB/ERA review, patient balance workflows.
• Medical Transcription — accurate, timely documentation support.
• HIPAA Security Risk Analysis — protect patient data and stay compliant.

Specialty Billing Experience Across Nassau & Suffolk

Long Island’s private-practice economy runs on specialties, and we bill them all — including:

• Orthopedic billing services
• Cardiology billing
• Dermatology billing services
• Podiatry medical billing services
• Physical therapy billing
• Urgent care billing
• Mental health billing
• Ophthalmology billing services

Serving Medical Practices Across Long Island

Our office at 68 South Service Road, Suite 100, Melville, NY 11747 sits right off the Long Island Expressway near the Nassau–Suffolk border. We serve practices throughout Nassau County (Garden City, Mineola, Hempstead, Great Neck, Hicksville, Massapequa, Levittown, Rockville Centre, Valley Stream, Freeport, Long Beach, and the Five Towns) and Suffolk County (Melville, Huntington, Smithtown, Commack, Hauppauge, Bay Shore, Islip, Brentwood, Patchogue, Stony Brook, Riverhead, and the Hamptons).

Why Long Island Practices Trust Fast Billing Solutions

• 98% average net collection rate
• $60M+ in claims billed annually
• 20+ physician specialties represented
• 15 Google reviews from medical practices

What Local Providers Say About Us

“I’m a family physician who has had an independent practice for the past 18 years and has had difficulties with various billers. I can honestly say that this biller is the best one I’ve ever had.”

— Google review

“I work with a podiatry office and we have a great experience working with Fast Billing Solutions. Their team is professional, responsive and easy to work with. They work with our credentialing and run daily report for us. They also verify benefits and eligibility.”

— Google review

“Our clinic has been utilizing Fast Billing Solutions for well over 3 years. They have been very professional and responsive to our needs. If you give them a chance to serve you, you’ll be glad you did.”

— Google review

Long Island Medical Billing FAQs

Do you work with practices in both Nassau and Suffolk counties?

Yes. Our office is in Melville, near the Nassau–Suffolk border, and we serve practices across both counties — from Great Neck and Garden City to Huntington, Smithtown, Patchogue, and Riverhead. Because we’re local, we can meet in person and we understand the payer contracts specific to each county.

Which insurance payers do you bill in New York?

Medicare, NY Medicaid (eMedNY), Empire BlueCross BlueShield, UnitedHealthcare/Oxford, Aetna, Cigna, EmblemHealth (GHI/HIP), Healthfirst, Fidelis Care, and other commercial plans — plus NY workers’ compensation and no-fault auto carriers.

Can you handle credentialing and payer enrollment for our providers?

Yes — we manage CAQH profiles, NPI registration, Medicare (PECOS) and NY Medicaid enrollment, commercial payer credentialing, plus revalidation and recredentialing. See our credentialing services.

How do you handle NY no-fault and workers’ compensation claims?

We bill NY no-fault (PIP) and workers’ comp claims routinely: correct forms, Workers’ Compensation Board authorization requirements, fee schedule compliance, strict timely-filing deadlines, and persistent follow-up and appeals.

How long does it take to transition our billing to your team?

Most Long Island practices are fully onboarded within 2–4 weeks, starting with a free practice analysis and transitioning claims with no interruption to cash flow.

What does medical billing cost for a Long Island practice?

We price as a percentage of collections, varying by specialty, claim volume, and payer mix. Request an instant quote for straightforward pricing based on your practice.

Will you work with our current EHR or practice management system?

Yes. We work inside the systems you already use, and can set up medical billing software, EFT/ERA enrollment, and electronic remittance workflows. You keep full visibility through daily, weekly, and monthly reports.

Get a Free Quote for Your Long Island Practice

If your practice is anywhere on Long Island — from the Queens border to the East End — we’d like to show you what a local billing partner can do for your bottom line. Get a free, no-obligation quote, or contact us to talk through your revenue cycle.