Optimal Billing Solutions

Optimal Billing Solutions is a Brooklyn, NY medical billing and revenue cycle management company that removes the back-office burden from medical and dental practices across the tri-state area. The firm posts a 98% claim approval rate, keeps accounts receivable at an average of 28 days, and has produced a documented 20% increase in revenue for the practices it works with. For any practice weighing outsourcing options, those numbers tell the story directly. The service offering covers the full revenue cycle. Optimal handles medical and dental insurance billing, insurance eligibility verification, denial management, accounts receivable follow-up, credentialing and network enrollment, medical and dental coding, payment and deposit reconciliation, and GAP and prior authorization management. Practices dealing with audits or compliance gaps can also access fraud and abuse compliance reviews, along with legal support and escalation guidance for complex regulatory situations. Each client receives customized reporting and KPI monitoring built around the metrics specific to their practice. The client base spans more than 50 medical and dental specialties. Medical clients include interventional radiologists, cardiologists, urologists, vascular surgeons, laparoscopic surgeons, anesthesiologists, gastroenterologists, sleep centers, and behavioral health practices. On the dental side, the roster includes academic institutions: Rutgers School of Dental Medicine has maintained $0 in outstanding claims over 120 days in A/R under Optimal's management. The firm is also an active participant in the dental education and administration community, sponsoring the ADEA BFACA 2025 conference and the Consortium of Electronic Dental Records 2025 meeting. What separates this healthcare BPO company from standard back-office outsourcing providers is the co-sourcing model. Rather than managing billing from a remote location, Optimal's team can set up and run operations from within the client's own office, delivering outside expertise without removing day-to-day operational control. Staff receive ongoing training through Medicare compliance seminars and billing and coding workshops, and the firm is HIPAA certified. Real staff answer calls for both the practice and its patients. Custom-designed software, high-speed scanning and indexing, and server infrastructure with on-site and off-site backups keep records accessible and protected. Patient ineligibility rejections account for roughly 40% of industry denials; Optimal addresses this directly by verifying eligibility and benefits before any service is rendered. Practices across the tri-state area looking to improve collection rates, cut down on denied claims, or explore what a co-sourced billing arrangement could look like are welcome to reach out. Optimal offers a review of your current billing process as a starting point.