Bay Area Medical Billing
Bay Area medical practices operate the highest-cost healthcare market in California. Underpayments hurt more here than anywhere else. SF Health Plan covers the city’s Medi-Cal, Anthem and Health Net carry most commercial mix, and Sutter Health Plus and Kaiser commercial dominate by hospital affiliation. Most billing companies do not adjust their work to the Bay Area’s payer mix. That is why your AR sits.
- ✓Owner-led California team. Not a call center.
- ✓Knows Bay Area payers: SF Health Plan, Anthem, Health Net, Blue Shield, Kaiser commercial, Sutter Health Plus, UnitedHealthcare.
- ✓Free 30-day AR audit before you sign anything
- ✓Works with Epic, Athenahealth, Kareo, eClinicalWorks
The math, in plain English.
Figures reflect 1st Medical Billing’s California book, trailing 12 months. Industry comparison: MGMA / HBMA published medians.
Three things national billing companies can’t say.
We only bill on paid claims.
If a claim doesn’t get paid, we don’t get paid for it. No retainer, no per-claim fee, no monthly minimum. The math means we chase your denials like they’re our own.
We know your payers by name.
We work San Francisco Health Plan, Anthem, Health Net, Blue Shield, Kaiser commercial, Sutter Health Plus, UnitedHealthcare, and Medicare across San Francisco, Oakland, San Jose, the Peninsula, and the East Bay. We know SF Health Plan’s two-step appeal process. We know which Bay Area commercial payers are slow-paying right now.
A real person answers.
Not a ticket queue. Not a chatbot. The owner is on the line, or one ring away. You’ll know your account manager by name within the first week.
Four weeks. No disruption to your front desk.
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1
Free 30-day AR audit
Send us your last 90 days of remits and aging report. Within a week we’ll send back a written read on what’s leaking and how much we’d recover.
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2
Credentialing & payer setup
We confirm credentialing is current with every CA payer you bill. Anything missing, we re-credential. Clearinghouse handoff happens behind the scenes.
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3
Live billing in week 3
Charges from your EMR start flowing into our system. Aging AR is worked in parallel. We don’t write off old claims to “start fresh.”
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4
Monthly review with the owner
A real meeting, not a PDF. Numbers, trends, denials worked, what’s blocked, what we’re recommending.
Honest answers, in plain English.
Bay Area billing, recovered AR, real humans. Want to see your numbers?
Send us your aging report and last 90 days of remits. We’ll send back a written read inside a week. A real human picks up the call you place.