Medical Billing Companies & Consultants in Irvine, CA

Headquartered in Irvine, California, Altos Inc supplies outsourced administrative support to the healthcare sector. Physicians, clinics, medical groups and hospitals rely on it for reimbursement, receivables and clinical paperwork. The firm presents itself as offering a broad range of services rather than a single specialty. Its customers include large hospitals as well as independent doctors and modest private offices.

Most are located in California, although the company reports having worked with providers elsewhere in the country. Alongside its Irvine headquarters, it operates a support center in Noida, India, through a related entity, Altos Global Services Pvt. Ltd.

Background

The firm's origins lie in converting dictated physician notes into written records for American clients, work it began shortly after 2000. Over time, those same customers wanted help getting paid for their services, and in 2009 Altos expanded into claims and payment recovery. Today it cites roughly twenty years of experience in medicine-related work. It positions its services as outsourced back-office support that can expand or adapt to suit organizations large and small.

Billing and Revenue Services

Organizations evaluating reimbursement partners will find that Altos handles nearly every step from patient arrival to final payment, plus several administrative tasks:

• Charge submission and end-to-end management of the payment cycle
• Code assignment performed by staff holding AAPC certification
• Confirmation of patient coverage and securing approval for treatment
• Preparing and tracking claims, and pursuing unpaid balances owed by insurers
• Recovery of payments on job-injury and accident cases
• Enrolling providers with payers and handling their credentials
• New-patient registration, booking visits and connecting electronic record platforms
• Oversight of Qualified Medical Evaluator (QME) work and coordination of cases

Altos states that it can review how a practice currently manages reimbursement and identify both strengths and weak spots. Its compensation, it says, arrives only once the client has been paid, so its earnings depend on the money it actually brings in.

Team and Specialties

Staff working on reimbursement include medical doctors, coders with CPC credentials, analysts and personnel dedicated to chasing outstanding claims. Medical-legal receivables are assigned to their own unit, whose members advocate for providers in lien disputes and formal proceedings, pursue overdue amounts, and respond to questions from payers and patients.

This arrangement suits offices treating people hurt on the job or in accidents, since payment in those cases frequently depends on liens and adjudication. On the documentation side, Altos employs report editors, impairment raters, specialists in organizing records, and technology personnel. This group prepares reports for job-injury and accident cases, summaries of medical records, AMA-based impairment ratings and patient histories.

The company also monitors each Request for Authorization from submission until a ruling is issued.

Security and Quality

The company says it operates in accordance with HIPAA. Before handling any client information, each staff member completes HIPAA instruction and signs a nondisclosure agreement. Protections it lists include firewalls, virus-scanning tools, login credentials on its systems, and round-the-clock oversight of its network.

Every document it produces is checked twice before delivery, and Altos references Six Sigma practices along with accuracy rates it says exceed AHDI standards. Practices seeking a single partner to manage records, treatment approvals, coding and payment recovery, particularly for job-injury and medical-legal cases, can obtain all of it from Altos.

Claim N Billing is a medical billing firm owned and run by a single family, serving healthcare providers throughout California. Most of the practices it supports are small or mid-sized, and the business has earned its standing by handling specialties that larger, generalist billing outfits often neglect. Its staff understand Medi-Cal as well as the rules imposed by commercial health plans, an important strength for practices that rely on both public and private reimbursement to stay financially healthy.

Specialties and Providers Served

The firm's expertise centers on a small group of fields with unusual payer rules or providers who seldom have office staff to manage claims. Its primary focus areas include:

• Doulas, especially billing under the Medi-Cal doula benefit, along with denial handling and follow-up on submitted claims
• Behavioral and mental health, such as psychiatric care and virtual sessions, where pre-approvals, appeals and specialized codes are a regular part of the work
• Chiropractic care, a field in which payers frequently ask for evidence that ongoing treatment is medically necessary, well after the initial appointment
• Home health agencies, including OASIS assessments, the five-day deadline for filing a Notice of Admission and ensuring that each 30-day billing period is paid in full
• Expanding clinics that require a full billing operation as their roster of providers grows

Beyond these core areas, the company's new-client form names a wider range of practice types, among them acupuncture, physical therapy, primary care for both adults and children, heart and skin specialists, bone and joint practices, and doctors treating disorders of the brain and nerves. This indicates that its client base extends well past the fields it promotes most heavily.

Services and Workflow

Rather than offering piecemeal help, Claim N Billing oversees the full revenue cycle. Each new relationship starts with an onboarding phase in which staff build out patient and provider files and verify patient details, catching avoidable mistakes before any claim is filed.

After that, the team records all billable services, sends out claims that meet compliance standards, follows up with payers, applies incoming payments and reports on results. Rejected claims are monitored and pursued through the appeals process until resolved. Credentialing support is also part of the package.

One clinic that slipped several weeks behind after its internal coordinator left says the firm caught up on the overdue work and finalized two enrollment applications that had sat untouched for months.

Testimonials published by the company illustrate results across several specialties. A doula who previously absorbed unpaid visits reports that her account was finally set up properly for the Medi-Cal benefit. A psychologist says that denials of virtual sessions caused by modifier errors stopped within the first month.

A chiropractic office credits the staff with flagging documentation likely to provoke necessity-based denials before submission, and reports that its balances outstanding beyond 90 days dropped to under half of what they had been.

Approach and Differentiators

Openness shapes the firm's working style. Clients get regular updates detailing paid, pending and appealed claims, with one practice mentioning a summary that arrives each Friday. When a payer rejects a claim, the team describes the cause in clear language so providers are never left wondering. The company also emphasizes ongoing contact with every practice it represents.

Those considering its services can schedule a no-cost consultation, ask for a complimentary review of their billing, use an online calculator to project possible savings or request a walkthrough of the firm's billing software. Claim N Billing sets itself apart through attentive, personal service, deep familiarity with California payers and an intentional commitment to overlooked areas like doula care.

Based in Irvine, California, ClaimTek Systems equips individuals to start and manage independent businesses that handle medical billing and practice administration. It does not primarily process claims on behalf of physician offices. Instead, the firm provides what entrepreneurs require to sell billing services to physicians and dentists themselves: software, instruction, promotional materials and continuing advice.

Those drawn to its offering tend to include people switching careers, part-time billers hoping to expand, mothers and fathers seeking work they can do from home, and individuals with finance or business experience who aim to advise healthcare providers.

Getting Started with ClaimTek

New participants purchase a complete, ready-to-use license bundle and receive individualized coaching tailored to their availability, learning speed and background. All instruction takes place at a distance, so no travel is involved. ClaimTek estimates that a newcomer can begin operating within roughly four weeks, and no previous background in the field is necessary.

After completing the coursework, owners may work from a home setting, a rented office or any location with web access. They may serve practices of any medical or dental specialty nationwide.

Buyers choose among three levels. Every level combines software, a set of marketing resources, a three-phase instructional program spanning several years, and complimentary consulting and assistance. The duration of that training and help increases with each step up:

• Prime: professional-grade software, a marketing kit, and twelve months of instruction and assistance
• Principal: automatic posting of payments, additional income channels, and twenty-four months of instruction and assistance
• Director: every available income channel, inventory for resale, cloud services at the enterprise tier, and thirty-six months of instruction and assistance

Technology and Offerings

At the heart of the package sits MedOffice, the company's own platform for billing and practice administration. Owners rely on it to submit claims and to produce reports for the physicians they serve. One owner, whose business has grown past one hundred clients and employs six people, singles out its reporting features as especially valuable.

Beyond billing, ClaimTek prepares owners to sell roughly twelve additional administrative services to practices, giving them multiple ways to generate revenue. An online calculator on the company's site projects gross income based on how many doctors an owner serves, how many claims are filed and the percentage charged.

ClaimTek is explicit that it promises no particular income and that results hinge on how much work each owner puts in.

History and What Sets It Apart

The firm has operated for over two decades. It holds Better Business Bureau accreditation and reports a favorable standing with the Business Consumer Alliance. In January 2016, Small Business Opportunities Magazine included ClaimTek on its list of twenty leading inexpensive startup opportunities. The year before, the company earned a local honor recognizing outstanding businesses in its home city.

ClaimTek structures its arrangement as a license instead of a franchise. That means owners may display the ClaimTek name and marks, owe no ongoing royalties or advertising contributions, face no geographic restrictions, and retain complete ownership of what they build. There are also no per-provider monthly charges for the software.

Anyone evaluating medical billing companies should understand that ClaimTek's core audience is people who want to run billing businesses, not physician practices seeking to hand off their own claims work.

Cosentus is a revenue cycle management firm headquartered in Irvine, California. It handles medical billing and the related financial work for medical practices, surgery centers and specialty physician groups across the country.

The company says it has more than 25 years of experience in the field, and it pairs staff who focus on one specialty with its own artificial intelligence platform. Its Orange County head office is home to the leadership team, technology engineers and account support staff. Cosentus also lists offices in Napa, Dallas, Salt Lake City and Olathe.

Services

Its main offering, called RCM 360, covers every step from the moment a patient registers until the last payment comes in. One accountable team runs the whole process, so the practice does not have to coordinate several separate vendors. The main parts include:

• Checking insurance eligibility and benefits before each appointment
• Tracking prior authorizations, with alerts tied to payer deadlines
• Contacting patients a few days before a visit with cost estimates
• Medical coding by AAPC-certified coders, with AI used to check accuracy
• Cleaning up claims to each payer's rules before sending them electronically
• Posting payments, reconciling accounts and escalating underpayments
• Following up on accounts receivable, handling denials and filing appeals backed by clinical reasoning
• Patient statements and collections, including payment plans, in more than 50 languages
• Initial and ongoing provider credentialing, plus review of payer contracts
• Reporting dashboards broken out by payer, provider, procedure code and denial reason

Technology and approach

Cosentus describes its model as real people working alongside AI. Its Zeus platform runs 23 modules that cover each stage of the revenue cycle. Several tasks are handled by named AI assistants: Elly for eligibility, Paige for authorizations, Connie for coding suggestions and Cindy for patient balances. Human specialists still make the decisions that need judgment.

Each specialist stays with a single specialty and gets to know the client's payers. Every engagement is set up around the practice's payer mix, specialty, internal workflows and objectives.

New clients go through a set sequence. It starts with exploration and discovery, followed by a proposal and a signed contract. Next comes a stabilization period with onboarding and introductions to the service team. After that, the two sides agree on processes and how often they will communicate. The last stage is ongoing improvement through analytics and client reviews.

Before committing, a practice can ask for a free assessment the company calls a Financial MRI, which shows where revenue is being lost. Weekly reviews and quarterly business reviews come with the service.

Specialties and track record

The company's main focus areas are anesthesia, ambulatory surgery centers and behavioral health. Its client testimonials also come from orthopedics, pain management, neurology, general surgery, OB/GYN and urgent care practices. Cosentus reports a 99% customer retention rate and says it collects about $98 of every $100 owed. It also claims 98.5% coding accuracy and revenue growth of up to 30% for some clients. The company says it protects client data in line with HIPAA requirements and SOC 2 controls.

MB Medical Billing Services, Inc. is an Orange County revenue cycle firm that works with physician practices across California. Mina Molavi started the company in March 2004. It began with one physician client and a single computer in a modest Mission Viejo office, and it has grown since then mostly through referrals from existing clients.

Today it provides full revenue cycle management along with practice management consulting. Buyers looking for a smaller, founder-led billing partner rather than a large national outsourcer will find it worth considering.

Background and Leadership

Molavi still leads the firm as President. Before founding it, she spent decades working in billing and practice administration. Her roles included time at Anthem Blue Cross and a billing coordinator position with Hoag Hospital, in which she managed billing and collections for a group of 40 physicians.

She earned an MBA at Chapman University and has been an instructor in billing and coding at both American Career College and Irvine Career College. Client testimonials on the site include a podiatric surgeon who worked with her in the late 1990s and has used her billing service since 2004.

Services Offered

The firm's work falls into two main areas, billing and coding on one side and collections on the other, and clients deal with a single contact for both. The detailed service menu includes:

• Billing from charge entry to payment posting, including electronic claim submission
• Procedure and diagnosis coding (ICD-10, CPT and HCPCS) with modifier review
• Patient balance collections handled with attention to patient relationships
• Payer credentialing, including CAQH, NPI and revalidation support
• Medicare enrollment applications and review of existing enrollment records
• Accounts receivable analysis by payer, balance and aging
• Patient statement preparation and billing question support
• Management of payer and patient correspondence
• Investigation, correction, resubmission and appeal of rejected or denied claims

How They Work With Clients

The firm presents itself as an extension of the practice's front office. Its staff follow up on unpaid insurance and patient balances so in-house staff don't have to.

The process puts a lot of weight on catching problems before submission, such as flagging incomplete documentation, checking code specificity, sequencing and laterality, and applying payer rules, all aimed at cutting down rejections. For receivables, the team ranks accounts by value and urgency, records every action and reports the results back to the practice.

The company says it develops new services by asking clients what would make their work easier, and it adds or refines offerings based on the answers.

Who They Serve

The client base consists mainly of physicians and medical practices throughout California. Testimonials on the site come from a podiatric surgeon, an osteopathic physician in Costa Mesa and a doctor in Santa Ana, and several of these clients have stayed with the firm for many years.

The firm's stated mission is to raise provider revenue, lower rejection errors and give clients attentive service. Practices that also need help with credentialing, Medicare enrollment or ICD-10 accuracy may value having all of that handled by the same team that manages their claims.

Monox Billing Service is a medical billing company in Irvine, California. It handles claims and reimbursement work for physicians, medical practices and other healthcare organizations. The firm started out in anesthesia billing, which is still its specialty, and it has since expanded so that practices in any specialty can hand their billing over to it. The company says it works with providers across the country, not just in Southern California.

Monox says it has spent decades in the field, though its own pages give two different numbers. The homepage claims more than 40 years of anesthesia billing expertise, while the About page refers to over 30 years in the industry. Either way, buyers are dealing with a long-established firm rather than a new one.

Monox reports that it has recovered upward of $50 million for clients. It credits that result to chasing every outstanding balance persistently instead of writing accounts off too early.

Services

Monox describes its work as a complete billing workflow. It starts when a provider sends over charges and ends once payments are posted and any underpaid claims are challenged. The main stages are:

• Charge intake: practices can send charges securely by fax, email or postal mail, whichever suits their office.
• Patient demographic entry: staff enter patient details into a secure system, with a focus on accuracy because reliable data is the basis of claims that get paid.
• Medical coding: certified coders give every claim diagnosis codes and CPT procedure codes to support payment and reduce denials.
• Pre-submission review and electronic filing: each claim is checked for correct coding and compliance before it is sent electronically to insurers, which helps avoid rejections and speeds up payment.
• Payment posting and follow-up: after insurers pay, the team applies the payments, sends patient statements and writes appeal letters when reimbursement falls short.

Beyond daily claims processing, the company offers reporting and revenue analysis so practices can see how their collections are doing. It also gives strategic guidance aimed at helping practices grow and become more profitable.

How Monox works with clients

Monox says it adapts its billing processes to each practice rather than putting every client through the same template. Its flexible options for sending charges are one example: offices that still work on paper can mail or fax documents, while others can use email. The company presents itself as a long-term partner to providers. It takes on the administrative work of getting paid so that clinical staff can spend their time on patients.

Compliance and team

Monox states that its office meets HIPAA requirements for protecting patient health information and that its staff are thoroughly trained in handling confidential records. Coding is done by certified coders, which matters most in specialties like anesthesia where coding details affect payment. For Orange County buyers, the Irvine office offers a local point of contact, and the firm also serves practices outside California.