Medical Billing Companies & Consultants in Los Angeles, CA

Billing Circuit is a small, owner-led medical billing firm operating out of Los Angeles that handles revenue cycle work for physician practices. Its client base runs from solo practitioners to larger multi-provider groups, and the company describes itself as a boutique shop that has been in business since 2013. Buyers who want a named contact who is personally involved in their account, rather than a high-volume processing center, are the main audience it pitches to.

Services and scope

The firm covers the full revenue cycle, starting before a patient is seen and continuing through collections and reporting. Its published service list includes:

• Eligibility and insurance verification, plus authorization management
• Billing for Medicare, Medicaid/Medi-Cal, workers' compensation and HMO, PPO and EPO plans
• Charge entry, coding review and steps to prevent denials
• Electronic claim submission and electronic remittance posting
• Claim follow-up, appeals and aging A/R management
• Patient statements and collecting payments at the front desk
• Tracking fee schedules, payer contracting and provider credentialing
• Billing reports and training for office staff

It also offers a dedicated coding accuracy review and promotes its experience with in-network billing.

Specialties

The company concentrates on a group of specialties: ear, nose and throat (otolaryngology), allergy and immunology, ophthalmology, podiatry, dermatology and cardiology, and neurosurgery is also named among the practices it supports. It has separate service pages for ENT, allergy and ophthalmology billing and for podiatry billing, which helps buyers in those fields check whether it understands their specialty.

How it works with clients

A key feature of Billing Circuit's model is that practices keep their current systems. Instead of moving a client onto new software, the team does the billing inside the practice's existing EMR and practice management platform. The company says this reduces downtime and conversion costs. Kareo, DrChrono and Office Ally are among the platforms shown on its site.

It does substantial setup work at the beginning of an engagement to cut down on downstream errors, and it can work either embedded in the office or remotely. The founder describes his role as something like a fractional CFO, giving financial and operational advice in addition to processing claims.

Practices can choose a percentage-of-collections arrangement, a flat monthly contract, or a hybrid that charges a flat rate for high-dollar surgical cases.

Background and credentials

Morgan Burrows founded and leads the company. He has a background in billing operations and revenue cycle strategy and holds a B.S. in Healthcare Administration with a management concentration from the University of Phoenix. Client testimonials on the site focus on his close tracking of denials and appeals and his work cleaning up accounts left behind by previous billing vendors.

On security, the firm says it follows HIPAA rules, uses only US-based local staff for billing work, and controls access to patient data. It serves practices across California, with Los Angeles as its home base.

Based in Los Angeles, Golden West Medical Billing, Inc. (GWMB) handles reimbursement work on behalf of physicians and other licensed clinicians, managing both insurer billing and patient balances. Its clients range from solo practitioners to multi-site medical groups, and the company reports more than twenty years in business.

Edward Rivas and Patricia Ziders founded the firm after careers in orthopedic surgery and in running medical offices. That experience shapes the company's view that every practice has its own billing needs. Rather than applying a single template, GWMB builds each arrangement around how the client operates, which insurers its patients carry and what the practice wants to achieve.

The firm's stated aims are to bring in more revenue and reduce overhead. To stay current as insurer requirements shift, it relies on continuing education for its team, up-to-date software, close attention to compliance obligations and spending on data security.

Core billing services

The base offering spans every stage, from preparing a charge to collecting what is owed:

• Sending claims to insurers through digital clearinghouses or by mail, depending on the payer
• Billing any additional coverage a patient holds once the primary insurer has paid its share
• Recording incoming remittances on patient ledgers and maintaining account balances
• Tracking unpaid claims, contesting denials and refiling corrected claims
• Overseeing receivables and gentle collection efforts
• Mailing patient bills each month and managing uninsured or self-paying patients
• A phone line for patient questions, plus tracking of visits
• Detailed performance reports for the practice

Optional services, billed separately, include confirming patient coverage and benefits before visits and assisting clinicians with Medicare enrollment and revalidation in PECOS. The firm also bills for virtual visits.

Payers and specialties

GWMB works with Medicare, all Medi-Cal programs, approved workers' compensation claims, HMO, PPO and EPO plans, and personal injury cases. It serves a wide range of fields, with particular depth in mental health and rehabilitation as well as surgical and primary care disciplines.

These include psychiatry, psychology, marriage and family therapy, licensed clinical social work, internal medicine, family medicine, pediatrics, OB-GYN, neurology, neurosurgery, plastic surgery, orthopedics, podiatry, ophthalmology, physical medicine and rehabilitation, physical therapy, chiropractic care, acupuncture and independent nurse practitioners.

How engagements work

GWMB's compensation is contingent, meaning it collects its fee only once the practice has received payment. There are no lengthy contract commitments. Money from insurers and patients flows directly to the provider rather than through GWMB, and the company characterizes getting started as straightforward. Its own employees perform all of the work, and nothing is outsourced.

Staff members are fluent in both English and Spanish, an advantage for practices that serve Spanish-speaking patients who want bills and account help in that language. GWMB takes on insurer phone calls, denial tracking and payment discussions with patients, with the goals of relieving front-desk staff, stabilizing revenue and reducing the share of claims that get rejected.

Practices evaluating billing partners may find several distinguishing points. GWMB has operated in Los Angeles for many years under the philosophy of the people who started it, and it keeps every task with its own employees. Its team works in two languages, its fees depend on the practice getting paid, and it avoids binding clients to extended agreements. The firm is also familiar with California-specific payers, including Medi-Cal and workers' compensation.

LA Medical Billing is a Los Angeles company that handles billing and coding for healthcare providers. It works with hospitals, clinics, group practices and solo practitioners. The firm says it was founded in 2017 by Steve Smith, who is described as a medical biller with a background in insurance claims and provider credentialing. He started the company to give Los Angeles practices of all sizes a dedicated partner for the business side of patient care.

Services

The company covers the full revenue cycle, from the first patient registration through to the final payment. Its core services are:

• Checking patient insurance eligibility before visits
• Preparing and submitting claims to payers
• Medical coding of procedures and diagnoses
• Managing accounts receivable and chasing unpaid balances
• Posting payments
• Handling and appealing denied claims

Beyond claims work, the team also answers patient questions about their bills and deals with insurance issues for them. The goal is to save practice staff time on these calls. Clients get detailed reports on billing performance, tailored to their needs, to help them plan their finances.

California Focus

The firm presents itself as a specialist in the California market. It highlights its experience with Medi-Cal, the state's public health insurance program, and says it helps providers collect all the payments they are owed. It also says it tracks changes in California healthcare rules so clients stay compliant and avoid fines. The company says it adjusts its approach to each client's patient mix and billing process, whether the client is a large hospital or a small independent clinic.

How It Works With Clients

Practices hand their billing to a team of specialists. These specialists file claims, follow up with insurers, and track each claim until it is resolved. The company runs a cloud-based platform, so clients can see their billing data and reports at any time and from any device. Providers switching from another billing service get a managed handover.

The team first reviews the practice's needs and then sets up a tailored workflow, aiming to keep cash flow steady during the change. The company says clients can reach its experts around the clock.

Background and Track Record

The company stresses following current coding standards to lower the risk of audits and penalties. Its site claims more than 350 clients, over 300 of them repeat customers, and says it serves physician practices across the United States. One example it gives is a small Los Angeles clinic.

The company reports that the clinic's revenue rose 40 percent within six months after it overhauled the clinic's billing, with faster payments and fewer denials. Buyers should note that the site gives conflicting figures for how long the firm has been operating.

Meraki RCM Solutions, LLC is a revenue cycle management firm with its US headquarters in downtown Los Angeles and an international office in Lucknow, India. It works with physician practices, healthcare facilities, hospitals and other billing companies that want to outsource some or all of their reimbursement work. Its main niche is California workers' compensation, and it also handles personal injury, motor vehicle, Medicare and commercial insurance claims.

Workers' compensation focus

For providers treating injured employees, Meraki covers the whole claim lifecycle. Staff confirm liability with the employer or carrier, find missing claim numbers, and prepare and chase requests for authorization. Claims go out either on paper or electronically through the firm's links with several clearinghouses. Incoming EOBs and EORs are reconciled against the Official Medical Fee Schedule.

Underpaid bills are challenged through second bill review and independent bill review, and the firm says it files these appeals within a 72-hour window after the payer responds. As a registered EAMS e-filer, Meraki can submit liens and Declarations of Readiness electronically and pursue unpaid balances through litigation.

It can also send representatives to Workers' Compensation Appeals Board hearings anywhere in Southern California. The company also highlights its billing for AME and QME evaluations.

Broader billing and support services

Beyond workers' compensation, the firm offers general revenue cycle work along with several separate services:

• Medical coding and medical transcription
• Provider bill review based on the OMFS
• Individual tasks bought one at a time, such as demographic and charge entry, eligibility checks and pre-certification
• Personal injury and auto accident claim follow-up and settlement negotiation
• Healthcare staffing, including nursing, per diem and registry placements, managed services and vendor management
• Website and app development and digital marketing for practices

Its intake form lists more than two dozen specialties. These include chiropractic, acupuncture, orthopaedic surgery, physical medicine and rehabilitation, anesthesiology, radiology, psychiatry and neurology, dermatology, and durable medical equipment suppliers.

How the firm works with clients

Meraki says it fits into a practice's existing software and routines instead of requiring a switch, and works alongside in-house staff. Teams are cross-trained so service stays steady when a main contact is away. The firm tracks payer behavior and tells clients when payments drop below contracted rates. Its coders and billers are hired for both certification and hands-on experience.

Staff attend weekly and monthly training, and the company cites ties to AAPC and AHIMA. A dedicated compliance officer oversees HIPAA practices and staff conduct.

The company cites more than 20 years of combined experience, and its workers' compensation page mentions over 25 years of industry experience on the team. It also publishes its own performance targets: 24-hour turnaround, 98 percent accuracy, cost reductions of around 40 percent, and a 90 percent workers' compensation recovery rate within 60 days. Buyers comparing vendors should treat these as the firm's own figures and confirm them with references during evaluation.