Medical billing · California

From claim
to follow‑through.

Thoughtful billing support that keeps your practice moving.

Schedule a consultation A real reply within two business days
Fig. 01 Accounts receivable by age
Illustrative. Aging gets worked oldest first, on a schedule — not whenever there is time.

How it works

Four steps, worked in order.

The same sequence every week, so nothing has to wait on someone remembering.

  1. 01

    Eligibility and charge capture

    We check coverage before a claim is built.

  2. 02

    Claim submission

    Claims go out clean, and rejections get fixed the same week.

  3. 03

    Payment posting

    Every remittance posted and reconciled, line by line.

  4. 04

    Denials and A/R follow‑up

    Denials and unpaid balances get worked before they go stale.

Services

What we handle.

Six services, one team that knows your account. Take the whole cycle, or hand over the part that keeps slipping.

01

Full-service medical billing

The whole cycle, from eligibility to the last appeal, run by one team instead of passed between desks.

02

Claims submission

Claims out the door clean — and when a payer pushes back, corrected and sent again the same week.

03

Payment posting

Remittances and patient payments posted line by line, so your ledger matches what the payer says it paid.

04

Denial management and appeals

Denials sorted by root cause instead of one at a time, with appeals filed well inside payer deadlines.

05

Accounts receivable follow-up

Older balances get attention first, with a nudge before one drifts too far to collect.

06

Existing A/R cleanup

A backlog triaged, worked down in priority order, and then kept on a normal weekly rhythm.

A more personal approach

You should know who’s
keeping an eye
on your billing.

Fourth Avenue Medical Billing is built around direct communication, consistent follow-through, and making the billing process easier to understand.

My goal is to give each practice a clear process, dependable follow-up, and a direct point of contact when questions come up. Billing is made up of small details—and those details deserve steady attention.

Stephanie Bares-Dela Cruz Founder, Fourth Avenue Medical Billing

  • Dedicated billing support
  • Clear, straightforward reporting
  • Billing support tailored to your workflow
  • A partner who knows your workflow

FREQUENTLY ASKED QUESTIONS

Questions, answered.

A few of the things practices commonly want to know before getting started.

What medical billing services do you provide?

We provide claim submission, A/R follow-up, denials management, patient statements and collections, and reporting.

Can you work with our practice’s existing billing workflow?

We’ll discuss your practice’s current workflow and software needs during the consultation to determine the best approach.

Do you provide credentialing services?

Credentialing is not currently included in our services.

How do we get started?

Start with a consultation. We’ll learn about your practice, current workflow, and where you need support, then outline the next steps.

Consultation

Schedule a consultation.

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