Sacramento clinics especially need medical billing partners who can manage clearinghouse rejections and payer-specific authorization workflows. With changing CMS documentation guidelines and laws, such as No Surprises Act, your in-house billing assistants may not be able to catch up. That’s why partnering with California medical billing companies delivering 95%+ clean claim rates and at least 30% AR reduction is important to stabilize revenue.
Understanding this need, we’ve researched the best medical billing companies in California that serve Sacramento specifically. Each of these companies has a proven record in helping practices grow their revenue by solving billing errors and denials.
Best Medical Billing Companies in Sacramento, California
A simple overview of the companies that you can contact for medical billing services in Sacramento is given below:
- Transcure
- Fast Practice Innovations LLC
- US Global Medical Billing
- 24/7 Medical Billing Services
- DMSCO Billing Services
- Certified Healthcare Billing
- MedCare MSO
- Bridge Billing Services Inc.
- Precision Medical Billing
- BellMedEx
Below are detailed profiles of these leading firms that offer coding expertise, credentialing, and compliance for practices across Sacramento and the Central Valley.
1. Transcure – Best Medical Billing Company
Transcure delivers full‑cycle medical billing services in California, including Sacramento practices across specialties and multi-provider groups. With over 12 years in RCM and 1,100+ certified coders, they achieve a 98% first‑pass clean claim rate and 48‑hour submission turnaround. Practices gain a 30% reduction in AR days and a 5 to 10% revenue lift, all powered by RPA-enabled workflows and automated credentialing support.
This means faster reimbursements, fewer denials, and less administrative burden. Furthermore, Transcure’s California payer expertise, including Medi‑Cal, commercial insurance, and Covered CA protocols, especially helps practices in the Sacramento region. Similarly, real‑time dashboards track AR, denials, and revenue forecasting with HIPAA‑ and SOC 2‑compliant safeguards.
Key Highlights
- EHR integration across 30+ platforms like Athena, Epic, and Kareo
- 98% clean claims on first submission
- 48-hour Turnaround Time
- Complimentary credentialing with RCM
Top Services Provided by Transcure
Transcure provides many additional services, in addition to medical billing, to practices in all 50 states:
- Speciality-focused Billing Services
- Medical Billing Audit Services
- Billing Services for Small Practices
- Medical Coding Services
- Revenue Cycle Management
- MIPS Reporting Services
- Robotic Process Automation
- Laboratory Billing Services
- Credentialing Services
- Medical Transcription Services
2. Fast Practice Innovations LLC
Headquartered in Sacramento, Fast Practice Innovations LLC (FPIMED) offers tailored medical billing services using local expertise and scalable RCM solutions. Founded in 2018 by billing professionals, FPIMED handles charge entry, CPT/ICD coding, denial management, and old AR recovery. Their precise chart audits and denial workflows reduce claim rejections and ensure timely reimbursements for multi-specialty Sacramento practices.
Through HIPAA-compliant systems and California-specific credentialing workflows, FPIMED secures payer enrollments for Medi‑Cal, Covered CA, and private networks. Their team monitors emerging coding rules, runs free historic claim audits, and prioritizes high-dollar aged claims. With these things, the medical billing company is delivering more predictable cash flow and freeing providers to focus on patient care.
Key Highlights
- Sacramento-based billing team serving 28+ specialties
- Free audit of historical write-off claims
- Full RCM stack, from eligibility verification to denial follow-up
- Coordination and interactions with FPIMED Patient DME tools
3. US Global Medical Billing
Practices in Sacramento or California whereabouts looking for reliable medical billing companies, can explore the services of US Global Medical Billing. They offer a complimentary 30-day revenue cycle audit to uncover gaps in provider workflows. Practically, practices experience about 10% net collection gains from cleaner claims and reduced claims errors. Their certified coders and HIPAA-compliant systems streamline billing while lightening overhead.
Apart from that, their billing services has proven to cut the overall operational cost by 50%. Furthermore, US Global Medical Billing serves over 40 specialties, including Hepatology, urology, cardiology, etc. Their secure infrastructure and web-enabled dashboards give small and multi-site practices transparency into KPIs like AR aging and payer mix performance.
Key Highlights
- Complimentary EDI/EFT/ERA setup and CAQH coaching
- Flat 2.49% billing fee (including credentialing & IT support)
- Practices making less than $10,000 pay only $450
- Complementary credentialing for billing clients
4. 24/7 Medical Billing Services
Practices can explore 24/7 Medical Billing Services as a dependable option due to its 24/7 availability and fast claim cycles. Their local team offers rounding on claims same-day, denial remediation within 72 hours, and eligibility checks with daily follow-ups. As a result of their quick service, they are successful in delivering a 98% clean-claim standard to help clinicians avoid delayed payments.
Their certified coding and audit staff (CPC, CPM, CPC‑H, CPMA) perform systematic fee schedule optimizations, ICD‑10 training sessions, and root-cause trend analyses. Practices receive credentialing services for Medi‑Cal and hospital networks, along with detailed reporting on AR aging and payer denials. Their coding tutors help avoid repeat rejection patterns and document compliance workflows.
Key Highlights
- Certified coding audits using CPC/CPMA specialists
- Six-hour live ICD‑10/CPT training per specialty
- Free credentialing for up to 10 payers with first-time onboarding
- 72-hour resubmission guarantee for rejected claims
5. DMSCO Billing Services
DMSCO Billing Services has been embedded in Northern California’s healthcare community for decades. Being among the oldest billing companies in California, it has been serving Sacramento practices with end‑to‑end medical billing and coding services since 1987. Their team handles clean charge entry, HL7/EMR integration, CPT/ICD‑10 coding, and old AR recovery under HIPAA‑compliant workflows.
After partnering with DMSCO, practices such as Sacramento Cardiovascular Surgeons Medical Group reported noticeably faster reimbursements and improved cash flow within months of onboarding. Beyond day-to-day claims, DMSCO supports credentialing, CAQH enrollment, PECOS/Medi‑Cal sign‑ups, contract negotiation, and compliance training. Their cloud scanning, secure VPN, and financial reporting tools give teams real-time insight into AR cycles, revenue forecasts, and payer-specific denial patterns.
Key Highlights
- EMR integration (HL7), soft‑collections, claim scrubbing
- Ongoing training in HIPAA compliance
- Integration with 12+ EMRs
- CAQH enrollment and maintenance
6. Certified Healthcare Billing
Certified Healthcare Billing is a full‑service California medical billing company serving Sacramento practices of all sizes. They specialize in accurate medical claims submission, payment posting, patient billing, and aging A/R recovery. With credentialing support, fee-schedule optimization, and denial follow‑up built into every workflow, providers see fewer rejections and more hours freed for clinical care.
Ultimately, it leads to measurable improvements in cash flow and reduced administrative stress. What sets them apart is California-only specialization: familiarity with Medi‑Cal and Covered California. Additionally, payers like Kaiser/Sutter allow them to manage credentialing, enrollment, and payer setup smoothly. Their AI-driven claim scrubbing, HIPAA- and GSA-certified systems, and assignment of a dedicated account executive ensure Sacramento practices get transparent dashboards.
Key Highlights
- Client-specific KPI reporting and AR aging analysis
- One dedicated account executive per practice
- Integration with 50+ EHR systems
- 25% average increase in revenue, 97% clean claims
7. MedCare MSO
Moving forward with the list, we have MedCare MSO, which boasts a 98.5% first-pass clean-claim rate and over 30% revenue boost. In addition to that, their certified RCM team handles up to 50 specialties, including primary care and spine surgery. Sacramento clinics gain faster cash flow and improved monthly collection visibility thanks to their three-tier CPT/ICD scrub process and real-time dashboards.
Their CA-compliant workflows include seamless EHR integration (via HL7/EDI) and Denial Management via “IMMP” strategy, and old-AR recovery (>120 days). Similarly, their HIPAA- and SOC‑2-capable Maximus RCM platform supports secure real-time reporting and practice-specific optimization. With their AR Recovery techniques, they are able to ensure a 20% revenue gain.
Key Highlights
- Onboarding includes Medi‑Cal and Covered California credentialing
- Dashboard analytics for denial reasons, AR aging, and payer trends
- The average turnaround time of 7 to 14 days
- 35% reduction in A/R
8. Bridge Billing Services Inc.
Sacramento practices benefit when a local billing partner understands California’s payer system. Bridge Billing Services lets clinicians offload every step, from eligibility checks and CPT/ICD coding to claims tracking and collections, under a HIPAA-compliant structure. Their setup lets clinics cut billing headcount, reduce compliance risk, and get paid faster.
They ensure that all client communication stays centralized to keep practices aligned and reduce administrative hassle. Plus, they also offer EDI/EFT/ERA onboarding tailored to practices’ EMR systems. Like every good service provider, they support major EHR platforms like Kareo, NextGen, ECW, and Epic, adapting to each clinic’s workflow.
Key Highlights
- Serves 12+ specialties, including Acupuncture and Chiropractic
- Fees only charged as a percentage of collected claims
- Credentialing and payer panel setup
- 95% of charges processed within 24 to 48 hours
9. Precision Medical Billing
Founded in 2002, Precision Medical Billing is located in Modesto, CA, just over an hour from Sacramento, and has a strong track record serving Northern California medical practices. With over 20 years of experience, they specialize in improving collections, eliminating claim rejections, and managing RCM. Their Sacramento-area clients benefit from deep knowledge of California’s Medi‑Cal and commercial payers, alongside tailored billing plans that optimize revenue without changing in-office systems.
For credentialing needs, they refer to an experienced CA-based coordinator. Best of all, a 30-day free RCM audit helps practices understand missed revenue upfront. Among their general services, they handle CPT/ICD code scrubbing, patient demographic checks, and mixed paper/electronic claim submission. Being a fully remote company, Precision Medical Billing has employees in 9 different states across the US.
Key Highlights
- Patient billing via SMS/portal
- California-specific payer guidance for PPO/HMO panels
- No Surprise Act Solutions partner
- Handles secondary insurance payments
10. BellMedEx
BellMedEx offers full-cycle RCM and medical billing services with claim performance built to boost cash flow. Their clients typically experience a 98 to 99% clean claim rate, a reduction in A/R by up to 30%, and revenue increases of up to 30% thanks to efficient claim scrubbing and timely submission. However, the most interesting fact is that it all happens within 30 to 40-day cycles.
For Sacramento practices, that means fewer denials, faster reimbursements, and clear visibility into billing operations. BellMedEx serves over 10,000 providers across the U.S., including California-based practices that must navigate commercial payer rules. With HIPAA-compliant systems and FusionEDI clearinghouse, clinicians benefit from reductions in staff billing time and a predictable revenue cycle.
Key Highlights
- Multi-specialty RCM support
- Proprietary claim transmission with FusionEDI
- Performance-based 2.49% fee model
- Dashboard alerts for denial analytics
Conclusion
Most Sacramento practices don’t need more billing staff. They need a billing partner who can handle payer rules, reduce denials, and improve collections without slowing down operations. The companies listed above all offer helpful tools, but the real difference comes from how well they manage clean claims and local compliance needs like Medi-Cal and Covered California.
Transcure stands out for doing exactly that. It delivers high clean claim rates, fast submission times, and built-in support for credentialing and audits. Clinics working with Transcure report fewer delays, better payer response, and a steady increase in monthly revenue. If you want a solution that goes beyond basic billing, Transcure is the best option to consider.
