Connected support that protects and strengthens a procedure-focused practice
Building a stronger practice takes more than submitting claims. Growth decisions, compliance controls, provider enrollment, billing, and performance reporting all have to support one another, and that is the part most practices have the least visibility into.
Coastal Medical Services connects those business and operational workstreams through one coordinated model, and runs the day-to-day billing and revenue cycle work underneath it. Clinical and legal decisions stay with qualified professionals.
Where practice revenue actually leaks
- High denial rates
- Slow reimbursements
- Inconsistent accounts receivable follow up
- Credentialing delays
- Limited financial visibility
- Administrative burnout
Build the service line, and the controls around it
Start with the pressure your team feels now. The surrounding services stay in view when the next need appears.
Growth & Compliance
The planning and the controls that build a durable specialty practice, from operational strategy to a compliance program leadership can actually verify.
Healthcare & PAD Consulting · Medical Compliance · FUE Compliance Consulting Explore the pathway → Pathway twoRevenue Operations
The administrative foundation that turns care delivered into revenue collected, accurately and on time, with reporting that explains what to do next.
Medical Billing · Billing Fees · Credentialing · Revenue Cycle Reporting Explore the pathway →Comprehensive medical billing and revenue optimization
From confirming a patient’s coverage before the visit to recovering a claim the payer denied, the revenue cycle has a dozen places to lose money. We work all of them.
Claim Submission and Denial Management
Clean claims out the door, and a structured process for every denial that comes back.
Accounts Receivable Follow Up
Consistent pursuit of aging claims so revenue does not quietly sit unpaid.
Insurance Verification and Eligibility
Coverage confirmed before the visit, so claims are not lost to preventable errors.
Medical Credentialing and Payer Enrollment
Providers enrolled and credentialed on time, so billing is never blocked at the door.
Specialty billing, not generic billing
A vascular practice and a podiatry practice do not bill the same way. The codes are different, the payer rules are different, and the documentation a claim has to carry to survive review is different. A generalist biller learns this on your claims, after they have already been denied.
We concentrate on procedure focused practices, so the payer rules and coding edges that trip up generalists are the ones we already know. That is the difference between a biller who processes your claims and one who can see the denial coming.
William Castellanos
Coastal Medical Services was built by people who came up on the clinical side. William has worked in healthcare since 2010, moving from the procedure room, as a surgical technologist and medical assistant, into medical billing in 2013.
He founded his own medical billing company, Baruch Business Solutions, and sold it to TLK Medical Group in 2020; it still operates today. He also runs 360 Healthcare Management, a separate medical management company.
A revenue partner, not just a billing vendor
Most billers stop when the claim is submitted. That is the easy part. The revenue lives in what happens after it: the denial nobody appealed, the underpayment nobody caught, the report nobody could read. That is the work we actually do.
Clear Communication
You always know who is handling your account and where things stand.
Transparent Reporting
Financial visibility you can act on, not a monthly file you cannot read.
Compliance Driven Processes
Billing workflows built to hold up to payer and regulatory scrutiny.
Dedicated Oversight
Someone is accountable for your revenue cycle, not just your claim queue.
Measurable Performance
Metrics that show whether collections are actually improving.
Strengthen your practice
If you are not certain where revenue is leaking or where growth is stalling, that is exactly what a first conversation is for. We will look at how things are performing and tell you what we find. It costs nothing, and if things are already in good shape, we will tell you that too.
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