01
Full-Cycle Medical Billing
Claim preparation, submission, payment posting, reconciliation, AR follow-up, and revenue-cycle oversight.
Medical Billing + CalAIM ConsultingBuild the workflow.
Build the workflow.
Protect the revenue.
Pursuit of Coverage helps healthcare organizations, nonprofits, and community-based organizations strengthen the path from referral and authorization to documentation, billing, payment, and follow-up.
Core Services
Practical support across the operating cycle.
Engage Pursuit of Coverage for one problem or a broader operational rebuild.
02
Credentialing & Enrollment
Provider enrollment, payer applications, contracting support, recredentialing, and status tracking.
03
Denials & Appeals
Root-cause review, corrected claims, appeals, payer follow-up, and prevention of repeat errors.
04
Documentation & Coding Workflows
Operational review of documentation and coding processes to support complete, billable services.
05
Policies, SOPs & Controls
Role matrices, trackers, documentation standards, billing triggers, audit trails, and desk guides.
06
CalAIM Program Consulting
Readiness, ECM, Community Supports, Justice-Involved workflows, billing infrastructure, training, and audit readiness.
For Nonprofits & CBOs
Build the operating system behind the CalAIM program.
CalAIM touches referrals, eligibility, enrollment, authorizations, service delivery, documentation, billing, transitions, and reporting. We help connect those moving parts into a workflow staff can actually follow.
ECM & Community Supports
Enrollment, authorizations, documentation, recurring workflows, billing logic, and closure controls.
Justice-Involved Services
Pre-release and post-release workflows, Medi-Cal billing readiness, custody/release tracking, warm handoffs, and documentation.
EHR / Case Management Design
Fields, forms, notes, statuses, tasks, billing triggers, dashboards, and reports.
Training & Audit Readiness
Staff training, desk guides, internal review tools, documentation standards, and leadership visibility.
CeCe
Founder • Pursuit of CoverageMedical billing, reimbursement, healthcare operations, and CalAIM consulting.Experience Behind the Work
Billing expertise with an operator’s eye.
CeCe brings more than two decades of experience across medical billing, authorizations, appeals, payer processes, reimbursement, implementation, and healthcare operations. Pursuit of Coverage was established in 2020 in Elk Grove, California.
The approach is hands-on: identify where the process breaks, clarify ownership, and build tools staff can continue using after the engagement ends.
How We Work
Assess. Map. Build. Improve.
1
Assess
Review current billing, authorization, documentation, program, and payer workflows.
2
Map
Identify failure points, ownership gaps, repeat denials, duplicate work, and missing controls.
3
Build
Create practical SOPs, trackers, templates, training, and system requirements.
4
Improve
Measure results, refine workflows, and strengthen reimbursement over time.