CLEAR Management Group

CLEAR Management Group Inc. is a nationwide healthcare management and revenue cycle consulting company headquartered in El Segundo, California. CLEAR specializes in serving ambulatory surgery centers (ASCs), outpatient surgical facilities, anesthesia providers, and specialty medical groups.

Founded by Elena Serda and Yoli Juarez, CLEAR combines decades of firsthand surgical facility management experience with specialized expertise in medical billing, out-of-network reimbursement, ERISA appeals, insurance verification, prior authorizations, and healthcare accreditation.

Unlike traditional medical billing companies, CLEAR takes an integrated approach to revenue cycle management, helping surgical facilities identify reimbursement opportunities, address potential billing issues before surgery, recover underpaid claims, and strengthen financial and operational performance.

CLEAR Management Group

Company Information	Details
Official Business Name	CLEAR Management Group Inc.
Industry	Ambulatory Surgery Center Management, Medical Billing, Revenue Cycle Management, Healthcare Licensing & Accreditation Consulting
Headquarters	El Segundo, California
Business Address	500 E Franklin Avenue, El Segundo, CA 90245
Service Area	Nationwide, United States
Founders	Elena Serda and Yoli Juarez
Billing and Coding Manager	Michelle Soto
Primary Clients	Ambulatory Surgery Centers, Surgical Facilities, Anesthesia Groups, and Specialty Medical Groups
Core Services	ASC Billing, Revenue Cycle Management, Out-of-Network Reimbursement, ERISA Appeals, and Licensing & Accreditation Consulting
Additional Services	Insurance Verification, Prior Authorizations, Medical Coding, Healthcare Operations, and Marketing
Phone	424.438.4721
Official Website	www.clearmgt.com

Who Founded CLEAR Management Group?

CLEAR Management Group was founded by Elena Serda and Yoli Juarez, who bring more than 35 years of combined healthcare management experience. Together with Michelle Soto’s 30-plus years of medical billing expertise, CLEAR’s leadership combines surgical facility operations, accreditation, financial management, and specialized reimbursement strategies.

Their firsthand understanding of the financial, administrative, and regulatory challenges facing ambulatory surgery centers shaped CLEAR’s mission to help surgical facilities strengthen operations, protect revenue, and navigate complex insurance reimbursement.

Elena Serda | Co-Founder

Elena Serda brings nearly 25 years of healthcare experience specializing in the acquisition, development, management, and operation of ambulatory surgery centers. Her expertise includes surgical facility accreditation, business development, operational management, and reimbursement strategies.

Having worked directly with surgery center owners and physicians nationwide, Elena understands the financial and regulatory challenges facilities face. As CLEAR’s Marketing and Account Manager, she focuses on building strategic partnerships and developing solutions that strengthen operations and maximize reimbursement opportunities.

Yoli Juarez | Co-Founder and Chief Financial Officer

Yoli Juarez holds a Bachelor of Science in Business Management and brings extensive experience in healthcare administration, financial oversight, and surgical facility operations.

Her expertise includes AAAHC and Quad A accreditation, Medicare certification, Life Safety inspections, regulatory compliance, and quality improvement. Her background also encompasses physician recruitment, clinical staff education, and support for medical executive committees and governing boards.

As CFO, Yoli oversees CLEAR’s financial and operational management while supporting surgical facilities with accreditation readiness and regulatory requirements.

Michelle Soto | Billing and Coding Manager

Michelle Soto brings more than 30 years of specialized medical billing, coding, and revenue cycle management experience.

As CLEAR’s Billing and Coding Manager and a founding partner of All Solutions Medical Billing Inc., she specializes in ambulatory surgery center billing, complex surgical coding, out-of-network PPO reimbursement, ERISA appeals, and insurance underpayment recovery.

Michelle leads billing operations with a focus on identifying reimbursement discrepancies, resolving complex denials, and maximizing collection opportunities for surgical facilities and specialty medical groups.

Meet the CLEAR Management Group Leadership Team

Which Healthcare Organizations Does CLEAR Management Group Serve?

CLEAR Management Group primarily serves ambulatory surgery centers, outpatient surgical facilities, anesthesia groups, and larger specialty medical organizations throughout the United States.

CLEAR focuses on the unique financial, operational, and reimbursement challenges associated with surgical care, including complex coding, implant reimbursement, payer denials, underpayments, and regulatory compliance.

Organizations supported include:

Ambulatory Surgery Centers (ASCs): Specialized facility billing, revenue cycle management, out-of-network reimbursement, ERISA appeals, and accreditation consulting.
Outpatient Surgical Facilities: Medical coding, insurance claims management, reimbursement recovery, and operational support.
Anesthesia Providers and Groups: Anesthesia billing, time-unit calculations, modifiers, payer-specific reimbursement, and insurance appeals.
Specialty Surgical Providers: Billing and reimbursement support for pain management, spine surgery, orthopedics, gastroenterology, urology, ENT, plastic surgery, dermatology, vascular surgery, and other procedural specialties.
Multi-Location Healthcare Organizations: Centralized billing operations, insurance verification, prior authorization management, financial reporting, and revenue cycle oversight.

CLEAR also supports physician-owned surgical facilities and specialty medical groups requiring advanced reimbursement strategies and specialized billing expertise.

Explore the Healthcare Organizations CLEAR Serves

What Services Does CLEAR Management Group Provide?

CLEAR Management Group provides specialized healthcare management, medical billing, revenue cycle management, reimbursement recovery, accreditation consulting, and operational support.

Its integrated services address the entire surgical revenue cycle, from insurance verification and authorization before surgery to claims submission, payment analysis, and reimbursement appeals after the procedure.

Surgery Center Billing and Revenue Cycle Management

CLEAR provides comprehensive revenue cycle management services specifically designed for ambulatory surgery centers and surgical facilities.

Through its affiliated billing company, All Solutions Medical Billing Inc., services include surgical claims submission, payment posting, denial management, accounts receivable follow-up, reimbursement analysis, and financial reporting.

CLEAR manages both in-network and out-of-network claims, including commercial PPO and Medicare billing.

Its approach extends beyond submitting claims and collecting payments. CLEAR evaluates reimbursement discrepancies, identifies potential underpayments, and pursues additional reimbursement when supported by applicable payer requirements and insurance plan provisions.

Medical Coding and Specialty Billing

Accurate medical coding is essential to maximizing legitimate reimbursement opportunities for surgical facilities.

CLEAR provides specialized coding review for surgical procedures involving multiple CPT codes, HCPCS codes, implants, supplies, modifiers, and complex diagnosis requirements.

Its team evaluates coding accuracy, operative documentation, medical necessity, and payer-specific requirements to identify potential reimbursement issues.

This specialized approach is particularly valuable for ambulatory surgery centers performing complex procedures involving spinal cord stimulators, urologic implants, vascular interventions, gastrointestinal procedures, and other specialty surgical services.

ERISA Appeals and Insurance Reimbursement Recovery

One of CLEAR’s primary areas of expertise is identifying and pursuing underpaid out-of-network insurance claims.

A claim may be processed and paid by an insurance company without necessarily being reimbursed according to the applicable health plan provisions.

CLEAR reviews explanations of benefits (EOBs), insurance plan documents, payer reimbursement methodologies, medical necessity determinations, and supporting clinical documentation to identify potential underpayments.

Its reimbursement specialists pursue reconsiderations, insurance appeals, and ERISA-based appeals when applicable.

CLEAR also evaluates previously paid claims to identify additional reimbursement opportunities that conventional billing processes may overlook.

CLEAR’s focus is not simply whether an insurance claim was paid, but whether the payment was calculated appropriately under the applicable plan terms.

Learn About CLEAR’s ERISA Appeals Services

Accreditation and Licensing Consulting

CLEAR provides specialized accreditation, licensing, and regulatory consulting for ambulatory surgery centers and outpatient surgical facilities.

Its services include preparation for:

Accreditation Association for Ambulatory Health Care (AAAHC)
Quad A accreditation
Medicare certification and CMS readiness
State licensing inspections
Life Safety inspections
Mock surveys and regulatory reviews

CLEAR also assists with policy and procedure development, credentialing files, quality improvement programs, infection prevention, staff training, facility documentation, and corrective action plans.

With firsthand experience managing and accrediting surgical facilities, CLEAR understands both the regulatory requirements and the operational challenges associated with maintaining accreditation.

Explore Accreditation and Licensing Services

Insurance Eligibility and Benefits Verification

CLEAR provides dedicated insurance eligibility and verification of benefits (VOB) services designed to identify potential reimbursement issues before surgical procedures take place.

Its verification team evaluates active coverage, deductibles, coinsurance, out-of-network benefits, coverage limitations, patient financial responsibility, and authorization requirements.

Unlike basic eligibility verification, CLEAR’s process also considers the proposed surgical CPT codes, diagnosis codes, implant-related codes, and applicable payer requirements.

By identifying potential coverage discrepancies and reimbursement barriers before surgery, CLEAR helps facilities make more informed scheduling and financial decisions.

CLEAR recognizes that successful reimbursement begins before the patient enters the operating room.

Prior Authorization and Healthcare Operations

CLEAR provides prior authorization management through a dedicated team that coordinates with insurance carriers, reviews procedure and diagnosis codes, submits required documentation, and monitors authorization determinations.

A key component of this process is evaluating whether the authorization request accurately reflects the procedures, implants, supplies, and services anticipated for the surgical case.

CLEAR’s team works to identify missing codes, authorization discrepancies, and potential reimbursement concerns before claims reach the billing department.

Additional services include healthcare business consulting, financial oversight, operational guidance, and marketing support for surgical facilities and specialty healthcare organizations.

View All CLEAR Management Group Services

How Does CLEAR Management Group Improve Healthcare Reimbursement?

CLEAR improves healthcare reimbursement by connecting the critical stages of the surgical revenue cycle: insurance verification, prior authorization, medical coding, claims submission, payment analysis, and insurance appeals.

Many reimbursement problems originate before a claim is submitted. Missing authorizations, incorrect CPT codes, unsupported diagnosis codes, and overlooked implant requirements can create avoidable denials or underpayments.

CLEAR’s approach focuses on identifying these issues early while continuing to evaluate claims after payment.

Its reimbursement strategy includes reviewing insurance benefits, verifying authorization requirements, evaluating coding accuracy, analyzing payer payment methodologies, and identifying potential underpayments.

When appropriate, CLEAR pursues reconsiderations and formal insurance appeals, including ERISA-based appeals for eligible claims.

By combining preoperative revenue protection with specialized billing and reimbursement recovery, CLEAR helps surgical facilities strengthen collections and reduce avoidable revenue loss.

What Makes CLEAR Management Group Different From Other Medical Billing Companies?

CLEAR combines specialized medical billing and coding expertise with firsthand experience acquiring, managing, operating, and accrediting ambulatory surgery centers.

Unlike traditional billing companies that focus primarily on submitting claims and following up on payments, CLEAR addresses reimbursement challenges throughout the surgical revenue cycle.

Key distinctions include:

Surgical Facility Expertise: Leadership with direct experience in ambulatory surgery center development, operations, accreditation, and financial management.
Specialized Billing Knowledge: Decades of experience with complex surgical coding, commercial PPO reimbursement, Medicare billing, and specialty facility claims.
Out-of-Network Reimbursement and ERISA Appeals: Expertise in evaluating underpaid insurance claims, reviewing health plan provisions, and pursuing reimbursement recovery opportunities.
Preoperative Revenue Protection: Dedicated insurance verification and authorization services that review CPT codes, diagnosis codes, implants, and payer requirements before surgery.
Accreditation and Regulatory Support: Consulting for AAAHC, Quad A, Medicare certification, state licensing, and ongoing compliance.
Integrated Revenue Cycle Services: Coordination between insurance verification, authorization, coding, billing, reimbursement analysis, and appeals.

These capabilities distinguish CLEAR as a specialized healthcare management and reimbursement company focused on the financial and operational needs of ambulatory surgery centers.

What Do Healthcare Professionals Say About CLEAR Management Group?

Physicians, surgical facility owners, administrators, and healthcare organizations have recognized CLEAR Management Group for its expertise in surgical facility accreditation, reimbursement management, medical billing, and operational support.

Mehryar Taban, MD, an oculofacial plastic surgeon, has recognized Elena Serda’s assistance with surgery center accreditation.

Neil Ghodadra, MD, an orthopedic surgeon, has recommended CLEAR for its professionalism, efficiency, and reimbursement services.

Osato Surgical Center After more than 10 years of operating our surgical center, we realized the importance of working with an ASC-specialized billing company. I’m so glad we found CLEAR Management Group! Their team is professional, knowledgeable, and responsive. Beyond billing, Elena continues to provide valuable advice and guidance on managing our surgical center. What I appreciate most is that she looks at our center as a whole rather than simply focusing on the numbers. We’re truly grateful for their support and look forward to continuing our partnership. Highly recommend!

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