top of page
Medical Billing Company

OUR CORE SERVICES 

as of April 2026

  • Accounting & Bookkeeping – Daily transaction recording, bank reconciliations, and general ledger management to keep your finances accurate and audit-ready.

​

  • Payroll Processing – Full-cycle payroll, tax withholdings, direct deposit setup, and quarterly reporting for businesses of all sizes.

​

  • Medical Billing & Coding – Claims submission, coding compliance (ICD-10/CPT), payment posting, and denial management tailored to healthcare providers.

​

We also offer: Tax filing • Invoicing • Financial statement analysis

​

Downing Street Financial, Inc. (DSFI) provides accounting, payroll, and medical billing services trusted for contractor bids, RFP responses, and ongoing business operations.

BOOKKEEPING SERVICES

Basic Bookkeeping

This entry-level service is perfect for small businesses looking to keep accurate records of their financial transactions. It includes tracking income and expenses, organizing receipts, and maintaining ledgers to ensure businesses have a clear financial record. This is the most affordable package, offering essential bookkeeping support without additional financial analysis.

Bookkeeping Plus

This package includes everything in Basic Bookkeeping plus bank reconciliation, financial statement analysis, and financial insights. Business owners receive a deeper understanding of their company's financial health through profit and loss reviews, cash flow tracking, and balance sheet evaluations. This service helps businesses identify trends, control expenses, and make data-driven financial decisions.

Bookkeeping & Taxes

​This top-tier package includes all services from the Advanced Bookkeeping package, plus tax preparation and filing services. Your company ensures accurate tax compliance by calculating deductions, preparing returns, and filing state and federal taxes. This service is ideal for business owners looking to streamline bookkeeping and tax preparation in one place.

Accountant

$1

per transaction

Suit and Tie

$2

per transaction

Man with Suit

$3

per transaction

QB ProAdvisor.jpg

 

Optional Payroll Add-On

​​

For $15 per month per employee ($100 minimum), businesses can add payroll processing, which includes:

  • Overtime & Bonuses Calculation

  • Direct Deposit & Mailed Paychecks

  • Health Insurance Benefits Integration

  • W-2 Processing at Year-End

These services help businesses stay compliant, reduce financial stress, and focus on growth while maintaining accurate financial records.

© 2008 by Downing Street Financial, Inc.

17025 Mt Rose Hwy C

Reno, NV 89511

Core services: Accounting & Bookkeeping | Payroll Processing | Medical Billing & Coding

bottom of page