Medical Billing Companies & Consultants in Portland, OR

Headquartered in Portland, Oregon, AdvanceAPractice Management takes on the business and money side of running outpatient and behavioral health clinics, freeing providers to spend their time with patients. Most of the people it works with belong to one of four categories: psychiatry practices, psychiatric mental health nurse practitioners (PMHNPs), solo therapists and counselors, and physician-run medical offices.

Its home base is in Oregon, but its clientele spans the entire country. Over the years, the company has also worked with physiatry groups, outpatient rehabilitation providers, and multi-site dental organizations.

Billing and Revenue Cycle Work

Every claim is handled by the firm across its full life span. Staff submit it to the insurer, contest rejections, record payments as they arrive and chase any remaining amounts owed. The team also identifies insurers paying below agreed contract rates and produces reporting designed to guide specific business choices.

Rather than sending an unpaid claim back out unchanged, specialists investigate why it stalled, whether the cause was an error during patient intake, a gap in provider enrollment or an incorrect setting inside the EHR, and then correct the process responsible. Separate cleanup efforts focus on balances older than 90 days.

According to the company, these efforts have brought in upward of $10 million in overdue and aging receivables.

• Claims processing for behavioral health practices and outpatient medical clinics
• Revenue cycle oversight and collection of unpaid receivables
• Insurance credentialing and payer enrollment
• Independent payer contracting for providers leaving a group or a service such as Headway or Alma
• Assistance launching a new practice and onboarding additional clinicians
• Ongoing operations help for practices already up and running
• Simplified EHR processes and tailored automation

How Engagements Run

All work takes place inside accounts registered to the client, and billing goes out under the practice's own Tax ID. Because of this arrangement, a clinic retains ownership of its software, records and any tools developed for it should the relationship end.

Core service tiers are offered at publicly listed rates, while larger or tailored projects are defined in a written scope before anything begins. Once a finished onboarding packet is received, the team starts within three business days. The company executes a business associate agreement and describes its practices as HIPAA compliant.

Each service tier comes with entry to Command Suite, the firm's online dashboard for tracking billing, credentialing and other ongoing tasks, which is also sold on its own as a subscription.

The staff knows a broad range of clinical documentation and practice management software. Among them are large-scale systems such as Epic and athenahealth; behavioral health products like ICANotes, SimplePractice, TherapyNotes and Valant; and additional platforms such as Office Ally, AdvancedMD and Kareo, which has since been rebranded as Tebra.

A typical project opens with an assessment of how the practice's staff actually use their software. From there, specialists follow one patient encounter from the provider's documentation through to the settled claim, flagging any manual fixes along the way. Often the goal is to make the existing platform perform properly before a clinic thinks about replacing it.

Background and Differentiators

The company is run by its founder, Ryan, whose background covers over 16 years in healthcare finance, provider enrollment and operations management. He began at OHSU, working on professional billing and collections. Next, at Clinicient, he assisted outpatient clinics throughout the United States.

Later he directed revenue cycle operations for a physiatry group and recovered money that had been written off as uncollectible. He subsequently oversaw the finances of a dental organization during its expansion from two offices to six. At ValueCore Mental Health, he helped consolidate independent practices into one multi-state organization and managed a staff of more than 30.

All client work is carried out by a U.S.-based team. Two outside reviewers have placed the company on lists of Portland's top ten medical billing firms: Nexus io did so for 2026, one year after a similar listing from MediBillMD.

For practices comparing providers, one distinguishing point is that the same staff who fight denials also build the systems meant to prevent them from happening in the first place.

Efficient Medical Billing Service, commonly known as EMBS, is an outsourced billing firm founded in Portland, Oregon in 2011. It started with a single client and now works for more than 150 practices, serving healthcare providers throughout the United States. Its physical office is in Tigard, just southwest of Portland. EMBS takes over the administrative work of getting paid so that clinicians and their staff can spend more of their attention on patients.

Who They Serve

EMBS takes clients from across medicine, but it specializes in the integrative and alternative care field. The practice types it highlights include:

• Naturopathic physicians
• Acupuncturists
• Chiropractors
• Massage therapists
• Mental health counselors
• Physical therapists
• Conventional medical doctors in any specialty

Services and Workflow

The core offering is end-to-end claims handling. After an appointment, the provider sends the visit charges to EMBS on a fee slip. The team checks the slip for accurate coding, fixes it where needed and files the claim with the payer.

Staff then track each claim until reimbursement arrives, confirm the amount is correct, post the payment and follow up on any balance the patient owes. When accounts fall overdue, EMBS can contact patients to set up payment plans and keep checking until balances are settled.

Coding consultations and fee schedule reviews come at no extra charge, and the firm keeps up with payer rule changes, regulations and coding updates for its clients.

Beyond billing, EMBS handles insurance credentialing. It completes the paperwork to bring providers into network with the carriers they choose and manages re-credentialing over time. It also verifies patients' insurance benefits. For an extra fee, clients can use the company's web-based practice management software.

The software can hold scheduling, inventory and patient demographic data, and it lets providers see where any claim stands at any time of day. The firm can also act as an on-call scheduling service inside a practice's own system, again as a paid add-on.

Background and Team

Owner David Waite earned a nursing degree in 1998 and later a degree in healthcare administration. He then spent more than ten years running a pair of large medical practices before he started EMBS.

His staff includes Mariah MacDonald, who focuses on charge entry and coding, and Erika, who joined in 2015 with a decade of billing experience and a dual degree covering business and medical billing. Lauren holds a BA from Lawrence University along with medical billing training, and Claire joined in 2016 with a degree in medical administration.

Several team members trained at Concord Career College. The company says its staff has about a century of combined experience.

EMBS charges a flat percentage fee that covers billing, coding review, collections and credentialing. Under this model the firm earns money only as the practice collects, and the provider avoids the costs of in-house billing staff, such as training and covering sick days. The company says it operates in compliance with HIPAA and adjusts its processes to fit each practice's needs.

Based in the southwest part of Portland, Oregon, Oswego Medical Billing Solutions manages the financial side of patient care for doctors, specialty and independent clinics, and a variety of other care providers. Its services include claims handling and enrollment with insurance payers.

The firm works with clients both inside and outside Oregon, so it can support offices in Gresham and across the greater Portland region as well as practices in other states. Its stated purpose is to lift routine billing duties off a practice's plate, giving providers and front-office teams more hours for patient care and for managing operations.

Claims Management Services

At the center of the company's work is end-to-end billing handled on the practice's behalf. It accepts clients at any point in their growth, whether a clinic has just opened its doors or an established group is bringing on more clinicians or expanding the care it delivers. Tasks it performs include:

• Building, submitting and monitoring claims to first, second and third payers
• Investigating why claims were turned down and correcting those problems so the practice is paid what it earned
• Recording and balancing incoming funds from both carriers and patients
• Mailing bills to patients and pursuing amounts that remain unpaid
• Managing claims tied to on-the-job injuries, car crashes, rehab care and medical equipment, categories that typically demand additional documentation
• Tailored reporting that shows what has been collected, how old outstanding balances are and how claims were resolved
• Confirming that patients are eligible and that their plans cover the planned care

For offices carrying a pile of overdue claims, the firm provides Insurance A/R Cleanup. Under this service, staff revisit old balances, address denied claims one by one and press carriers to pay sums that are still outstanding.

Provider Enrollment and Credentialing

A clinician generally cannot be reimbursed by an insurer before being enrolled with it, so the company views credentialing as a core piece of protecting revenue. It submits applications to commercial insurers and managed care plans, and it completes Medicare enrollment using the PECOS system.

To keep current providers in good standing, it manages recredentialing on a recurring schedule, and it also assists with privileges at hospitals and other facilities. The team monitors applications in progress, communicates with payers and clears up issues that hold up approval.

Clients for this work include newly launched practices, expanding groups with several clinicians, providers who practice alone, and the owners and administrators who oversee these operations.

Fields of Practice

The company's intake form names many types of care. Among them are dentistry, emergency transport, mental health and applied behavior analysis, skilled nursing facilities, in-home and extended care, naturopathic medicine, chiropractic care, and acupuncture.

It also lists hands-on bodywork, physicians who treat disorders of the brain and nerves, surgeons who operate on the nervous system, back and vertebral care, and clinics that diagnose and treat sleep disorders. Rehabilitation disciplines such as physical, occupational and speech therapy appear as well, along with pain treatment. Providers outside these areas are welcome to request assistance too.

Getting Started

Prospective clients may begin with a complimentary assessment of their revenue. During this review, the firm examines how billing is currently handled, how well money is being collected and how cash moves through the practice, then points out where gains might be made.

The company also publishes a guide for practices weighing whether to purchase billing software or hand the work to an outside firm. Its online materials do not mention when the business was established, how many people it employs or what professional credentials its staff hold. Practices evaluating billing partners may wish to raise these questions during a first conversation.

PDXPERT Medical Billing, which also operates under the shorter name PDXPERTS, is a Portland, Oregon firm that handles insurance claims for independent healthcare practices. Its core audience is clinicians in alternative and physical medicine who would rather spend their time treating patients than chasing payers. A key point for buyers: claims and billing work is offered only to practices that run on the Jane App practice management platform, while its consulting work is open to providers on any EHR.

Who they serve

The company concentrates on complementary and rehabilitative disciplines, and it also has experience with some conventional clinicians who use Jane. Specialties it supports include:

• Chiropractic, naturopathic medicine and acupuncture
• Massage therapy
• Physical and occupational therapy
• Mental health therapy
• Nurse practitioners and surgeons on Jane App

Services

On the billing side, the team reviews each claim for completeness before it goes out, submits claims promptly to keep reimbursements moving, and pursues denials by researching the cause and filing appeals where warranted. Its preferred clearinghouse is Claim.MD, chosen because it connects directly with Jane.

Patient invoicing is an optional add-on that requires Jane Payments; statements go only to insured patients once their claims are settled, the practice receives a list of who was invoiced, and staff do not contact patients themselves.

Beyond billing, PDXPERTS consults on practice operations, account management and market analysis, drafts office policies and procedures, trains front-desk and administrative staff, helps with software adoption, and mentors working medical billers. It also sells online courses and maintains a library of short Jane workflow tutorials, part of which is free for contracted clients.

How they work

Fees are set individually according to claim volume, specialty, practice size and complexity, delivered as a fixed monthly quote that is revisited every six months.

Staff typically log in to client accounts two times per week, answer questions by email during those sessions, and arrange calls or Zoom meetings when needed, with a stated reply window of two to three business days and faster handling for emails flagged as urgent.

Every denial or rejection is brought to the client together with a proposed fix, and clients are shown how to verify the work inside their own Jane account. Quality controls include layered reviews, reports on claims more than 60 days old, yearly internal audits, HIPAA safeguards and adherence to OIG guidance for billers.

The firm carries errors and omissions insurance and states that it does not offer legal advice, collections or coding.

Background

Founder Cortney started the business alone in March 2016 after a long career as a massage therapist, during which she learned billing from the in-house biller at a multidisciplinary chiropractic clinic.

She brought on her first full-time hire in May 2020, and in January 2021 the company moved to serving Jane users only, a decision influenced by her 2019 invitation to Jane's Vancouver headquarters to advise on the launch of its US insurance features.

Today a remote team of seven spread between the Pacific Northwest and Texas runs client work through a custom Salesforce CRM. The company belongs to the American Medical Billing Association, and Cortney holds that body's Certified Medical Reimbursement Specialist credential.

UR' Billing Solution LLC, known by the abbreviation URBS, is a Portland, Oregon company that manages medical billing on behalf of healthcare organizations. It oversees every stage of the revenue cycle and works with clients nationwide, not only in the Portland region. The firm serves solo physicians, private group practices, clinics and hospitals. Practices that prefer meeting in person can request a visit, as URBS indicates its team will travel to them.

What URBS offers medical practices

The company positions itself as a one-stop replacement for an internal billing office, handling tasks that a practice's own staff would otherwise perform. Its listed offerings cover:

• End-to-end management of the revenue cycle
• Coding of medical services and submission of claims
• Pursuit of insurance claims that remain unpaid or unresolved
• Enrollment and credentialing of providers with insurance carriers
• Patient collections handled by its own staff
• Timely creation and mailing of patient billing statements
• An assigned account manager for every client
• Language interpretation support

An electronic health records platform comes bundled with the service at no separate arrangement. URBS runs claims through its billing software, which links directly to a clearinghouse the company owns. Before anything goes to a payer, claims are checked for mistakes so they arrive clean.

The firm aims to cut down on rejected claims, reduce the number of claims that must be sent again, and speed up how quickly receivables turn into revenue. Practices receive straightforward reports showing what has been collected, and the company pledges that the ICD-10 coding standard will not interrupt their operations.

Pricing and working arrangement

URBS uses flat-rate pricing and states that clients will not encounter concealed costs. A monthly base charge includes a defined number of providers and a defined volume of claims, with anything above those limits charged individually. Because the firm earns its fee only after a client receives payment, its compensation is tied directly to results.

Newly signed clients are given a free bonus package. URBS argues that outsourcing spares practices from recruiting billing employees, covering wages and benefits for those positions, and purchasing costly software. It adds that physicians who spend less time on insurance paperwork can schedule more patient appointments.

Every employee, volunteer and intern at URBS is bound by HIPAA privacy obligations, which continue to apply even after that person leaves the organization.

Founder and organizational history

The company was started by Stephanie White, who leads it as chief executive. Her academic background includes an undergraduate degree focused on running healthcare organizations, along with minor studies covering both healthcare and business management. White also directs two affiliated organizations operating in Oregon and Washington. The first, UR' Medical Career Solution Program, is a nonprofit that provides career training.

The second, Black Men & Women In Training (BMWIT), is a group practice delivering mental health and wellness services designed to be culturally specific for BIPOC communities. These ties give URBS firsthand familiarity with behavioral health care and with preparing people to enter the healthcare workforce. In addition to the Portland office, the organization maintains a site in Vancouver, Washington.

Practices evaluating billing partners may find several distinguishing traits at URBS. It is a compact firm still guided by its founder, it publishes a fixed-fee structure, and it packages EHR access, credentialing, collections and interpretation within a single contract. The company also shows a firm dedication to healthcare equity. Its guiding motto emphasizes keeping its word and maintaining dependable quality.

Wellness Billing LLC is a medical billing and revenue cycle firm based in Portland, Oregon, with a second presence in Bend. It supports outpatient healthcare practices across Oregon, Washington, Alaska and Texas. The company started out serving acupuncturists and has since grown into a multi-specialty billing partner for both integrative and conventional clinics. Practices that want a small, hands-on team instead of a large outsourced billing operation may find it a good fit.

Background and Leadership

Joanna Nalle founded the business in 2016. She graduated from the Oregon College of Oriental Medicine in 2015 and saw that many practitioners found it hard to run a sound business while also focusing on patient care. She started the company to help clinics build stable business structures and steady cash flow, and to make insurance claims less confusing for patients. That clinical background shapes the firm's approach, especially for practitioners in complementary medicine.

Specialties Served

The firm provides billing, credentialing and contracting for a wide range of provider types, including:

• Acupuncture (LAc) and Naturopathic (ND) practices
• Chiropractic (DC) and Massage Therapy (MT) clinics
• Physical, Occupational and Speech Therapy
• Medical Doctors (MD) and Nurse Practitioners (NP)
• Optometry and vision care (OD) and dental offices

Services

Its main offering is full revenue cycle management. This covers checking patient coverage before visits, setting up patient accounts, turning documented care into billable charges, coding diagnoses and procedures, and sending claims to payers.

On the back end, the team posts remittances, works denials, follows up on outstanding receivables, determines patient balances and collects them, and provides reports on submissions, payments, write-offs and open balances. It also reviews chart notes against billing for every encounter as a light audit.

For clinics whose accounts have fallen behind, an EHR cleanup service catches up on unposted insurance payments, sends corrected claims, chases unpaid claims and recovers old balances. The company also offers a virtual front office service.

The firm also does EHR setup work and specializes in CharmHealth. It builds intake and treatment note templates, new-patient forms, electronic remittance advice (ERA) enrollment and online payment features. Its credentialing and contracting work goes beyond filling out applications.

Because the team deals with payers every day, it can advise clinics on which insurers are currently paying reliably and which are causing reimbursement or administrative problems. This helps practices decide whether a network contract makes financial sense. The team also handles enrollment, updates and ongoing maintenance.

Working Style

Wellness Billing describes itself as a small, relationship-focused team. Each client clinic gets its own billing specialist who learns the practice's providers, workflows and goals. The firm avoids standardized packages and tailors its support to each clinic. Its regular office hours are weekdays during standard business hours.