Medical Billing Companies & Consultants in Prineville, OR

Results Insurance Billing LLC is a family-run medical billing and credentialing agency in Central Oregon. It works mainly with independent healthcare practices that want to hand off their insurance billing without dealing with a big call-center vendor. Clients get direct contact with a small team of named account staff who learn each practice's details, and the firm does not ask clients to sign long-term contracts. It keeps clients by delivering steady work.

Billing and Revenue Cycle Services

The firm can run the whole revenue cycle, from the moment a visit is entered as a claim until the account has nothing left owing. Claims go out electronically through a cloud-based billing platform that is HIPAA compliant and connects to the major insurance carriers. The main services are:

• Claim entry and electronic submission
• Tracking of rejected and denied claims, with corrections and resubmission
• Follow-up on accounts receivable until claims are paid
• Posting of electronic remittances, plus manual posting when a payer doesn't send ERAs
• Patient statements, with the firm's own staff answering patient billing calls
• Custom financial reports and dashboard analytics
• Optional add-on modules for EHR/clinical work, marketing and patient communication

Clients can check their receivables and practice performance at any time through a secure, password-protected online portal.

Credentialing and Payer Enrollment

The agency also offers credentialing, so providers can join insurance networks and get in-network payment rates. It prepares and submits enrollment applications to commercial plans and to government programs like Medicare and Medicaid, then follows each one with payer representatives until it is approved. Ongoing work includes watching re-credentialing and renewal deadlines so a provider's status doesn't lapse, and setting up, updating and attesting CAQH profiles.

Specialties Served

The firm bills for a range of specialties. Behavioral health is a major focus: one director handles billing for licensed professional counselors, marriage and family therapists and clinical social workers, covering benefit checks, patient onboarding and provider uploads. The team also serves substance use disorder providers, chiropractors, nurse practitioners, electrologists and massage therapists.

Staff also have experience dealing with motor vehicle accident insurance adjusters and attorneys. Client testimonials include a Bend counseling practice that praised the firm's credentialing and supervisor billing.

Background and Team

Founder and managing director Kerrie Larriviere has more than twenty years in the field. She started at age 19 and went on to manage billing for hospitals, OB/GYN and orthopedic practices before adding credentialing. The company says it has over 25 years of combined billing, coding, bookkeeping and credentialing experience. Business records show it was started in 2019.

Family members make up the staff, including a billing director, account managers and an IT specialist who is a U.S. Army veteran. The firm says more than 90 percent of its new clients come through word-of-mouth referrals.