Medical Credentialing - Oregon Medical Billing

Why Choose Oregon Billing Service for Credentialing?

We are the trusted credentialing partner for clinics, private practices, and solo providers in Oregon.

Here's why:

10+ Years of Local Expertise: With a decade of experience working with Oregon Medicaid, Medicare, and private payers, we understand the unique needs of healthcare providers in the region.
Fast and Efficient Processing: Our streamlined physician credentialing process ensures that you are credentialed more quickly with insurance payers, minimizing delays in patient care.
Specialized in Small to Midsize Practices: Whether you're a solo provider or a growing clinic, we cater to healthcare professionals at every stage of their practice journey.
Nationwide Reach with Local Service: While we're deeply rooted in Oregon, we offer credentialing services nationwide to support healthcare providers across multiple states.
Comprehensive Services: As a full-service healthcare credentialing agency, we handle everything from insurance credentialing to contract negotiation and re-credentialing, so you don't have to worry about the details.

Local team + nationwide credentialing
reach.

10+ years of experience with Oregon Medicaid, Medicare, and private payers.

Expertise with small to midsize practices and behavioral health specialists.

Supporting Oregon
Healthcare from the Ground
Up

End-to-end services that streamline provider enrollment, ensuring you're approved by the right payers quickly. We handle it all, from initial paperwork to contract negotiations, maximizing your reimbursement opportunities.

We've been working with Oregon's healthcare providers for over 10 years, offering personalized, local services that make a real difference in your practice's bottom line.

Whether you're looking for a physician credentialing service or a credentialing company for physicians, we've got you covered.

Complete Credentialing and
Enrollment Solutions We Offer

Our medical insurance credentialing services are tailored to meet the specific needs of every healthcare provider.

Whether you need credentialing and enrollment services or wish to outsource credentialing services, we offer the best credentialing services to fit your practice's needs.

We offer a range of services to handle all your credentialing and payer enrollment needs:

Our Credentialing Services Include:

Payer Enrollment & Contract Negotiations

Secure optimal reimbursement rates with expert contract negotiations. We ensure favorable terms while simplifying the enrollment process.

PECOS and NPPES \ Profile Updates

Maintain accurate Medicare records by ensuring timely updates to PECOS and NPPES. Avoid claim denials with our proactive profile management.

NPI (Type I & II) Registration

Obtain or update your NPI numbers for provider identification and billing. We ensure accurate registration with the NPPES system.

CLIA, DEA License, and State Licensure Support

Simplify compliance with CLIA, DEA, and state licensing requirements. We guide you through applications, renewals, and regulatory updates.

Hospital Privileges and Documentation Review

Navigate hospital credentialing with expert application reviews and submissions. Ensure compliance with facility-specific requirements.

Re-credentialing and Revalidation Services

Stay compliant with timely re-credentialing for Medicare and private payers. We track deadlines and handle submissions to prevent lapses.

Insurance Credentialing

Streamline enrollment with Medicare, Medicaid, and commercial payers for seamless billing and payment processing. We handle applications, submissions, and follow-ups for faster approvals.

CAQH Profile Setup and Maintenance

Keep your CAQH profile up to date and compliant for efficient credentialing. We manage submissions, attestations, and renewals on your behalf.

Who We Help

We offer specialized provider credentialing services for a variety of healthcare professionals. Whether you're looking for doctor credentialing services or need medical billing credentialing services, we provide the expertise you need to succeed.

Our Clients Include:

Physicians (MDs, DOs)
Nurse Practitioners (NPs)
Mental Health Providers (LMHCs, Psychologists)
Chiropractors and Physical Therapists
Behavioral Health & Substance Use Clinics
Private Practices and Ambulatory Surgery Centers
Telehealth and Mobile Health Providers

Our Credentialing Process

Our process is designed to save you time and avoid common credentialing delays. We guide you step by step, so you can start seeing patients as soon as possible.

Here’s a Step-by-Step Credentialing Workflow:

1

Intake and Documentation Review

We begin by reviewing all necessary documents to ensure your profile is accurate and complete.

2

Payer Selection and Application Prep

We assist with selecting the right payers and preparing your application for submission.

3

Submission and Follow-up with Payers

We submit your application and proactively follow up with payers to ensure a swift approval.

4

Contract Review and Negotiation

Our experts review and negotiate contracts to ensure favorable terms for your practice.

5

CAQH, NPI, and Portal Updates

We update your CAQH, NPI, and any other necessary profiles to ensure compliance with payer requirements.

6

Approval, Activation, and Revalidation Setup

Once approved, we set up revalidation reminders to ensure your credentials are always up to date.

Our medical credentialing solutions are designed to simplify the process, and our team is committed to securing the best outcomes for your practice.

Areas We Serve in Oregon

We are proud to serve healthcare providers across Oregon. Whether you're located in Portland or

Major Cities and Regions We Cover:

We also provide credentialing with local payers, including Moda Health, PacificSource, Regence BlueCross BlueShield, Providence Health Plan, and the Oregon Health Plan (OHP).

Portland
Eugene
Salem
Bend
Medford
Hillsboro
Gresham
Corvallis
Grants Pass
Beaverton

Fast Approvals

We work efficiently with Medicare, Medicaid, and private payers to expedite the approval of your credentials.

Transparent Pricing

We offer clear, upfront pricing with no hidden fees, so you always know what to expect.

24/7 Credentialing Support

Our team is available 24/7 to answer questions and resolve any issues.

Dedicated Account Manager

You'll have a dedicated manager to guide you through every step of the credentialing process.

HIPAA-Compliant, Secure Document Handling

Your sensitive data is always protected, ensuring full compliance with HIPAA regulations.

In-Network and Out-of-Network Enrollment Help

We support both in-network and out-of-network enrollment, making it easier for you to access the full range of reimbursement options.

Get Fast, Accurate, and Stress-Free Medical Credentialing Services in Oregon

From insurance enrollments to license renewals, we handle the paperwork so you can focus on what matters most—your patients."

Contact Us Today

Medical Credentialing Services for Providers in Oregon