Rx Credentialing – Medical Billing and Credentialing Services for US Providers
Stop Revenue Leaks

Medical Billing Services
for Small Practices

Accelerate your cash flow with a billing team that works like an extension of your practice—not a third-party vendor. We submit your claims daily, verify every detail before submission, and maintain a 99% first-pass acceptance rate so you get paid faster with fewer delays.

  • 99% First Pass Rate
  • Daily Claim Submission
  • We Work With All EHR Systems
  • No Long Term Commitment
  • Pay Only 3 to 5% of Collections
  • Real Time Reporting
FREE CREDENTIALING WITH MEDICAL BILLING

STARTING FROM
$499
PER MONTH

Every Step of Your Billing Process Managed for You

Our team manages the entire billing process for you, including claim preparation, scrubbing submission, tracking, and denial resolution. With proven workflows built for small practices, we help you improve cash flow, reduce errors, and maintain complete visibility into your revenue at every step.

What Sets Us Apart

We work directly within your existing EHR and billing system so your workflow stays uninterrupted and your practice never needs to switch software. As soon as your chart notes are signed, we enter them into our shared tracking system, giving you complete visibility from day one. You can see which claims are pending, which were paid on the first attempt, how much was allowed and paid, and where any denials occurred along with clear guidance on how to prevent them in the future. Our transparent approach keeps you informed at every step and ensures you always understand the status of your revenue.

Accurate Coding and Scrubbing

Every encounter is checked for proper coding and complete documentation to reduce errors and prevent denials.

Real Time Claim Tracking

You get full visibility into each claim from the moment notes are signed until payment is posted.

Denial Management

Denied claims are corrected, resubmitted, and followed through until they are fully resolved.

Accounts Receivable Management

Outstanding and aged claims are worked consistently so no payable revenue is ever missed.

A Full Billing Team Behind You

You receive support from an entire billing team rather than a single biller.

Fast and Reliable Communication

You receive responses within hours, not days, so your questions and concerns are handled quickly.

Payer Rules and Compliance Guidance

We keep you updated on payer guidelines and insurance requirements through regular check ins.

Front Desk Eligibility Support

We help your staff with eligibility, benefits questions, and patient responsibility estimates.

Who We Serve

We support healthcare providers across all specialties and practice sizes. Whether you are a solo practitioner, a telehealth based practice, a growing multispecialty group, or a larger healthcare organization, our team delivers complete end to end billing support tailored to your workflow.

Solo and Independent Providers

We handle your entire billing workflow so you can focus on patients. Perfect for providers who want clean claims, fast payments, and support without hiring in-house billing staff.

Telehealth and Hybrid Practices

Telehealth billing requires careful attention to payer rules, state specific requirements, and detailed documentation standards. We guide you through each of these elements and manage the process for you to ensure accurate and compliant reimbursement for every visit.

Multispecialty and Integrated Care Clinics

Multispecialty practices require precise handling of coding rules, modifiers, revenue codes, and taxonomy based billing. We manage these details accurately and ensure each claim is billed under the correct NPI and compliant structure so you can receive timely reimbursement.

How It Works

We follow a streamlined billing workflow designed for speed, accuracy, and zero downtime. Our onboarding process is completed within three to five days, allowing your practice to continue operating without interruption.

Data Collection

We gather essential practice details, provider profiles, and payer mix information to understand your billing structure clearly.

Credentialing Verification Review

We review your payer mix and confirm that each provider is credentialed correctly to avoid any interruptions in reimbursement.

EHR System and Provider Setup

We log into your EHR, add all billing and rendering provider details, and configure your system for accurate claim creation.

EDI and ERA Setup Confirmation

We confirm that all EDI and ERA connections are active so claims flow smoothly and payments are posted quickly.

Charge Master and CPT Code Setup

We create or refine your charge master with the correct CPT codes, fee schedules, and billing rules for clean claims.

Daily Operations Begin

Once everything is in place, our team starts your day-to-day billing workflow including claim preparation, submission, tracking, and follow up.

Have Other Questions? Get in Touch

Our team is here to help you understand every part of the billing process, from claim submission to reimbursement. Whether you need clarity on workflows, payer rules, or how our services fit your practice, we make the entire experience simple, transparent, and stress-free.

Our onboarding process is completed within 3–5 business days, provided all required information is supplied.

Yes — we support all major outpatient specialties including primary care, specialty clinics, mental health, telehealth, rehab therapy, and more.

Yes — we work with nearly all popular platforms such as Tebra, OfficeAlly, eCW, Athena, DrChrono, AdvancedMD, SimplePractice, ICANotes, Optimantra, and more.

Our base plan starts at $499/month and includes free credentialing for solo practitioners. Standard billing plans are 3–5% of insurance collections.

Yes — we offer free credentialing, CAQH maintenance, and revalidation support for billing clients.

All PHI is handled in accordance with HIPAA requirements. Our team uses secure, encrypted systems for file storage, communication, and data access. Access to PHI is limited to authorized staff only, based on job responsibilities, and all activity is monitored.

Insurance Companies We Work With

We work with every health plan in the United States, including Medicare, Medicaid, major commercial carriers like Aetna, Cigna, Humana, Blue Cross Blue Shield, UnitedHealthcare, as well as HMO, PPO, POS, state, and regional plans. Our team ensures seamless credentialing and contracting across all payers.

Save Time & Money with Our Medical Billing Service

Specialties We Serve

From primary care to mental health, urgent care to specialty practices, we support providers in nearly every field of medicine. Our services are tailored to the unique challenges of each specialty to help your practice thrive.

Medical Specialties Grid

Trusted by Healthcare Providers Nationwide

Rx Credentialing LLC place picture
5.0
Based on 63 reviews
powered by Google
Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
OGADINMA ONWUKWE profile pictureOGADINMA ONWUKWE
02:45 16 Oct 25
Very reliable.
Steve Walsh profile pictureSteve Walsh
22:16 13 Oct 25
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Marilyn Batista profile pictureMarilyn Batista
15:50 03 Oct 25
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
John Giovanelli profile pictureJohn Giovanelli
15:14 15 Sep 25
Made things much easier for credentialing
Richard WR Garcia profile pictureRichard WR Garcia
13:59 21 Aug 25
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
Ahmad Elherfa profile pictureAhmad Elherfa
14:32 20 Aug 25
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
Stacy Antwi profile pictureStacy Antwi
18:31 15 Aug 25
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
Keisha Asante profile pictureKeisha Asante
17:37 12 Aug 25
David is wonderful very responsive and on top his work. Great experience.
Nicole Ciffone profile pictureNicole Ciffone
20:58 08 Aug 25
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
Takeisha Judkins profile pictureTakeisha Judkins
18:40 04 Aug 25
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
Ehab Waly profile pictureEhab Waly
22:44 31 Jul 25
Tyler is doing good work
Samir Zaqdan profile pictureSamir Zaqdan
00:14 25 Jul 25
Kassandra Barthelemy profile pictureKassandra Barthelemy
05:31 24 Jul 25
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Victoria Boateng profile pictureVictoria Boateng
18:42 23 Jul 25
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
DaniCare Psychiatry profile pictureDaniCare Psychiatry
16:03 21 Jul 25
great service, highly professional. thank you!
Tamara Gordon profile pictureTamara Gordon
23:43 17 Jul 25
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Daniel Montenegro profile pictureDaniel Montenegro
19:21 15 Jul 25
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.

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We serve all 50 states.

Rx Credentialing provides medical billing services to clients across the United States