Provider, organization & facility credentialing & contracting
Streamlined credentialing, enrollment, and payer contracting to establish and maintain provider network participation.
Credentialing, enrollment & contractingCredentialing, contracting & revenue cycle support
Focus on patients.We’ll handle the paperwork.
Optimise Revenue Solutions simplifies credentialing, payer enrollment, contracting and billing for healthcare providers, so your team spends less time on admin and more time on care.
- Free credentialing audit
- Free RCM assessment
- Every specialty
- Provider, organization & facility credentialing & contracting
- Recredentialing & payer revalidation
- Payer contract negotiation & network participation
- CAQH & payer portal registration & maintenance
- CLIA, state, DEA & other license registrations
- EDI, ERA & EFT enrollment
- Eligibility & benefits verification
- Prior authorization services
- Medical coding services
- Claims submission & management
- Claim status & payer follow-up
- Payment posting & reconciliation
- Accounts receivable & denial management
- Denial appeals & resolution
Less time on paperwork. More time with patients.
16Services under one roof
11Provider & organization types
One partnerFrom first application to final payment
Who we are
The team behind your practice’s paperwork
Optimise Revenue Solutions LLC is a healthcare administrative and revenue cycle services company dedicated to helping providers simplify their operations, strengthen their revenue cycle and maintain efficient payer relationships.
Our goal is to reduce administrative burdens so healthcare organizations can focus more on delivering quality patient care, while we support the essential processes behind their operations and reimbursement.
- Credentialing & enrollment
- Payer contracting
- EDI, ERA & EFT enrollment
- Eligibility & benefits
- Claims management
- Medical coding
- Accounts receivable
- Denial management
Our services
Everything between care and payment
Comprehensive healthcare solutions designed to simplify provider operations, strengthen payer relationships and support an efficient revenue cycle.
Recredentialing & payer revalidation
Timely recredentialing and revalidation support to help providers maintain active payer participation.
Credentialing, enrollment & contractingPayer contract negotiation & network participation
Strategic support for payer contracts, network participation, and provider-payer agreements.
Credentialing, enrollment & contractingCAQH & payer portal registration & maintenance
Complete CAQH and payer portal setup, updates, maintenance, and ongoing profile management.
Credentialing, enrollment & contractingCLIA, state, DEA & other license registrations
Support with essential healthcare registrations and licensing requirements for providers and organizations.
Credentialing, enrollment & contractingEDI, ERA & EFT enrollment
Seamless electronic enrollment to support claims transmission, electronic remittances, and direct payments.
Credentialing, enrollment & contractingEligibility & benefits verification
Accurate coverage and benefits verification to help providers understand patient eligibility before services.
Before the visitPrior authorization services
Efficient authorization support to help obtain required payer approvals and minimize delays.
Before the visitMedical coding services
Accurate coding support designed to promote compliant claims and appropriate reimbursement.
Coding & claimsClaims submission & management
Accurate and timely claim submission with ongoing tracking and follow-up to support timely reimbursement.
Coding & claimsClaim status & payer follow-up
Proactive claim tracking and payer follow-up to address delays and outstanding claims.
Coding & claimsPayment posting & reconciliation
Accurate payment posting, reconciliation, and review of payer remittances.
Payments & recoveryAccounts receivable & denial management
Focused AR follow-up and denial management to address unpaid claims and improve revenue recovery.
Payments & recoveryDenial appeals & resolution
Targeted denial review, appeal preparation, and payer follow-up to recover outstanding revenue.
Payments & recoveryComplimentary reviews
Not sure where the gaps are? Start with a free review.
No cost and no commitment. We’ll look at how things run today and tell you what we find.
Credentialing & enrollment audit
A complimentary review to identify credentialing gaps, enrollment issues, and opportunities for improvement.
Request itRCM assessment
A complimentary review of your revenue cycle processes to identify gaps and potential revenue opportunities.
Request itSpecialties we support
Built for every kind of practice
Our services support a wide range of healthcare organizations and provider types. Select yours to see where we’d usually begin.
Pick your organization type
We’ll show the services practices like yours usually start with.
Why choose us
Support that fits the way you work
Reliable, organized and customized healthcare administrative solutions with a payer-focused approach, helping providers simplify credentialing, enrollment, contracting and revenue cycle processes.
Talk to our teamReliable
Deadlines for revalidation, recredentialing and appeals are tracked and met, so participation doesn't lapse and claims don't age out.
Organized
Applications, payer correspondence and claim activity are documented and kept in order. You can always see where things stand.
Customized
Support is shaped around your specialty, your payer mix and the systems you already use, whether you need one service or the full cycle.
Payer-focused
Every payer has its own rules, portals and timelines. We work to them, which means fewer rejections and less back-and-forth.
How it works
Getting started is simple
- 1
Book a consultation
Tell us about your practice, your payers and what's slowing things down.
- 2
Start with a free review
A credentialing audit or RCM assessment shows where the gaps are.
- 3
Get a tailored plan
We shape the work around your specialty, payer mix and systems.
- 4
We take it from there
Ongoing support, with clear updates as applications and claims move.
Testimonials
What our clients say
Practices and organizations we support on what it’s like to work with us.
Credentialing used to stall for months while we chased payers. Now every application is tracked, and we always know exactly where each provider stands.
Practice ManagerMulti-specialty practice
Their denial follow-up recovered claims we had honestly written off. The AR reports are clear and the team is quick to respond.
Billing LeadOutpatient clinic
Opening our lab meant CLIA, payer enrollment and EDI setup all at once. They handled the whole process and kept us updated at every step.
Operations DirectorClinical laboratory
Eligibility checks and prior authorizations are done before patients arrive, so our front desk isn't stuck on the phone with payers anymore.
Office AdministratorUrgent care center
As a solo provider I didn't have time for CAQH updates and revalidations. They keep everything current without me having to think about it.
Independent ProviderBehavioral health
Organized, responsive and they really understand payer rules. It feels like having an experienced billing department in-house.
AdministratorHome health agency
Contact us
Schedule a consultation
Tell us about your practice and what you need help with. We’ll reply by email to set up a time to talk.
Email us directlyinfo@Helpful to include
- Your specialty and practice setting
- How many providers or locations you have
- The payers you work with or want to join
- What's slowing down payment today
Ask about our free credentialing audit and free RCM assessment.
Send us a message
Fields marked optional can be left blank.