About AdvanceAPractice
Experienced support for the business side of patient care.
Portland-based and serving practices nationwide, AdvanceAPractice provides billing, credentialing, and operations support led by people who work beside owners, clinicians, and administrators every day.
Local Roots, National Practice Work
Built by someone who has carried the work with a practice.
Most practice owners I meet are not short on effort. They are short on time and reliable support. They are caring for patients while following up on credentialing, watching collections, answering staff questions, and trying to compare proposals that rarely explain the full cost.
I have spent my career working beside owners, clinicians, and administrative teams while patients were still being seen and the practice still had to run. That experience is why we focus on practical answers, clear ownership, and work that fits the systems and people you already have.
I founded AdvanceAPractice so independent practices could get direct operational support from experienced people doing this work every day—without being passed through a generic vendor queue.
Experience Behind the Work
A career spent inside the business side of care.
Professional Billing & Revenue Cycle
Ryan began in professional billing and collections at OHSU, then worked with outpatient practices nationwide at Clinicient and led revenue-cycle work for a multi-provider physiatry group at Rehabilitation Medicine Associates.
Multi-Site Dental Finance
As Finance Manager at Timber Dental, Ryan worked directly with ownership as the group grew from two to six clinics. His work included location modeling, clinic-level reporting, and a documented $95,000 reduction in patient A/R during his first year.
Multi-State Behavioral Health
At ValueCore Mental Health, Ryan partnered with ownership to consolidate independent practices, helped grow annual revenue from $2 million to $6 million, and led a clinical and administrative team of more than 30 people.
AdvanceAPractice
Today that experience supports PMHNPs, physicians, owners, medical directors, and administrators through defined credentialing projects and scoped billing, revenue-cycle, and operations work.
People First
Experienced people lead the work. Technology supports it.
You work with people who understand billing, credentialing, finance, and practice operations. We use the AdvanceAPractice Command Suite and purpose-built tools to make ownership, deadlines, and results easier to see—not to replace judgment or hide the team behind a portal.
See How We Work
What We Do
Billing, credentialing, and operations affect one another.
A credentialing delay becomes a billing problem; a billing problem is often an intake or contracting problem upstream. We trace the problem across the full workflow.
Revenue Cycle
Denials, A/R recovery, and posting worked as a process, not a monthly report.Credentialing
CAQH, PECOS, and enrollment run as part of the revenue cycle.Practice Operations
Fractional operational leadership without building a full back office.Software & Automation
Purpose-built tools around the systems you already run.Who We Work Beside
Direct collaboration with the people responsible for the practice.
- Practice owners and medical directors making operating and financial decisions.
- Physicians and PMHNPs balancing clinical care with the realities of running a practice.
- Practice administrators coordinating staff, payers, systems, and deadlines.
- Billing and credentialing teams that need clear ownership, escalation, or added capacity.
- Clinical and operational leaders adding providers, locations, or new services.
You went into healthcare to care for people. The business side still matters, but it should not consume every hour around the work you trained to do.
What Careful Follow-Up Can Uncover
The contracted rate was wrong. The review caught it.
At one PMHNP-led practice, a contracted-rate review uncovered a payer discrepancy. Correcting it increased reimbursement by 30% across four months of team claims.
A PMHNP working within the practice recognized Ryan for “Insurance Accountability.” The note reflects the standard behind the work: notice the variance, explain it clearly, and stay with the follow-up.
AdvanceAPractice was included in Portland medical billing company roundups by MediBillMD in 2025 and Nexus in 2026.