About Us
MedFocus is a privately-owned company in Portland, Oregon working with physicians in Portland, Vancouver, and throughout the Pacific Northwest. We have a wealth of experience billing for specialty and primary care practices, including trauma and emergency medicine, cardiology, radiology, oncology, dermatology, OB/GYN, and general surgery, among many others.
The MedFocus Story
MedFocus was founded in 1994 as an MSO under the name Medical Specialty Solutions. In June 2000, the company was purchased by then-employees Diana Smith and Julie Karassik, who refocused the company to specialize solely in revenue cycle management. Over the next ten years, along with Nishan Karassik, Clara Howell and a solid team of Coordinators, every detail of the billing process has been continually evaluated, refined, and improved.
Outpacing the many changes in our industry, we continually upgrade technology and refine processes to bill and collect accounts efficiently, accurately, and transparently, using sophisticated metrics and benchmarks to ensure excellence.
With decades of experience, we also know and believe that in some areas - such as in patient services - technology is no substitute for warm, knowledgeable staff. We continually train our employees and guide our patient communications using the principles of compassion, diplomacy, and accountability.
Based on reputation and results, we have had the privilege of frequent referrals from clients, consultants, accountants, and hospital administrators throughout the Northwest.
Experienced Leadership and Highly-Trained Staff
Our senior leadership team brings career-long experience to the company. Click here to read the team's individual bios.
In addition, each department is led by a Business Office Coordinator with 15 to 25 years of expertise in medical billing and a long-term history with the company.
Over the past decade we have built an outstanding billing team. We only hire staff with experience and treat everyone at MedFocus with respect, constantly training and challenging them to perform at their very best.
"Our management philosophy and company culture have created a dynamic, high-performing team that takes ownership in ensuring that each client has the best possible quality of services. We are proud to say that many of the "thank yous" and compliments we receive are directed to individual staff members."
-Diana J. Smith, Owner and Director of Operations
Professional Memberships and Certifications
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Certified Compliance Professionals |



