Physician Credentialing
in Medical Billing
Problems
Expert Credentialing Services
Our team of credentialing specialists simplifies the entire process, from document collection to insurance enrollment.
Faster Enrollment
We expedite the credentialing process, reducing the typical timeline of 60-120 days.
Error-Free Submission
We handle every step of the credentialing process, ensuring no mistakes that lead to costly delays or denials.
Ongoing Compliance Assistance
We provide continuous monitoring and updates to ensure compliance with payer regulations.
Re-Credentialing Management
Our team tracks re-credentialing deadlines and ensures timely submission to avoid disruption in provider participation.
Solutions
Lengthy and Complicated Process
The credentialing process involves numerous documents, certifications, and verifications, which can be overwhelming.
Risk of Denials Denials
Mistakes in credentialing documents can lead to denials, rejections, or delayed payments.
Compliance Challenges
Navigating complex regulations and payer requirements is challenging without the right expertise.
Re-credentialing Deadlines
Providers often struggle to meet re-credentialing deadlines, risking interruption in their ability to work with insurers.
Get Credentialed and Start Seeing Patients Faster!
Contact Pro Medical Billing Solutions Today to Speak with an Expert and Streamline Your Credentialing Process.
Features of Service
24/7 Dedicated Team
Our team works around the clock to handle credentialing tasks efficiently.
PECOS and CAQH Registration
We manage both PECOS and CAQH registrations, ensuring all documents are updated and submitted correctly.
Provider Enrollment
We help providers get enrolled in government (Medicare, Medicaid) and commercial payer networks (Aetna, Cigna, etc.).
Contract Negotiation
Our experts assist in negotiating favorable contracts with insurance companies.
Hospital Privileges
We help physicians secure the necessary hospital privileges for treating patients.
Revalidation & Re-Credentialing
We manage revalidation and re-credentialing to maintain uninterrupted provider status.
Why Us
Industry Expertise
With years of experience, we have in-depth knowledge of insurance carriers and regulatory bodies.
Fast and Efficient
Our team expedites the credentialing process, reducing delays and getting you credentialed in record time.
Comprehensive Services
We offer end-to-end solutions, from initial credentialing to re- credentialing and ongoing compliance monitoring.
Transparent System
Our streamlined approach reduces errors and minimizes delays in the credentialing process.
Client-Centric Approach
We tailor our services to meet the unique needs of each healthcare provider, ensuring a smooth credentialing experience.
Testimonials
FAQS
Physician credentialing is the process of verifying the qualifications, certifications,
and background of healthcare professionals to ensure they meet the standards set
by insurance companies and healthcare organizations.
The typical credentialing process takes 60 to 120 days. However, with our expertise,
we expedite the process and aim to get you credentialed faster.
Common documents include medical licenses, DEA certificates, malpractice
insurance, educational history, CV, and proof of hospital privileges.
CAQH (Council for Affordable Quality Healthcare) is an online database used by
insurance carriers to verify provider credentials. We handle your CAQH profile and
ensure it’s updated and submitted to the right payers.
Yes, we actively track your re-credentialing deadlines and ensure timely submission
to avoid any interruptions in your ability to work with insurers.
Yes, we assist with negotiating contracts with insurance carriers to ensure the best
terms and reimbursement rates for your practice.
We work with all healthcare providers, including physicians, nurse practitioners,
PAs, physical therapists, optometrists, podiatrists, and more.