Medical Credentialing Services
At BillingCare, we know that medical credentialing is the foundation of a provider’s ability to serve patients and receive payments from insurance companies. Without proper credentialing, providers face delays, denials, and lost revenue.
Billing
Coding
Credentialing
100+ Satisfied Providers
Serving More Than 50 Specialties
500+ Medical Billing and Coding Experts
Our Medical Credentialing Services
We offer end-to-end credentialing solutions tailored to physicians, group practices, clinics, and healthcare facilities
Provider Enrollment
Provider Enrollment Services
1. Enrollment with commercial and government payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, etc.).
2. Completion and submission of payer applications.
3. Tracking and follow-up with payers until approval.
Profile Setup
CAQH Profile Setup & Maintenance
1. Complete setup and management of CAQH (Council for Affordable Quality Healthcare) profile.
2. Regular updates to ensure accuracy and compliance.
3. Attestation reminders and renewals.
Source Verification
Primary Source Verification
1. Verification of provider credentials: education, training, licenses, DEA, board certifications.
2. Ensuring all information is accurate and up to date.
3. Eliminating risks of compliance issues.
Re-Credentialing
Re-Credentialing & Validation
1. Timely management of re-credentialing requirements.
2. Renewal of expiring licenses, certifications, and payer agreements.
3. Preventing lapses that disrupt reimbursements.
Group & Facility Credentialing
Group & Facility Credentialing
1. Credentialing for multi-provider practices, clinics, and facilities.
2. Adding new providers to existing group contracts.
3. Managing group enrollments with multiple payers.
Accounts Receivable Services
Credentialing Audit & Compliance
Our specialized Accounts Receivable team aggressively pursues outstanding claims, working diligently to reduce A/R days and maximize your practice’s collections. We
turn aged debt into revenue.
Why Choose BillingCare for Credentialing?
Dedicated credentialing specialists with years of experience
Fast turnaround time with proactive follow-ups
Reduced denials and faster payer reimbursements
Customized solutions for solo providers, groups, and facilities
HIPAA-compliant, secure credentialing proces