CREDENTIALING

• Facilitate credentialing for medical practitioners with both government and commercial payers.
• Manage contracting and enrollment processes with payers.
• Conduct negotiations to secure favorable rates.
• Ensure contracts are sent to clients for review, signing, and approval.
• Provide diligent follow-up on submitted applications.
• Manage all documentation requirements including CLIA and Professional Liability Certificates.
• Prepare practices to operate legally and efficiently.
• Handle all aspects of credential management, including CAQH profiles.
• Oversee recredentialing procedures.