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I will handle provider credentialing with payers, caqh, npi, pecos
About this Gig
I provide complete Provider Enrollment, Insurance Credentialing & Contracting services for Medicare, Medicaid, and Commercial Payers including Aetna, UHC, Cigna, BCBS, Humana, Molina and more. Services include CAQH setup/maintenance, PECOS enrollment, NPI registration (Type 1 & 2), revalidation, payer contracting, insurance paneling, out-of-network to in-network negotiation, and re-credentialing.
I am an experienced Insurance Credentialing and Enrollment Specialist with expertise across multiple healthcare specialties, including Mental Health, Home Care, Home Health, Primary Care, Behavioral Health, Internal Medicine, Pediatrics, Physical Therapy, Occupational Therapy, Chiropractic, Dental Billing, and more. I provide accurate and efficient credentialing and enrollment support tailored to various medical practices and healthcare providers.
Purpose:
Business
FAQ
Do you provide medical credentialing and insurance enrollment services?
Yes, I handle full credentialing and enrollment with Medicare, Medicaid, and commercial insurance panels so providers can start seeing patients and getting paid faster.
Do you assist with payer contracting and insurance paneling?
es, I manage contracting and insurance paneling with payers (CAQH, PECOS, NPPES, etc.), ensuring your practice is credentialed with the right networks to maximize patient flow.
How long does the credentialing process take?
The typical credentialing process can take 30–90 days, depending on: Insurance company requirements Completeness of your documents Volume of applications the payer is processing
What documents are required for credentialing?
Commonly required documents include: Medical license and DEA certificate NPI (National Provider Identifier) CAQH profile (Council for Affordable Quality Healthcare) Curriculum Vitae (CV) Malpractice insurance details Board certifications
What is CAQH and why is it needed?
CAQH is a centralized online database where providers can submit their credentials. Many insurance companies use CAQH to access provider information, speeding up the credentialing process.
What is the difference between primary and secondary credentialing?
Primary Credentialing: The initial approval process to join a new insurance network. Re-credentialing / Secondary: Renewal or update of credentials, usually every 2–3 years, to maintain active status with payers.
How can professional credentialing services help me?
Professional services can: Complete CAQH profile setup and updates Submit NPI registration Handle payer applications and follow-ups Reduce delays and errors Provide a single point of contact for multiple insurance networks
What is the cost of credentialing services?
Costs vary depending on: Number of payers Scope of services (CAQH setup, NPI registration, portal setup, re-credentialing) Complexity of your practice Typically, services can be billed per provider, per payer, or as a package.
How do I know the status of my application?
Once submitted: Most payers provide a tracking number Some require follow-up calls or emails Credentialing services often provide status updates regularly to keep you informed
