I will do insurance eligibility verification and provider credentialing services
Medical Billing and RCM Expert Credentialing Claims and Denial Management
About this Gig
Struggling with claim denials because of unverified coverage or an incomplete provider enrollment?
I help US healthcare providers protect their revenue before a claim is ever filed. As an experienced RCM specialist, I combine two of the most overlooked but highest-impact front-end billing functions into one service: real-time insurance eligibility verification and end-to-end provider credentialing.
What I deliver:
- Real-time eligibility verification & benefits verification copay, deductible, coverage status, prior auth requirements
- CAQH profile setup and maintenance
- Payer enrollment (Medicare, Medicaid, commercial insurers)
- Re-credentialing and revalidation tracking
- Detailed verification reports delivered in your preferred format
Why it matters: unverified eligibility and incomplete credentialing are two of the top root causes of denied and delayed claims. Getting both right upfront protects your clean claim rate before billing even starts.
I've worked across specialties including mental/behavioral health, DME, and general medical practices, using EHR/PM systems like Kareo, AdvancedMD, and Office Ally.
Message me with your specialty and payer list.
My Portfolio
FAQ
What information do you need from me to start?
Provider NPI, Tax ID/EIN, patient demographics + insurance ID (for EV/BV), or CAQH login and payer list (for credentialing).
Which EHR/PM systems do you work with?
Kareo, AdvancedMD, Office Ally, and most major clearinghouses — let me know yours before ordering.
Is this HIPAA compliant?
Yes all patient and provider data is handled through secure, HIPAA-compliant channels only.
How long does credentialing actually take?
Payer processing itself can take 30–90+ days depending on the payer; my delivery time covers the application submission and document accuracy, not the payer's internal approval timeline — I'll flag this clearly on order.
Can you handle re-credentialing/revalidation?
Yes, available as an extra.

