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I will medicare and all states medicaid credentialing and enrolment
Medical Billing Expert, HIPAA Compliant Credentialing and RCM Manager
I am a Certified Medical Billing & Provider Credentialing Expert with 7+ years of experience helping US healthcare practices maximize revenue. I specialize in full Revenue Cycle Management (RCM), redu...
About this Gig
Highly skilled Credentialing and enrollment Specialist with extensive knowledge of the US healthcare industry. I excel in provider enrollment with Medicare, Medicaid, and commercial payers, and have expertise in EMR software, compliance regulations (HIPAA/PHI), and managed care contracts. With experience in EFT/ERA setup, CAQH, NPI creation, hospital affiliation, and CLIA certification, I also specialize in credentialing and re-credentialing, contract negotiations, and ensuring accurate provider data. Known for strong communication skills and the ability to work independently or within a team, I am committed to maintaining high standards of compliance and efficiency in healthcare credentialing and enrollment.
Purpose:
Personal
My Portfolio
FAQ
Do you Enroll provider with Medicaid and Medicare before?
Yes, I have enrolled providers, groups, clinics and home health Agencies with Medicare and Medicaid in more than 30 states.
How to enroll a group with Medicare? And which CMS form is used for Medicare group enrollment?
To enroll a group practice with Medicare, you need to complete the CMS-855B form. This form is used specifically for group enrollment and updates for institutional providers, including physician groups, clinics, and other healthcare entities.
Which type of CMS form is used for individual provider Initial enrollment?
CMS-855I form is used for initial enrollment of individual providers (e.g., physicians, non-physician practitioners) into the Medicare program.
Which form is used for Medicare Reassignment Application?
CMS-855R- form is used for reassignment of Medicare benefits from an individual provider to an entity, such as a group practice or a healthcare facility.
Which portal is use for Medicare provider/group enrollment?
The portal used for Medicare provider enrollment is PECOS (Provider Enrollment, Chain, and Ownership System). PECOS is the online system provided by CMS to allow healthcare providers and suppliers to submit and manage their enrollment applications with Medicare.
What is the provider group turnover time for medicare enrollment?
The provider and group turnover time for Medicare enrollment can vary, but typically, it takes 30 to 90 days for the Medicare Administrative Contractor (MAC) to process and approve the enrollment application.
Which documents are required for Medicare provider and group Enrollment?
Documents required: NPI, SSN, IRS Letter, CMS-460, State License/Business License, Voided Check/Bank Letter, DEA Certification, CMS-8551, CMS-855R, CMS-855B Forms, W9 Form.
