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I will handle medical credentialing and provider enrollment
Credentialing Specialist, Provider Enrollment, Medicare, Medicaid, Commercial
Credentialing Specialist experienced in provider enrollment, insurance credentialing, medical billing, and revenue cycle management (RCM). Skilled in Medicare, Medicaid, and commercial payer enrollmen...
About this Gig
Are you looking for a reliable Medical Credentialing Specialist to manage provider enrollment and insurance credentialing?
I provide professional credentialing and provider enrollment services for healthcare providers, clinics, and medical practices. With hands-on experience processing 500 - 600+ applications at Integrity RCM, I ensure a high approval success rate with Medicare, Medicaid, and commercial insurance payers.
My services include:
- Provider Enrollment for Medicare, Medicaid & Commercial Payers
- CAQH Profile Setup, Updates & Maintenance
- PECOS Enrollment & Revalidation
- NPI Registration & Updates
- Insurance Credentialing & Re-Credentialing
- Payer Follow-ups & Enrollment Status Tracking
- Provider Documentation & Data Management
- Credentialing Audit & CLIA Application Support
I ensure compliance with payer requirements and healthcare regulations, streamline credentialing workflows, reduce claim denials, and support uninterrupted Revenue Cycle Management (RCM).
Contact me today for accurate and timely credentialing services!
Purpose:
Business
Work model:
Project-based
FAQ
Q1: What information do you need to start credentialing?
I will need provider documents such as NPI, state license, DEA (if applicable), malpractice insurance, CAQH login, and practice details.
Q2: Which insurance companies do you work with?
I work with Medicare, Medicaid, and most commercial payers including Aetna, Cigna, UnitedHealthcare, BCBS, Humana, and others.
Q3: Do you provide CAQH and PECOS support?
Yes. I can create, maintain, and update CAQH profiles, perform PECOS enrollment, and manage provider data.
Q4: Do you perform payer follow-ups?
Absolutely. I ensure timely approvals and resolve any enrollment queries efficiently.
Q5: Can you help new clinics with provider onboarding?
Yes. I support full provider onboarding, credentialing, and payer enrollment setup for clinics and healthcare practices.
