Credentialing and Enrollment
We are your reliable partners for credentialing and enrollment, providing top-notch credentialing services to enhance your practice and allow you to focus on your bottom line.
24/7 Customer Support
Our credentialing experts are available around the clock to provide unwavering customer support for medical practices.
Handling Documentation
As a medical practice, your focus should be on patient care while our experts manage all your documentation needs.
Up-to-date Services
Our credentialing team is trained to stay current with all credentialing rules and standards to ensure compliance.
Timely Recredentialing
Our credentialing systems are designed to meet all your recredentialing needs promptly and efficiently.
Get Your Credentialing Sorted by Our Experts
Effective medical billing credentialing is the first step toward establishing your practice in the healthcare sector. Without accurate credentialing and enrollment, your healthcare practice may face serious repercussions, including potential legal issues. That’s why it’s crucial to partner with a professional credentialing and enrollment company that manages all documentation and provides a comprehensive revenue cycle management system for medical billing and coding credentials.
At HealthSync Billing Services, we offer medical practices a complete package for credentialing within the revenue cycle process, along with expert consultancy for optimal results. We provide a range of billing and credentialing services tailored to various types of medical practices. For example, if you’re a psychologist seeking reliable credentialing services, our custom credentialing and billing specialists for psychologists are both affordable and effective. This approach can save you time and money, allowing you to focus on patient care with greater stability and peace of mind.
Why Work With Us?
We are a leading medical billing company providing comprehensive RCM solution at cost-effective rates.
- 99% claim acceptance rate
- 100% HIPAA compliant process
- Affordable and Flexible Billing Plans
- Robust practice medical billing audits
- Enhance cash flow and reduce billing errors
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Credentialing and Re-credentialing: Fully Supported!
Credentialing in medical billing is not a one-time task that medical practices can complete when they start up. As the services offered by a healthcare practice evolve and new regulations are introduced by federal or state governments, it’s essential to keep your credentialing current. To ensure compliance with all legal and ethical standards, ongoing recredentialing is necessary.
That’s where our credentialing experts at HealthSync Billing Services come in. We can alleviate the hassle and provide comprehensive support to keep your credentialing up to date with the latest standards.
Our Credentialing Experts Are the Best in the Business!
Our enrollment and credentialing services are affordable and cost-effective. Contact us today to get started!
Step-by-Step Credentialing Process for Physicians
- The first step is to collect all the necessary background information for the credentialing process.
- The second step involves enrolling in CAQH by maintaining an accurate profile and keeping thorough records.
- In the third step, prepare and double-check all documentation before submitting it to the payers.
- The fourth step requires effective verification and communication with the relevant payer organization.
- Once applications are submitted, we ensure that the credentialing system remains fully transparent.
- Lastly, we assign a dedicated customer representative to address any questions you may have about the credentialing process.
Required Details for Credentialing and Enrollment
Let’s review the essential requirements for proper credentialing of your practice. While specific requirements may vary depending on the standards of different insurance companies, the most common ones include:
- Names
- Gender
- Race/Ethnicity
- Home/Mail Address
- Most Recent Picture
- Recent Resume
- Date of Birth
- Contact Number
- Citizenship Information
- Social Security Number
- Training, Facilitation, and Education
- Career History
- National Provider Identifier (NPI) Number
- Board Certification
- New Patient Acceptance
- Patient Age Focus
- Hospital Affiliations
- Medical Group Affiliations
- History of Claims Denials
- Evidence of Professional Liability Insurance
- Recent Medical Education Documents
- Peer References
- Practice Address
- Residency
- Specialties
- Certificates Related to Specialties
- Qualifications
- Licensing
- Practice Tax ID Number
- Practice Contact Number
- Primary Practice Contact
- Disciplinary Actions or Sanctions
- Languages Spoken
