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Credentialing & Enrollment

$15/hr Starting at $30

• New practice setup in all states.

• Complete data verification with insurances including Effective Date,

Provider ID, Line of Business etc.

• Credentialing of Behavioral, Medical, Tele-Health, Multi-specialty Group, Lab, Urgent Care Centers, Ambulatory Surgical Center..

• Credentialing of all mid‐levels (PA, NP, ARNP) and MD's.

• Adding additional providers and mid‐levels to a current practice.

• Obtain NPI Type 1 and Type 2.

• Re‐attestation and Maintenance of CAQH Proview and documents

maintenance.

 • I&A, NPPES, PECOS, Availity, CAQH Enroll‐Hub and Pay‐Span accounts creation & maintenance.

• Re‐validation/Re‐credentialing of all payers.

• EDI, ERA, EFT, Clearing House and Software setup through SFTP.

• Demographic changes/updates.

• Contract Re‐Negotiation.

• Personalize provider representatives of each insurance with contact details for any concern.

• Strong follow up with insurance carriers.

• Maintaining Credentialing Grid with participating status of each insurance.

• Getting timely approvals for all credentialing requests of Medicare, Medicaid & Commercial Payers.

About

$15/hr Ongoing

Download Resume

• New practice setup in all states.

• Complete data verification with insurances including Effective Date,

Provider ID, Line of Business etc.

• Credentialing of Behavioral, Medical, Tele-Health, Multi-specialty Group, Lab, Urgent Care Centers, Ambulatory Surgical Center..

• Credentialing of all mid‐levels (PA, NP, ARNP) and MD's.

• Adding additional providers and mid‐levels to a current practice.

• Obtain NPI Type 1 and Type 2.

• Re‐attestation and Maintenance of CAQH Proview and documents

maintenance.

 • I&A, NPPES, PECOS, Availity, CAQH Enroll‐Hub and Pay‐Span accounts creation & maintenance.

• Re‐validation/Re‐credentialing of all payers.

• EDI, ERA, EFT, Clearing House and Software setup through SFTP.

• Demographic changes/updates.

• Contract Re‐Negotiation.

• Personalize provider representatives of each insurance with contact details for any concern.

• Strong follow up with insurance carriers.

• Maintaining Credentialing Grid with participating status of each insurance.

• Getting timely approvals for all credentialing requests of Medicare, Medicaid & Commercial Payers.

Skills & Expertise

ContractsData ManagementMedical

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