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Credentialing Specialist

$25/hr Starting at $100

I have been in this field for four years now, working with well known, prestigious, and established medical/behavioral/dental health practices and hospitals all over the country. I have experience establishing, correcting, and monitoring payor contracts, credentialing, and recredentialing. I am very experienced working with Pecos(NPPES), CAQH, Provider Source, One Healthport, and multiple insurance payer portals. I can come in and establish your payer networks, correct what may be preventing AR, or simply keep up with and monitor all contracting, credentialing, and recredentialing needs. I am thorough, detailed, and very efficient. I can provide professional and detailed reports that will track and show all credentialing related items. I would provide these weekly and depending on preference would host a weekly call to discuss what has been done or what needs to be done. I have several useful excel reports that can track and alert the client of any license, DEA, or certificate that may need renewed. I have the ability to handle up to 100 providers, but I am also open to working with smaller clients as well as working on an as needed basis. Let me take the stress and anxiety off working with the insurance payers off your hands.

About

$25/hr Ongoing

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I have been in this field for four years now, working with well known, prestigious, and established medical/behavioral/dental health practices and hospitals all over the country. I have experience establishing, correcting, and monitoring payor contracts, credentialing, and recredentialing. I am very experienced working with Pecos(NPPES), CAQH, Provider Source, One Healthport, and multiple insurance payer portals. I can come in and establish your payer networks, correct what may be preventing AR, or simply keep up with and monitor all contracting, credentialing, and recredentialing needs. I am thorough, detailed, and very efficient. I can provide professional and detailed reports that will track and show all credentialing related items. I would provide these weekly and depending on preference would host a weekly call to discuss what has been done or what needs to be done. I have several useful excel reports that can track and alert the client of any license, DEA, or certificate that may need renewed. I have the ability to handle up to 100 providers, but I am also open to working with smaller clients as well as working on an as needed basis. Let me take the stress and anxiety off working with the insurance payers off your hands.

Skills & Expertise

Healthcare ConsultingMedicareMicrosoft Excel

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