You will get a Credentialing Specialist for your Practice
Project details
I provide complete provider enrollment and payer contracting services to ensure your practice becomes revenue-ready without unnecessary delays. This project includes:
• CAQH profile creation, maintenance, and attestation
• NPI registration and PECOS enrollment updates
• Medicare and Medicaid provider enrollment
• Commercial payer applications (BCBS, Aetna, Cigna, UHC, and more)
• Group enrollments and individual provider credentialing
• Re-credentialing and demographic updates
• EFT/ERA enrollment setup
• Document collection and compliance review
• Application submission, tracking, and payer follow-ups
• Resolution of rejections and additional documentation requests
You will receive a structured credentialing tracker, organized documentation system, and consistent status updates for full transparency. My goal is to minimize turnaround time, prevent enrollment gaps, and protect your revenue by ensuring providers are properly contracted and active with payers. Ideal for startups, expanding practices, and healthcare organizations facing credentialing delays.
• CAQH profile creation, maintenance, and attestation
• NPI registration and PECOS enrollment updates
• Medicare and Medicaid provider enrollment
• Commercial payer applications (BCBS, Aetna, Cigna, UHC, and more)
• Group enrollments and individual provider credentialing
• Re-credentialing and demographic updates
• EFT/ERA enrollment setup
• Document collection and compliance review
• Application submission, tracking, and payer follow-ups
• Resolution of rejections and additional documentation requests
You will receive a structured credentialing tracker, organized documentation system, and consistent status updates for full transparency. My goal is to minimize turnaround time, prevent enrollment gaps, and protect your revenue by ensuring providers are properly contracted and active with payers. Ideal for startups, expanding practices, and healthcare organizations facing credentialing delays.
Purpose
BusinessIndustry
Financial Services, Medical & Pharmaceutical, WellnessLanguage
EnglishWhat's included $150
These options are included with the project scope.
$150
- Delivery Time 30 days
Frequently asked questions
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About Annie
Medical Billing ,Credentialing Expert|Denial Management|Top Rated Plus
100%
Job Success
Islamabad, Pakistan - 12:17 am local time
As a HIPAA Certified Medical Billing Specialist with 11+ years of hands-on experience, I bring deep knowledge of billing, coding, credentialing, and scribing — along with a proven record of increasing reimbursements and reducing A/R for healthcare practices across the US.
🔹 Medical Billing & Coding Services
I provide end-to-end billing solutions, ensuring clean claim submissions, faster reimbursements, and minimal rejections. I specialize in:
✔ Electronic & Paper Claims Submission (CMS-1500, UB-04)
✔ Medical Coding (ICD-10, CPT, HCPCS)
✔ Claim Scrubbing & Error-Free Submission
✔ Denial Management & Appeals Handling
✔ Accounts Receivable (AR) Recovery & Follow-Ups
✔️ Appeals
🔹 Provider Credentialing & Insurance Enrollment
✔ NPI Registration & CAQH Enrollment
✔ Medicare & Medicaid Enrollment & Revalidation
✔ Commercial Insurance Paneling (BCBS, Aetna, UHC, Cigna, etc.)
✔ Contract Negotiation & Rate Review
✔ PECOS & EFT/ERA Setup for Smooth Transactions
✔️Demographics Update, Address Change.
✔️ERA, EDI, and EFT Enrollment.
🔹 Revenue Cycle Management (RCM) & Practice Optimization
I help practices boost revenue and reduce administrative burdens with:
✔ Patient Eligibility & Benefits Verification
✔ Prior & Retro Authorizations & Referrals
✔ Payment Posting & ERA Reconciliation
✔ Compliance with HIPAA & Insurance Regulations
✔ Customized Billing Reports & Performance Analysis
🔹 Experience with Top Medical Billing Software
I have hands-on experience with the leading medical billing platforms, including:
✔ eClinicalWorks (ECW) ✔ Athenahealth ✔ DrChrono
✔ Practice Fusion ✔ Epic ✔ Medisoft ✔ Simple Practice
✔ AdvancedMD ✔ Kareo/Tebra ✔ NextGen Office ✔ Unified Practice
✔ Therapy Notes ✔ Headway ✔ Office Ally ✔ eMed
✔ RXNT ✔ Compulink ✔ Allscripts ✔ Cerner
✔ CareCloud ✔ Greenway Health ✔ MDToolbox and many more
Provider Specialties :
✔ Urgent Care , Labs , PCP Clinics
✔Hospitals , Mental Health & Substance Abuse
✔Internal Medicine
✔ Neuropsychological & Psychological Testing
✔ Occupational Therapy
✔ Physical Therapy
✔ Chiropractic Services
✔ Acupuncture & Holistic Medicine
✔ Speech Therapy & Audiology
✔ Home Health & Hospice Care
✔ Surgical & Ambulatory Services
✔ Dermatology, Cardiology, Internal Medicine
✔ Pediatrics, OB/GYN, Primary Care, Family Medicine
✔ DME (Durable Medical Equipment) Billing & NEMT Billing
Insurances:
✔ Medicare / Medicaid (All States)
✔ Tricare / Veterans Affairs (VA) Billing
✔ HMO / PPO / IPA / EPO / Workers’ Compensation
✔ UHC / Optum / UnitedHealthcare Community Plan
✔ Blue Cross Blue Shield (BCBS) – All States
✔ Cigna, Aetna, Humana, Providence, Anthem, Regence
✔ Medicaid MCOs & Medicare Advantage Plans
✔ Empire BCBS, WellCare, Molina, Ambetter, Fidelis Care
✔ No-Fault & Personal Injury Protection (PIP) Billing
📩 Let’s Get Started!
Whether you need medical billing, credentialing, claims processing, or full RCM services, I am here to help! Contact me today, and let’s take your practice to the next level with efficient and compliant revenue cycle management
Steps for completing your project
After purchasing the project, send requirements so Annie can start the project.
Delivery time starts when Annie receives requirements from you.
Annie works on your project following the steps below.
Revisions may occur after the delivery date.
Project Steps for the Credentialing project
1: Receive project requirements from the client 2: Verify provider information 3: Set up CAQH profile and attestations 4: Prepare and submit applications 5: Follow up with payers 6: Confirm payer approvals 7: Provide final report