You will get Credentialing & Provider Enrollment – End-to-End Solutions
Project details
We provide full-service payer enrollment, credentialing, contracting, and EDI/EFT setup for Medicare, Medicaid, and commercial insurance payers. Our goal is to help healthcare providers get properly linked with insurance networks so they can start billing and receiving payments without delays.
Our service covers the complete enrollment process per payer, including application submission, insurance follow-ups, CAQH management, and contract support. We also handle EDI setup for electronic claims submission and EFT setup for direct deposit payments.
We work with solo providers, group practices, clinics, and healthcare organizations, ensuring accurate, compliant, and efficient enrollment with each payer. From collecting required documents to final approval and activation, we manage the entire workflow to reduce administrative burden.
Our process is structured, transparent, and focused on faster approvals and clean enrollments. Clients receive regular updates throughout the process to stay fully informed.
With strong experience in RCM and credentialing, we ensure smooth onboarding so providers can focus on patient care while we manage the insurance setup process.
Our service covers the complete enrollment process per payer, including application submission, insurance follow-ups, CAQH management, and contract support. We also handle EDI setup for electronic claims submission and EFT setup for direct deposit payments.
We work with solo providers, group practices, clinics, and healthcare organizations, ensuring accurate, compliant, and efficient enrollment with each payer. From collecting required documents to final approval and activation, we manage the entire workflow to reduce administrative burden.
Our process is structured, transparent, and focused on faster approvals and clean enrollments. Clients receive regular updates throughout the process to stay fully informed.
With strong experience in RCM and credentialing, we ensure smooth onboarding so providers can focus on patient care while we manage the insurance setup process.
Project Type
Data Entry, Project Management, Virtual Assistance, Customer Support, OtherWhat's included $350
These options are included with the project scope.
$350
- Delivery Time 60 days
- Number of Revisions 1
Frequently asked questions
About Khawar
RCM & AR Specialist | Medical Billing, Credentialing & EDI Enrollment
Muridke, Pakistan - 5:02 am local time
⚡️ Optimize Revenue Cycles, 💰 Maximize Collections, and Streamline Your Practice’s Financial Performance. Partner with a Results-Driven Healthcare Revenue Specialist.
🏆 Upwork Rising Talent
💎 Free Consultation on Medical Billing, Credentialing & RCM
✅ End-to-End Solutions: AR Management, Clean Claims, Denial Resolution, Credentialing & Contracting
📅 Same-Day Consultation Available
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### 𝐌𝐘 𝐀𝐑𝐄𝐀𝐒 𝐎𝐅 𝐒𝐏𝐄𝐂𝐈𝐀𝐋𝐈𝐙𝐀𝐓𝐈𝐎𝐍:
• End-to-End Revenue Cycle Management (RCM)
• Accounts Receivable (AR) Follow-ups & Aging Reduction
• Medical Billing & Coding (ICD-10, CPT, HCPCS)
• Insurance Claim Submission & Payment Posting
• Denial Management & Appeals Handling
• Insurance Eligibility & Benefits Verification
• **Provider Credentialing, Enrollment & Contracting**
• **CAQH Profile Creation, Maintenance & Attestation**
• **PECOS Enrollment (Medicare)**
• **Medicaid & Commercial Payer Enrollment**
• **Provider Contracting & Rate Negotiation Support**
• **State License Application & NPI Registration**
• EDI Enrollment (ERA, EFT, Clearinghouses)
• Clearinghouse Rejections & Resolution
• Patient Billing & Collections Optimization
• HIPAA Compliance & Documentation
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### 𝐓𝐎𝐎𝐋𝐒 & 𝐏𝐋𝐀𝐓𝐅𝐎𝐑𝐌𝐒:
• Kareo
• AdvancedMD
• Athenahealth
• eClinicalWorks
• NextGen
• Practice Fusion
• Office Ally
• Availity
• Waystar
• Change Healthcare
• **CAQH ProView**
• **PECOS (CMS Portal)**
• **NPPES (NPI Registry)**
• **Medicare & Medicaid Portals**
• **Payer-Specific Portals (UHC, Aetna, BCBS, etc.)**
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### 𝐌𝐘 𝐄𝐒𝐓𝐈𝐌𝐀𝐓𝐄𝐃 𝐓𝐈𝐌𝐄𝐅𝐑𝐀𝐌𝐄𝐒:
📄 Claim Submission: 24 – 48 hours
📊 AR Follow-up & Denials: Ongoing (Daily/Weekly Reports)
📑 Credentialing & Enrollment: 30 – 120 days (payer-dependent)
🔄 EDI Enrollment (ERA/EFT): 7 – 14 days
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✅ If you're aiming to reduce denials, accelerate reimbursements, and ensure smooth provider onboarding, I’m ready to help.
💎 Approach: Accuracy, Compliance, Efficiency, and Transparency
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### 𝐌𝐘 𝐖𝐎𝐑𝐊𝐈𝐍𝐆 𝐇𝐎𝐔𝐑𝐒:
• 40 Hours/Week
• Monday – Saturday
• Flexible with Global Time Zones
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### 🔑 𝐊𝐄𝐘𝐖𝐎𝐑𝐃𝐒:
RCM, Medical Billing, AR Specialist, Credentialing, Provider Enrollment, CAQH, PECOS, NPI, EDI Enrollment, ERA, EFT, Contracting, Medicare Enrollment, Medicaid Enrollment, Denial Management, Claims Processing, Payment Posting, Insurance Verification, HIPAA Compliance, EMR, EHR, Healthcare Revenue Cycle, Practice Management
Steps for completing your project
After purchasing the project, send requirements so Khawar can start the project.
Delivery time starts when Khawar receives requirements from you.
Khawar works on your project following the steps below.
Revisions may occur after the delivery date.
Requirements Collection
We collect all required documents and payer details from the client including NPI, EIN, CAQH access, licenses, W-9, and EFT information to begin the enrollment process.
Payer Enrollment & Submission
We complete and submit enrollment applications to selected insurance payers, ensuring accuracy and compliance with payer-specific requirements.