You will get Provider credentialing with MCOs
Project details
Credentialing doesn't have to be a nightmare. I manage the full enrollment process with major commercial payers, Medicaid plans, and managed care organizations — so you can focus on patient care, not paperwork. With hands-on experience across the nation's largest payers, I know the portals, the timelines, and exactly how to keep your application moving.
-End-to-end enrollment including application prep, CAQH setup, and payer follow-up
-Experience with commercial, Medicare Advantage, and Medicaid managed care plans
-Status tracking and clear communication at every stage — no more chasing payers yourself
Payers I work with
BCBS
UnitedHealthcare
Aetna
Cigna
Wellcare
Oscar
Humana
Medicaid
Centene
Molina Healthcare
-End-to-end enrollment including application prep, CAQH setup, and payer follow-up
-Experience with commercial, Medicare Advantage, and Medicaid managed care plans
-Status tracking and clear communication at every stage — no more chasing payers yourself
Payers I work with
BCBS
UnitedHealthcare
Aetna
Cigna
Wellcare
Oscar
Humana
Medicaid
Centene
Molina Healthcare
What's included $120
These options are included with the project scope.
$120
- Delivery Time 30 days
- Number of Revisions 1
Optional add-ons
You can add these on the next page.
Monthly Retainer - One Provider, Multiple Payers
+$500
Monthly Retainer - Multiple Providers, Multiple Payers
+$1,000
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PK
Pavel K.
Aug 6, 2018
Need to research and write an article about Testing/Improving One's Balance (not only physical)
About Marie
Program Manager & Credentialing Consultant - BH, NP, PP, SA
Chandler, United States - 5:44 pm local time
I help behavioral health providers, nonprofits, and service-based organizations build, streamline, and scale operations—from credentialing and compliance to full program development.
With 10+ years of experience across behavioral health, family services, and program leadership, I bring a ground-level to operational leadership perspective. I’ve managed programs, supported clinical teams, built workflows, and developed systems that actually work in real-world environments.
Clients typically come to me when they are:
* Launching a new program or practice
* Overwhelmed with operations or compliance requirements
* Trying to get credentialed and start billing
* Growing but lacking structure behind the scenes
I step in to create clarity, structure, and scalable systems so your organization can function efficiently and grow with confidence.
Core Services
Behavioral Health Credentialing & Compliance
* CAQH setup and optimization
* Medicaid & commercial insurance credentialing
* Provider onboarding systems
* Credentialing tracking and follow-up
* Audit-ready documentation support
Program Development & Operations Setup
* Program design (IOP, PHP, transitional living, shelters)
* SOPs, policies, and workflow creation
* Intake processes and service structure
* EMR workflow guidance
* Staff roles and accountability systems
Virtual Operations & Program Management
* Remote oversight and coordination
* KPI tracking (census, intake, reporting)
* Workflow improvement and staff support
* Vendor and partner coordination
* Operational reporting
Administrative Systems & Workflow Optimization
* Scheduling and intake systems
* CRM/EMR organization
* Documentation templates
* Backend process improvement
Specialized Coaching (Selective Clients)
* Addiction and recovery-focused family coaching
* Parenting and life skills support
What Sets Me Apart
* Real program management experience (not just admin support)
* Deep understanding of behavioral health systems and compliance
* Strong documentation and systems development skills
* Ability to bridge operations, staff, and compliance needs
* Experience in both startup and established environments
Results You Can Expect
* Faster credentialing and ability to begin billing
* Clear, structured operations and workflows
* Reduced administrative overwhelm
* Scalable systems that support growth
* Improved compliance readiness
Work Style
I am proactive, organized, and solution-focused. I quickly identify gaps, implement systems, and keep projects moving without needing heavy oversight.
If you need structure, systems, or support to move your program forward, send a quick message with your goals. I’ll outline exactly how I can help.
Steps for completing your project
After purchasing the project, send requirements so Marie can start the project.
Delivery time starts when Marie receives requirements from you.
Marie works on your project following the steps below.
Revisions may occur after the delivery date.
Tell me about your situation
Are you a solo provider or part of a group practice? Which state(s) are you practicing in? Which payers are you looking to enroll with? (I work with BCBS, UnitedHealthcare, Aetna, Cigna, Evercare, Medicaid, Centene, and Molina Healthcare)
Intake & assessment
Once I know your needs, I'll send over a short intake form to collect your provider information — NPI, DEA, malpractice history, education/training, etc. If you don't have a CAQH profile yet, no worries, we can walk through it together.