Medical Credentialing Services

Successful medical credentialing is one of the significant reasons BilNow stands out from its competitors. Our comprehensive medical credentialing services include handling all requirements, applications, and requested items. We stick to the process until providers or clinicians are enrolled and receive an effective date, approval letters, contracts, and fee schedules.

accuracy-rate
First Pass Rate
0 %
denials
Accuracy
0 %
revenue-increase
Cost Reduction
0 %
hippa
Revenue Increase
0 %

Provider Enrollment

Looking for the fastest and easiest ways to get credentialed to start practicing legally and ethically? Your search ends here. BilNow’s provider enrollment and credentialing services help providers join insurance networks and healthcare systems without delays. All you need to do is outsource your physician credentialing services to us and get rid of the complex procedure that involves a lot of documentation and verification at different stages by the insurance network. Let us do our work, and you just think about a broader patient outreach. 

Certified Medical Billing

Payer Contracting

Negotiating with insurance companies can be frustrating and time-consuming. However, our reliable medical credentialing company strategically engages with insurers to negotiate contracts, which define the terms and conditions of the provider-payer relationship. Our team makes every possible effort to improve contracted rates, dispute resolution processes and maximize reimbursement opportunities for your practice. Let us handle your medical billing and credentialing services, as we don’t let the providers settle for less and get the payments they deserve.  

sec no.2
badge-png (1)
sec no.3

Revalidation & Re-Credentialing

Maintaining current and compliant credentials is vital to your practice’s success and operational continuity. As part of our medical credentialing services, we manage physician’s revalidating and re-credentialing enrollment process and credentialing status with Medicare, Medicaid, and commercial insurers. Experts at BilNow regularly review and update your credentialing status to prevent disruptions or insurance denials.

With proper counseling, we help medical practitioners deliver quality care, attract patients, maintain compliance, and, more importantly, build a loyal patient base. This is very important for any healthcare practice to grow. Our payer enrollment credentialing services are available but not limited to:

Provider Registrations & Dedicated Support

We handle all essential registrations required to run a successful medical practice while assigning a dedicated specialist for your project. This personalized approach leaves zero to little room for errors and confusion, eventually helping you to stay in the competition and seize more opportunities for financial growth and stability.

So, whether it’s creating and maintaining your Council for Affordable Quality Healthcare (CAQH) profile or Medicare Provider Enrollment, Chain, and Ownership System, our medical credentialing services cover every aspect. We take care of the following registrations:

sec no.4
sec no.5
badge-png (1)

Your Trusted Partner in Compliance

As your go-to medical credentialing company, we’re here to take the load off. Our physician credentialing services cover every angle. Imagine having all your paperwork, follow-ups, and updates handled by experts & seamlessly connect you with the healthcare world and ensure every credential meets the proper criteria for success. Outsourcing your medical and insurance credentialing services isn’t just about staying compliant—advancing your practice, enhancing patient trust, and unlocking new opportunities in a highly competitive market.

Explore Our Credentialing Process

With a validated and certified process, we have achieved up to a 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:

Gathering Essentials

First, our credentialing specialists conduct an in-depth survey that includes comprehensive interviews with providers, gathering data such as professional background, educational history, license numbers, and demographics.

Choosing the Payers

We guide healthcare providers through the process of choosing insurance companies that perfectly align with their license type and, more importantly, practice goals. Then, we will find the insurance partners based on practice locations.

Quick Approval

Our provider credentialing professionals take proactive measures to speed up the process. Our team communicates with payers weekly, pushing for the rapid processing and endorsement of your credentialing applications.

In-Network Enrollment

We manage closed panel challenges and use appeals to ensure your participation. Proper credentialing allows direct billing and in-network providers to receive preferred rates.

Ongoing Monitoring

Our ongoing monitoring ensures that your company's credentials are current. Our professionals watch their expiration dates to keep your credentials active and undertake daily and weekly reviews.

Compliance With Regulatory Authority

Our ongoing monitoring ensures that your company's credentials are current. Our professionals watch their expiration dates to keep your credentials active and undertake daily and weekly reviews.

sec no.6

Make a Schedule

Compliance With Regulatory Authority

Our physician credentialing services ensure adherence to NCQA and DHFS guidelines, keeping your practice compliant. Our billing and credentialing services are designed to meet all regulatory requirements, providing peace of mind that your practice operates within the legal framework and maintains the highest standards of care.