Request Demo

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.

Contact Us

Follow Us

Medical Credentialing Services

We navigate the complex medical credentialing process for our clients to ensure providers are set up for accurate billing and payment reimbursement on day one.

Why Provider Credentialing Matters

Provider credentialing is an intricate process and the first step in successful healthcare revenue cycle management. A successful process verifies the qualifications of medical professionals to practice in their respective state, and enrolls them with the insurance payers accepted by the practice.

It’s important that providers possess appropriate qualifications to provide patient care and to meet state regulations. The provider credentialing services process involves verification of education, training, licensure, certifications, and other crucial credentials essential for practicing medicine.

Medical Credentialing is Getting
More Complex

The challenges in medical credentialing are growing with changes in regulatory compliance, accreditation standards, and an expanding array of specialties and new medical technologies. Insurance payers have different requirements and standards for submitting applications for enrollment.

Meticulous credentialing ensures that healthcare providers meet the rigorous standards required for delivering safe and high-quality care to protect patients. Correct physician credentialing for medical providers protects the provider group and ensures prompt payer reimbursements.

Healthcare Leaders Report
Credentialing Errors are
Increasing Denials

According to MGMA, 56% of practices reported an increase in denials due to mistakes with credentialing. MGMA Stat Poll

Get Rid of the Paper and Hassles of
Medical Credentialing

Let experts do the work, so you minimize your risk and maximize the reward.

With Just Billing Solutions' medical credentialing service, providers can start visiting patients and submitting claims as quickly as possible.

HOW WE DO IT

Proprietary Software
Our credentialing workflow uses organized technology and standardized processes to keep provider information accurate and accessible throughout the credentialing cycle.
Handling Every Detail
We manage the documentation, verification and administrative details required throughout the credentialing process.
Prompt Payer Enrollment
We coordinate payer enrollment requirements and help providers move through the enrollment process efficiently.
Recredentialing and Maintenance
Ongoing maintenance helps keep provider credentials current and supports continued participation with applicable payers.
Credentialing Database Management
Provider information is organized and maintained so important credentialing records can be reviewed and updated when needed.

How much revenue
improvement can you
expect?

Improve your claim submission accuracy and increase cash flow by uncovering leaks and operational inefficiencies.