Find The Best Credentialing and Enrollment Services – Quelin Billing

Navigating the convoluted credentialing and enrollment environment is important for a provider so that he can be paid on time and be in compliance with the laws. Quelin Billing therefore provides a full suite of services meant to help streamline these processes so the provider can concentrate on patients. Below is the list of the top services offered by us:

1. Primary Source Verification:

Here, we verify the credentials of the provider on account of education, training, licenses, and certifications to comply with industry standards.

2. Documentation Management:

Our team organizes and maintains all required documentation in a manner that constitutes quick access, updates, and retrieval when necessary.

3. Insurance Enrollment:

 We assist in provider enrollment within different payers, thus increasing network participation and patient base.

4. License Renewal Assistance:
   We continually monitor and ensure your medical licenses are renewed on time and prevent any lapses that would hinder the smooth operation of your practice.
5. Hospital Privileging:

Our experts arrange for obtaining and maintaining hospital privileges so you can care for your patients across multiple facilities.

    6. The Enrollment for Medicare and Medicaid:

We enroll the applicant through an intricate maze of government programs to ensure compliance and reimbursement in time.

7. CAQH Profile Management:

From continuous updating to profile maintenance, we handle busy practitioners’ CAQH profiles since they form an integral part of payers’ enrollment and credentialing.

8. NPI Registration Maintenance:

Bill payers/claims for this registration and the addition of a National Provider Identifier may be needed in our team.

9. Credentialing Application Submission:

We prepare all the necessary applications for submission to both insurance companies and healthcare organizations on your behalf.

10. Revalidation Services:

We actively engage in the revalidation process necessary to keep participating with the payers without any gaps or interruptions.

11. Contract Negotiation:

Our experts negotiate favorable terms with the insurance payers on behalf of their clients to ensure better rates for reimbursement.

12. Monitoring for Compliance:

Modifications to the criteria of applicability are continuously monitored to keep the healthcare practice in compliance with the industry standards.

13. Denial management:

We analyze denial claims in credentialing and assist in fixing the denial-related claims. Partnering with Quelin Billing relieves your operational administration related to credentialing and enrollment so that everything runs smoothly and allows you to spend more time with your patients.