Insurance Credentialing
Our Specialized Medical Billing and Credentialing Services Suit The Unique Needs Of Your Practice
Your trusted partner in setting up and growing your medical practice nationwide. Whether you’re establishing a telehealth platform or a brick-and-mortar practice, we’ve supported hundreds of physicians and nurse practitioners in navigating the administrative and compliance landscape successfully. Our practice management and medical billing processes, uniquely crafted, cater to the specific requirements of every specialty
Fields of Expertise
Credentialing
Our Expert Credentialing Specialists play a crucial role in facilitating and overseeing the credentialing process for individuals or organizations within the healthcare industry and to guide you through the credentialing process with a 100% success rate.
Their responsibilities typically include:
Initial Assessment
Our experts connect with insurance companies to find plans open to new providers in specific specialties. Fees are only applied for accepted plans, with no charges for those not accepting new providers.
Application Submission
They complete and submit credentialing applications, ensuring all required information and documentation are accurate and comprehensive.
Verification of Credentials
They verify the qualifications, licenses, certifications, and other credentials of healthcare professionals, ensuring that they meet the necessary standards.
Compliance Management
Credentialing Specialists stay abreast of industry regulations and standards to ensure that the credentialing process aligns with legal and compliance requirements.
Communication with Credentialing Bodies
Specialists act as liaisons between clients and credentialing bodies or organizations, facilitating effective communication and resolving any issues that may arise during the process.
Bi-Weekly Updates
Our credentialing experts proactively communicate with insurance companies to ascertain the status of applications, providing bi-weekly updates to the healthcare providers.
Customer Support
Offering support and guidance to clients throughout the credentialing process, Credentialing Specialists ensure a smooth and successful experience.
Process Optimization
Credentialing Specialists work to streamline and optimize the credentialing process, identifying areas for improvement and ensuring efficiency in the overall procedure.
Updates and Renewals
They monitor credential expiration dates and assist in the timely renewal of credentials to maintain compliance with industry standards.
Our Expert Credentialing Specialists are professionals well-versed in the intricacies of the credentialing process, dedicated to guiding clients through the steps, ensuring compliance, and ultimately achieving a successful outcome.
Step by Step: Insurance Credentialing
Our comprehensive credentialing services are designed to guide you through each step of the process, from initial application to final approval. Our team will:
1. Evaluate your practice’s unique needs and requirements.
2. Complete and submit all necessary applications and documentation on your behalf.
3. Liaise with insurance carriers to expedite the process and address any issues.
4. Keep you informed of your credentialing status and provide timely updates.
5. Assist with any necessary follow-up or re-credentialing tasks.
By entrusting your credentialing process to AMBS, you can focus on providing quality health care to your patients while we handle the complexities of insurance credentialing.
