We are the experts, with more than 18 years’ experience in contract negotiations and enrollment, for participation with Medicare, Medicaid government and healthcare payor plans. Specializing in all Florida and any national market for managed care payors and third-party payor networks. We are experienced in negotiations for Ancillary providers (Imaging, Dialysis, etc.), and all group/ individual healthcare provider specialties, including behavioral health. We complete all applications for you, negotiating the highest market rate for your specialty, provide the necessary management and follow-up needed, to achieve absolute success for our healthcare clients.
What We Do
As a healthcare provider, you do not have time in your busy day, to complete complicated enrollment applications, negotiate reimbursements and track enrollment deadlines! Your time should be spent caring for your patients.
Credentialing Specialists, LLC, your experienced provider enrollment specialist and negotiator, offers a complete package that takes care of your healthcare payor contracts and enrollments. We will negotiate and process your contract, request reimbursement increases, fully manage initial and re-enrollment applications, re-validations for Medicare and Medicaid and all aspects of your enrollment process – so you do not have the headache!!
Services & Specialization
Tailored contracting and enrollment packages for your specialty and practicing market. We give you more time to treat your patients when you give us the opportunity to negotiate your contracts.
- Initial enrollment and re-enrollment for all applicable managed care payors and networks
- Monitor and complete Medicare/Medicaid enrollment applications and revalidations
- Contract language and reimbursement review, for the highest reimbursement for your specialty in your location’s market
- Provider data management
- CAQH initial set up and maintenance
- Individual and Group NPI applications, if necessary
- Quarterly progress reports
- Phone conferences scheduled at your convenience
- Delegation Audits
Credentialing Specialists, LLC will work with you, to understand your specific needs, and make recommendations on new or existing payors that may benefit your practice.
