MEDICAL CREDENTIALING

Credentialing or enrolling with government and commercial payers is challenging any way you slice it, but we’re here to eliminate the stress and increase the efficiency. As the first nationwide contracting and enrollment company, everyone else is still trying to play catch-up with our services and technology. We take care of everything from start to finish and keep you from spinning your wheels on the telephone for 4 hours a day. We offer physician credentialing services in all 50 states and work with thousands of providers every year. Our team of experts understands the insurance companies, and as former practice managers, we also understand what these insurance contracts mean to your bottom line. We provide contracting and insurance credentialing services to practices and hospitals of all shapes and sizes.

When do you need physician credentialing services?

 

Provider credentialing is a time-consuming process where attention to detail is critical.  Even the slightest error in the application process can cause it to be rejected, which would mean delayed or loss of revenue altogether. This is also the reason why Medcarebill and our credentialing service exists today.  We are here to bridge the gap between physicians and a payer’s network.

Physician credentialing services may assist individuals under the following scenarios:

  • When they are planning to start a new practice or are adding a new practice location
  • When joining a new practice or relocating
  • When they are planning to bring in a new provider to their existing group
  • When changing TAX ID
  • When carriers are requesting new or updated information
  • When a provider desires to participate in an insurance plan

When do you need a physician credentialing services?

Credentialing services are an absolute necessity for any physician or provider who wants to optimize the performance of their practice. Proper enrollment ensures that payment is not delayed or denied by the insurance carrier. After all, these scenarios often arise even if the physician is competent to provide his/her services to patients.

Our physician credentialing service and contracting service include the following:

  • CAQH Registration
  • Commercial Insurance Credentialing / Physician Credentialing
  • Managed Care & Government Payer Credentialing
  • Workers Compensation Credentialing
  • Medical License Application Processing & Tracking
  • DEA Registration & Tracking
  • NPI Registration (Type I & Type II)
  • Individual Medicare Enrollment
  • Medicare Enrollment for Group & Reassignment
  • Commercial Insurance Contracting
  • Insurance Contract Negotiations
  • Payer Fee Schedule Creation & Evaluation
  • Management of all Credentials

Why Choose Us

Your growth is our number one priority. Your business directly affects our business, so it is undeniably the most essential aspect of the services we provide. Besides your business partners and/or your investors, no other organization will nurture your revenue management cycle like a good billing company. Virtual Ops Billing guarantees the highest level of tending to your revenue cycle management.

More Focus On Patient Care

Virtual Ops handle all your worries about medical billing , so you can focus on your patients

Unmatched Expertise

Our staff is well trained and experienced to help you all the time.

Enhanced Cash Flow

We are expert in reducing claims denials to get maxiumum amount of your billing

Billing Compliance

Medical Billing Service is our center competency and we can proficiently deal with all you’re billing needs.

WE ARE HERE TO HELP YOU

We love our customers, so feel free to visit during normal business hours.

Our Hours

  • Sunday closed
  • Monday8:30 AM—5:00 PM
  • Tuesday8:30 AM—5:00 PM
  • Wednesday8:30 AM—5:00 PM
  • Thursday8:30 AM—5:00 PM
  • Friday8:30 AM—5:00 PM
  • Saturday closed