PHYSICIAN SERVICES

Provider Enrollment & Credentialing

Provider Enrollment & Credentialing

Whether you have a new physician joining the group or an established physician who has been with your practice for years, insurance companies require updating credentials on a regular basis. If updates are not addressed in a timely manner, claims can be denied, resulting in an interruption of cash flow.

The Challenge

Professionals responsible for the provider enrollment and credentialing processes know the tremendous amount of time, organization, and detail these tasks demand. If applications are not updated consistently and monitored, the organization can run into serious reimbursement issues. Depending on the number of physicians in your group, keeping up with all the provider credentialing requirements and paperwork can be overwhelming.

Our Services

Mindseeker’s Physician Services team features a unique blend of talented professionals who are experienced in the credentialing profession. We understand credentialing is a continuous, tedious process, and we customize our services based on your organizational needs. Some of our credentialing services include:

    • New provider enrollment (All Payers/Multiple States)

    • Commercial insurance credentialing (Aetna, Anthem, BCBS, Cigna, Tricare, Humana, United Healthcare, and others)

    • Medicare and Medicaid Provider Enrollment (including HMOs)

    • Recredentialing for established providers

    • PECOS/Identity and Access Management System updates

    • Professional license renewal

    • Preview (formerly CAQH) enrollment updates and new registration

    • Credentialing and enrollment for physicians assistants, nurse practitioners, and dental providers

    • Demographic or name changes

    • Group and individual Medicare revalidation

    • NPI Registration (Type I and Type II)

    • Facility privileging

    • Payer update requests for changes in demographic/provider information

    • Working closely with insurance payers in all 50 states

Our Approach

While prospective recruits may have the right resume to match the job, there are multiple factors that determine who is the best fit. Mindseeker screens candidates to ensure they have the technical capabilities to perform the job and are compatible with your organizational culture.

Benefits

Mindseeker’s experienced team provides a cost-effective solution to your practice’s credentialing needs. By working with Mindseeker, your practice:

Improves Cash Flow
Reduces operating costs of up to 30–40% or more
Eliminates clerical errors that delay the enrollment process
Reduces training costs due to staff turnover
Accelerates revenue by allowing physicians to see patients with certain payers more quickly
Improves turnaround time, usually within 60 days
Frees up time formerly spent making calls, submitting applications, and handling emails and faxes
Allows staff to focus on other important issues, such as Accounts Receivable, Charge Entry, Appointments, Patient
Registration, Insurance Verification, etc.
Keeps the organization compliant with insurance payers
Improves Cash Flow
Reduces operating costs of up to 30–40% or more
Eliminates clerical errors that delay the enrollment process
Reduces training costs due to staff turnover
Accelerates revenue by allowing physicians to see patients with certain payers more quickly
Improves turnaround time, usually within 60 days
Frees up time formerly spent making calls, submitting applications, and handling emails and faxes
Allows staff to focus on other important issues, such as Accounts Receivable, Charge Entry, Appointments, Patient
Registration, Insurance Verification, etc.
Keeps the organization compliant with insurance payers

Other Physician Services:

Operational Assessments
Practice Revenue Cycle Review
Virtual Practice Management
EHR Optimization