Credentialing Specialist
CurrentCredentialing is the process by which clinicians of all licensures contract with the insurance companies to provide services to clients who carry health insurance. Credentialing is the cornerstone of a successful private practice. If you are going to work with insurance companies, credentialing is the key to successful flow of clients, authorizations, and claim payments. The majority of "referral" , "authorization" or "billing" issues are actually issues of credentialing. While this process may seem doable on your own, it is the critical life blood of your practice and should not be taken lightly. This process involves the initial set up of all of the accounts, contracting and paneling with the desired insurance companies, as well as ongoing regular maintenance of those contracts and accounts.