Credentialing & Enrollment
Medical Credentialing Services That Save Your Time & Frustration
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We think centric solution
is a force for Good
You.
You’re seeking a
certified billing Partner
Us.
Together, let’s protect &
accelerate your Practice
The Key to Faster Reimbursements
Enrollment determines how soon a provider can begin billing for services. Without being enrolled with insurers, even fully credentialed providers cannot collect payments. This makes enrollment a mission-critical function, especially when onboarding new staff or expanding into new markets.
Timely, accurate payer enrollment:
- Eliminates billing gaps caused by ineligibility
- Keeps provider directories up to date
- Enables electronic claim submission with reduced denial rates
Why Credentialing Is Essential for Compliance and Trust
Proper credentialing isn’t just an administrative task—it’s a compliance obligation and a trust-building tool. It validates a provider’s professional standing and eligibility to offer services within regulated healthcare systems.
When done correctly, credentialing prevents regulatory violations, reduces the risk of denied claims, and reinforces the quality standards patients expect from healthcare organizations. Practices that overlook credentialing risk not only payment interruptions but potential legal repercussions.
From ensuring licensing accuracy to confirming work history and board certifications, credentialing allows hospitals and private practices to operate with integrity and assurance.
It also helps:
Safeguard public trust in medical professionals
Verifies providers meet standards, reinforcing patient confidence in their qualifications and care.
Mitigate liability from negligent hiring or outdated credentials
Reduces legal risk by ensuring all staff are properly vetted and up to date.
Create a competitive edge in value-based care environments
practices to meet payer expectations and outperform in quality-driven reimbursement models.
Why Practices Struggle with Credentialing Alone
Many practices underestimate the complexity of credentialing and enrollment. These processes require meticulous data entry, deep understanding of payer-specific requirements, and consistent tracking—something most internal teams aren’t trained or staffed to handle.
In-house credentialing often leads to:
- Submissions with missing or inaccurate information
- Delayed approvals due to lack of follow-up
- Expired licenses or certificates going unnoticed
- Manual tracking that falls behind during peak workload
Our Medical Credentialing Services Include
Credentialing
Provider enrollment and physician credentialing services ensure that you are credentialed and compliant with state and federal regulations to provide healthcare services.
Dedicated Team
Through our advanced billing solutions, a team that completes the credentialing details and submits it to commercial Insurances, Medicare and Medicaid, as requested by healthcare physicians.
Compliance
Our Physician Credentialing Services ensure compliance with the National Committee for Quality Assurance and the Department of Health and Family Services.
Crucial Follow Ups
Our medical billing and credentialing services ensure that all follow-ups are performed properly for a smooth enrollment.
Portal Registrations
Create and update CAQH & PECOS credentialing portals, Insurance portals and web logins for providers.
Contracting Issues
We resolve contracting issues, address issues, verifications, credentialing requirements and detailed reports of coverage.
Data Integrity
We integrate data between insurance and practice or in billing software. Our IT team has ability to integrate all data accurate.
Updates or Changes
Our medical credentialing team can update or change your information for credentialing or re-credentialing.
Maintenance of Data
Auditing, organizing and correcting data in management systems and databases to ensure accuracy and accessibility.
What Our Clients Saying
"RCM Centric Medical Billing has helped me increase my practice size and my bottom line. The company and their staff are great with my patents and tough with insurance companies. Since switching to RCM Centric, I don't have to worry about being paid for a procedure. They make sure any and every treatment is accounted for."
“I began working with RCM Centric 2 years ago. They are incredibly knowledgeable and very professional. Their billing and coding teams are highly skilled and have the experience to handle any specialty. My collections doubled when they took over the billing and coding tasks. Their cooperation and expertise are greatly appreciated."
