B.
Billing simplified for every healthcare provider
C.
Compliance ensured across all claims
S.
Solutions that optimize revenue and operations
Credentialing Built Around Your Specialty Needs
Different specialties have different kinds of problems with the credentialing process, and we customize our way accordingly. If you are taking care of several providers or following tightly the rules of payers, our team is always correct in handling the details and thus you are discharged from the inconveniences and your practice is uninterrupted.
Our Credentialing Services
We provide the credentialing services that support the entire verification and enrollment process of a healthcare provider. We handle licenses, insurance panels, hospital affiliations, re-credentialing, and compliance tracking, thus making sure that your practice runs smoothly, stays in regulatory compliance, and continues to generate revenue without interruption.
Provider Enrollment & Credentialing
Manage complete provider enrollment, ensuring all documentation is verified for insurance and hospital approval.
Clearing House Enrollment
Facilitate provider registration with clearinghouses for seamless claims submission and payment processing.
Insurance Credentialing Services
Submit and track insurance applications, accelerating approvals and minimizing claim denials.
Hospital and Credentialing
Assist providers with hospital privileges, ensuring timely approval and compliance with facility requirements.
PECOS & CAHQ Credentialing
Handle Medicare PECOS and CAHQ credentialing to secure federal and specialty approvals efficiently.
Payer Contract Manager
Oversee provider contracts with payers, managing renewals, compliance, and reimbursement terms.
Healthcare Licensing Services
Maintain accurate state licensure records and certifications to prevent lapses in provider eligibility.
Re-Credentialing Services
Ensure timely re-credentialing to keep providers active and compliant across all networks.
We Serve To
- ➜ Solo Physicians
- ➜ Medical Groups
- ➜ Small Practices
- ➜ Hospitals
- ➜ Pharmacies
- ➜ Laboratories
- ➜ Medical Clinics
- ➜ Home Care Agencies
Certified EMR & EHR Software with BCS Medical Billing Services.
Our Promise
99%
Provider Enrollment Success Rate
25-40
Days Average Time to Full Enrollment
24 -48
Hours Application Processing Turnaround
<1%
Payor Enrollment Error Rate
98%
Provider Satisfaction & Retention
100%
Compliance & Data Security
Get in Touch with a Medical Credentialing Specialist
Curious about our credentialing services?
Contact us today, and our specialist will evaluate your needs and provide a customized solution to simplify and streamline the credentialing process
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”
Credentialing FAQ's
Credentialing services are the procedures that include verification of a healthcare provider’s education, licenses, certifications, and professional background to ensure that the provider is compliant and eligible for the insurance reimbursement.
Medical credentialing is a must for conforming to regulations, being able to participate in insurance programs, and avoiding claim denials that together guarantee that your practice is running smoothly and legally.
The process is different for a provider and an insurance company and can take from 30 up to 90 days in most cases. The duration depends on document verification and payer response times.
Surely, if you outsource your work to professionals, it will lessen the workload on you and your staff, help in the quick obtaining of approvals and ensure that your practice is compliant with a minimum of your effort.
Commonly, the documents include medical licenses, DEA certificates, education and training records, board certifications, malpractice insurance, and CV or work history.
If not otherwise specified by payer requirements and regulatory guidelines, re-credentialing typically happens every 2–3 years and is necessary to maintain active participation.
It certainly is, most credentialing services support hospital affiliations, thus facilitating providers to meet facility requirements for patient care and insurance claims.
PECOS refers to Medicare provider enrollment while CAHQ credentialing is about a particular certification for healthcare organizations. Both should be done by credentialing services to be compliant and get paid.
Proper and thorough credentialing is the primary step when providers are verified and approved by payers. It thus results in fewer errors and delays that have the potential to cause denied claims.
Definitely. Credentialing services can be designed to meet the needs of each solo practitioner, small clinics, or even large multi-provider organizations and still be compliant and functional in your workflow.
Let Us Handle Your Billing Services!
Denial Resolution- Risk-Free Trial
- Real-Time Insurance Validation
- Affordable Pricing
- Improved Cash Flow
- Timely AR Follow-Up
- Billing Specialists
- Challenging Denials Auditing
- Credentialing Services
- Healthcare Data Analysis
- Billing Strategy Consultation
- Helpdesk Assistance
- Revenue Cycle Management
- Insurance Eligibility Verification
- Patient Payment Solutions
- Skilled Medical Billing Experts
15+
Years of Experience
500+
Providers
25+
Softwares
50+
Specialties