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English
$
USD
I will handle payer credentialing, recredentialing and medicaid provider enrollment
Healthcare Compliance Specialist
With a healthcare administration degree and hands-on licensing experience across the US, I help providers get set up, licensed, accredited, and paid. Business setup (LLC, EIN), state licensing, CARF a...
About this Gig
A provider can be licensed, staffed, and ready for clients, and still not get paid. One expired CAQH attestation, or an address that doesnt match across your NPI, license, and application, can stall credentialing for months.
This gig gets you approved to bill. I prepare, submit, and follow up on your applications so every record agrees, from first form to approval.
WHAT YOU GET:
- Payer credentialing applications
- Medicaid provider enrollment
- Recredentialing and revalidation tracking
- NPI and CAQH setup and updates
- Document checklist and mismatch check
- Payer follow-up until you have a status
WHO I SERVE:
Home care, behavioral health, developmental disability, and group home providers, plus individual clinicians.
Newly licensed or due for recredentialing? Tell me where you are, and lets get you approved and paid.
Purpose:
Business
FAQ
Why do credentialing applications get stuck or denied?
Usually mismatched details: an address, license number, or taxonomy code that differs between your NPI, CAQH, and application. Expired attestations and missing documents are next. I run a mismatch check before anything is submitted.
Is Medicaid enrollment the same as payer credentialing?
No. Medicaid enrollment goes through your state program, while credentialing is done with each insurance company. They have different forms and timelines, so I map both and tell you which to start first.
Do I need to be licensed before I apply?
Almost always. Most payers and Medicaid programs require an active license, and many want an NPI and a business address first. I send a checklist so you know what must be ready before I submit.
What about recredentialing and revalidation?
Both have deadlines, and a missed one can pause your payments. I track your renewal dates and CAQH re-attestation cycle, so you get a reminder before anything expires.
