Provider Enrollment Specialist: What They Do, Responsibilities and Skills

A provider enrollment specialist is responsible for the enrollment of providers in the healthcare system. They work with both providers and insurance companies to ensure that all paperwork is completed correctly and that providers are able to be seen by patients. In doing so, the specialist is also responsible for ensuring adherence to HIPAA guidelines […]

Credentialing and Payer Enrollment Services

Provider enrollment and credentialing were overlooked as an important component of healthcare management practices for years. While they seemed to be tedious processes to go through, they’re quite necessary for a provider to receive in-network reimbursement from payers. Their impact on compliance issues and financial aspects of a specific practice has guaranteed that these are […]

Opening A Private Practice

Diagnosing, treating, and managing your patients’ conditions requires, among other things, the capacity for independent analysis and effective collaboration with your clinical colleagues. Opening a private practice, that setting—is a practice wholly owned by physicians rather than by a hospital, health system, or other entity. It also rewards those traits and remains a strong option. […]

Health Care Provider Roles

Care Providers are also known as Health Care Providers refer to a person or organization that provides healthcare service to individuals. Many different care providers offer a range of services – from primary and hospital care to diagnostic, rehabilitative, preventative, and palliative care. Health providers play numerous roles in the overall well-being of their patients. […]