CREDENTIALING SERVICES
BEHAViORAL HEALTH ALL-IN-ONE CREDENTiALiNG
Credentialing Guru offers individual providers, group practices, and facilities the opportunity to get the most out of their business.
Our services connect you to your business, employees, and network. We know that building relationships and rapport matters, especially for your patient base. We have developed systems and practices, to ensure client satisfaction, and to ensure long-term relationships.
We have a team of passionate advocates that are ready to work for you, which can include supporting you in your professional goals and helping identify your best practices.
We control the unexpected so that you can focus on the things that matter and you can do what you do best.
We offer fast, accurate credentialing and enrollment services with scalability to handle your rapid growth and increase your revenue cycle.
Seamless integration with our secure and encrypted software system between you and the client.
Credentialing and payer enrollment are demanding, time-consuming processes that are necessary to accept your patient’s insurance.
We can provide customized education and training for your staff, take on partial needs, or do all your heavy lifting.
WE SPECIALIZE IN BEHAVIORAL HEALTH & ADDICTION TREATMENT PROVIDERS, GROUPS & FACILITIES
We’re redefining our industry by providing specialized resources through training and education opportunities.
We believe that knowledge is power, so passing that knowledge to others can redefine our industry especially since our staff is certified and experienced.
We are experts in behavioral health and addiction treatment reimbursement models.
We know this industry needs special attention to make sure you’re getting claims paid.
Our ability to comprehend your needs and service obstacles is specific to our experience in the behavioral health and addiction fields.
CREDENTiALiNG GURU SERViCES
- Provider credentialing
- Nationwide enrollment with commercial and government payers
- Recredentialing, network, and panel selection
- Consulting services, licensing, accreditation, policy and procedures, and facility start-up
- Document collection from providers and staff
- New provider onboarding
- Credentialing updates after rebranding / name changes
- Payer relationship management
- Payer contract negotiations
- Value based care payer contract negotiations
- HR coordination
- Customized reporting
- Payer panel selections
- And more!
Through our sister companies deeply discounted high touch services are also available to meet your needs:
- Billing services
- Appeal and denial management services
- Verification of benefits / benefit investigations
- Utilization review / preauthorization services
- Clinical training services
- Consulting services