Credentialing is slow, paper-heavy work with long waits and hard deadlines. Most practices handle it in bursts: when a new provider joins, when a payer letter arrives, or when claims start denying for enrollment. That is exactly when it is hardest to fix quickly.
What a credentialing specialist handles
- New provider enrollment with Medicare, Medicaid and commercial payers
- CAQH ProView profile setup, document uploads and regular re-attestation
- Medicare enrollment and revalidation through PECOS
- NPPES updates when addresses, taxonomy or practice details change
- Re-credentialing before payer deadlines
- Group and location changes, such as a new practice location or a provider moving between groups
- Follow-up with payers on applications that stall, including calls and status checks
- A tracker for every case with status, what is needed from you, and expected dates
Why credentialing needs a dedicated owner
Commercial payer credentialing often takes 60 to 180 days, depending on the payer and state. Much of that time is waiting, which is why applications get forgotten. Then a request for one missing document sits unanswered for three weeks and the clock restarts.
The common, expensive mistakes are simple:
- A new provider starts seeing patients before enrollment is approved, and those claims deny
- CAQH attestation lapses, and payers flag the profile
- A Medicare revalidation notice is missed
- Practice address or taxonomy changes are not updated everywhere, and claims reject
A specialist who owns the calendar, follows up with every payer and tells you exactly what they need from you prevents most of this. See medical billing credentialing for more detail.
Credentialing plus billing, one team
Credentialing problems usually show up as billing problems: denials for provider not enrolled, not on file, or out of network. When the same team handles billing and credentialing, those denials are traced to their real cause and fixed at the source. DrBillerz can place a credentialing specialist on their own, or as part of a billing team.
What you see
Every enrollment and re-credentialing case appears in the credentialing tracker in your client portal, with its status, the next step, what is needed from you and the expected date. Your dedicated RCM manager keeps the whole calendar on track.
What it costs
DrBillerz specialists start from $7 an hour, with no per-application fees, no setup fee and no long-term contract. Many practices use a part-time specialist, then add hours when onboarding several providers at once. The dedicated RCM manager and client portal are included.
How to get started
- Tell us what you need: number of providers, payers, states and any urgent deadlines.
- We shortlist tested specialists with credentialing experience in your specialty and states.
- You interview and choose.
- Start a free 4-week pilot. Your specialist audits your current enrollments, builds the tracker and starts on the most urgent cases.
DrBillerz is not a software company. We place people who do the work, using the payer portals and systems you already have.
Start your free 4-week pilot · Send an enquiry · or call (313) 725-9746
Frequently asked questions
How long does provider credentialing take?
It varies by payer and state. Commercial payer credentialing often takes 60 to 180 days. A dedicated specialist keeps applications moving by following up and answering payer requests quickly.
What does a credentialing specialist handle?
New provider enrollment, CAQH ProView setup and re-attestation, Medicare enrollment and revalidation through PECOS, NPPES updates, re-credentialing, and group or location changes.
Do you charge per application?
No. DrBillerz specialists are paid hourly, from $7 an hour, with no per-application fees, no setup fee and no long-term contract.
Can the same team handle billing and credentialing?
Yes. We can place a credentialing specialist on their own or as part of your billing team, so enrollment-related denials are traced to their real cause.
How will I know the status of each application?
Every case appears in the credentialing tracker in your client portal, with its status, next step, what is needed from you and the expected date.
Is DrBillerz a credentialing software company?
No. We place specialists who do the work in the payer portals and systems you already use.