Medical Credentialing
Medical Credentialing Services & Provider Enrollment
Credentialing is more than filling out forms. Each application has to match licensing data exactly. One wrong date or missing document can mean months of delay for the credentialing candidate. Payer rules shift often, and keeping up can be a full-time job. Without careful management, privileges stall, reimbursements slow down, and vital in-network access can slip away.
Why Imperial RCM
We boost healthcare income with
quick, uncut reimbursements!
Imperial RCM is a trusted medical billing consulting company with subject-matter experts for every specialty’s billing and coding workflow. Our team ensures accurate claim filing, precise coding, proactive A/R follow-up, expertise in ICD-10, and thorough auditing — helping providers capture every dollar they deserve, on time. We partner with practices of all sizes to eliminate lost, delayed, or underpaid claims. With our 24/7 medical billing and coding consultancy, your practice gets the reliable support it needs to stay financially healthy.
Improve cash flow by speeding up claims payments
Our Packages and Features for Credentialing Applicants
Free
A small river named Duden flows by their place and supplies
- Medical Credentialing
- Provider Enrollment
- Continuous Support
- Medical Billing
- Specialty EHR
Premium
A small river named Duden flows by their place and supplies
- Medical Credentialing
- Provider Enrollment
- Continuous Support
- Medical Billing
- Specialty EHR
Advanced
A small river named Duden flows by their place and supplies
- Medical Credentialing
- Provider Enrollment
- Continuous Support
- Medical Billing
- Specialty EHR
We enroll clinical providers into premium payer networks in record time!
Expedited physician credentialing services moves a medical practitioner’s file from first form to final approval in a single, steady line. The physician shares their details once, we verify them at the source, correct what needs attention, and send a clean packet to each insurance payer plan. As the file travels, we keep your profile fresh with active attestations and current dates, so nothing goes stale.
We stay in touch with Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield, and we coordinate with hospital staff offices so privileges land on time. Small slips create long waits because a digit off or a lapsed document can pause everything for the credentialing recipient. We prevent that by catching issues early, answering follow ups the same day, and keeping a clear trail that plans accept without fuss.
Our Expedited Medical Credentialing Process for the USA Healthcare Community
Imperial RCM’s provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance for the credentialing customer. Our enrollment officers have achieved up to 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:
Surveying the provider
Our credentialing process begins with an in-depth survey conducted by our credentialing specialists. This process involves comprehensive interviews with providers, gathering essential data such as license numbers, educational history, demographics, and professional background.
Choosing the insurance company
Our medical credentialing services guide providers in strategically choosing insurance partners aligned with their practice goals and license type, while also finalizing insurance panels based on practice location.
Enrollment and management
We take care of CAQH application submissions, manage doctor profiles, and keep credentials current for smooth primary source verification. We also assist with healthcare payer enrollments, ensuring quick insurance panel integration and accurate profiles that enhance network engagement and the quality of patient care.
Fast approvals
Although the typical timeline is 60-120 days, our medical credentialing experts take proactive steps to accelerate the process. Our team engages in weekly interactions with payers, advocating for the rapid processing and endorsement of your credentialing applications.
In-network enrollment
Upon completing credentialing, your application enters the contract phase. Here, an in-network contract may be offered, including fee schedules and eligible CPT billing codes. We handle closed panel challenges, advocating through appeals to secure your inclusion. With successful credentialing, direct billing becomes feasible, often with preferred reimbursement rates for in-network providers.
Winning you privileges for hospital work
As credentialing wraps up, our active involvement persists. We assist you in gaining all necessary hospital privileges: whether it’s admitting, courtesy, or surgical rights.
Ongoing monitoring
Our continuous oversight ensures that your clinic’s credentials remain current and that you (as a physician) stay credentialed without interruption. Our experts diligently track your credentialing expirations and conduct comprehensive daily and weekly reviews to maintain your active status. You can rest easy knowing that your credentials are in good hands with us.
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What are you looking for?
For a medical practice, medical billing services handle the logistical details of getting paid by insurance companies and patients. Billers take over the coding, filing, follow-up, and payment posting for claims. They have the latest knowledge and technology to optimize the process. Healthcare providers benefit through reduced costs, improved cash flow, decreased claim denials, and the ability to focus on patients, not accounts and invoices.
Medical billing services manage every financial touchpoint after a patient visit: verifying coverage, coding procedures, filing claims, appealing denials, and depositing funds to ensure healthcare providers receive full, compliant reimbursement.
Our medical billing firm offers a range of services, such as provider enrollment, insurance verification, charge entry, claim submission, payment posting, account receivable management, denial management, appeal management, patient billing, reimbursement tracking, and collection.