Why Outsource Payer Enrollment?

a doctor outside her clinic

Previously, not many healthcare professionals considered payer enrollment necessary for building their practice. However, this isn’t the case now.

This is mainly because more people within the US have health insurance and patients demand and desire to use their health insurance when seeking healthcare services instead of paying out-of-pocket.

In addition, with the introduction of the Affordable Care Act, every American can access affordable health insurance coverage, meaning that millions of uninsured people can now get coverage.

But due to rising membership growth, insurance panels are becoming crowded. This means, the process of becoming in-network isn’t getting easier, as insurance companies become flooded with enrollment applications. Thus, closed provider panels make the process for counselors, extenders, physicians, and other healthcare professionals more challenging.

Certain panels that claim to be ‘closed’ are only being selective about which providers they’re considering. However, having payer enrollment or credentialing experts by your side, and knowing how to position yourself can help you.

Here, we discuss why outsourcing payer enrollment is totally worth it!

Reasons to outsource payer enrollment

If your staff is spending a lot of time handling enrollment requirements for Medicaid and Medicare participation, along with private insurance, you may wonder if there’s a better way.  Well, yes there is: it pays to outsource medical credentialing and payer enrollment tasks so that you and your employees can concentrate on what you do best – offering top-of-the-line healthcare services.

Following are some reasons why you should outsource payer enrollment:

1. Both you and your staff will save days of substantial paperwork tasks and frustration. This is a real saving both in terms of actual costs and time.

2. You won’t have to hassle with payer enrollment and medical credentialing management, freeing you up to concentrate on building your business.

3. Your staff will be freed up to concentrate on other administrative support such as collections and billing.

4. You’ll be freed from staying on top of changed or new CMS and CAQH requirements.

5. Your staff won’t get bogged down with repeated emails, faxes, phone calls, and follow-ups for those endless re-submissions and submissions.

6. Lesser enrollment data errors translate to faster insurance payments.

7. You don’t have to train your staff to understand and deal with the arduous work of enrolling with various payers and keeping those enrollments up to date.

a doctor shows a report to her patient

If you’re looking for experts, Premier Medical Credentialing can help. When outsourcing provider enrollment to us, every necessary credentialing task will be handled – including repeated follow-ups. Our processes aren’t just efficient, but we also handle re-attestations and enrollments accurately and promptly.

Premier Medical Credentialing’s provider enrollment & credentialing service can help you get vetted ASAP

At Premier Medical Credentialing, our arrangements can align with any company that pays heed to its size and specialty, from payer enrollment services to provider enrollment services. If you’re an individual or a part of a medical group, we can update you efficiently.

Contact us now for more information; we also offer insurance credentialing services!