MEDICAL CREDENTIALING & HEALTH PLAN ENROLLMENT

The current medical credentialing system is a maze that is highly technical and extremely complex, making it an ongoing nightmare to navigate through. Every state, hospital, insurance or health plan has different rules, forms, procedures, processes, and requirements for provider enrollment and credentialing, which fluctuates largely with new regulations.

 

When it comes to getting providers enrolled faster with payors, The WiseAnt Group is the partner you can count on! We have over 15 years of experience helping doctors get paid faster. With the full knowledge that every medical practice begins and ends with provider enrollment and credentialing, we continuously monitor changes with commercial payor credentialing within Medicare/Medicaid guidelines to ensure we stay ahead of the curve.

 

As your trusted partner and in-house virtual credentialing team, we know that these updates are vital for you in maintaining revenue streams, as well as providing optimal health care to your patients. That is why we make your compliance with these regulations our #1 priority!

Our credentialing experts work day and night to get you credentialed faster, so you can see patients sooner with less stress over paperwork!

After doing this for so long, we have direct contacts with insurers and hospitals, who keep us informed on the status of each application submitted. The WiseAnt Group’s thorough understanding of the detailed requirements by payors, coupled with our proprietary tracking system and software ensures success with every credentialing project. As our partner, we will communicate with you throughout the process and also help you investigate and resolve any of your credentialing-related claims issues.

Our Customizable Solutions Include:

Credentialing and Network Enrollment with health plans or payors

  • Preparation & submission of applications to commercial / Fee-For Service payors
  • Federal Health Plans Enrollment – Medicare, Medicaid, Tricare etc.
  • Follow up with insurance networks until the credentialing is approved
  • Appeal on Panel Closed Networks
  • Validation of CAQH profile (setup of CAQH Account if no profile)
  • NPI Registration and Updates (NPPES)
  • Experienced Credentialing Expert to act as your liaison with the insurance companies

Hospitals AND Medical Staff Appointments

  • Preparation & submission of applications to area hospitals
  • Follow up with hospitals until hospital privileges are granted

Other Credentialing Services:

  • Medical License Application
  • DEA Application
  • CDS Application, if applicable
  • CLIA Certificate Application
  • Other Facility Certificates (PT, OT, Chiropractor etc.)
Our Annual Maintenance Program Include:
  • Recredentialing with contracted health plans / payors
  • Recredentialing with hospitals and health systems
  • CAQH attestation and updating of expiring documents
  • NPI Registration Updates (NPPES)
  • Medicare Revalidation
  • Medicaid Revalidation
  • Licensure and certificate monitoring and renewals
  • NPDB Continuous Monitoring
  • Training of Office Manager to perform the Yearly Maintenance Services, if needed

 

Contact us for more information on our Credentialing Solutions and Maintenance Plan for Ongoing Credentialing Support. Our experts are ready to help!

PHYSICIAN RECRUITING & IMMIGRATION ADVISORY

You Deserve a Physician Recruitment Partner You Can Trust

We work tirelessly with hospitals, physician groups, and healthcare facilities to assist them in recruiting physicians, physician assistants, and nurse practitioners. We make a large investment in the success of our clients through extensive marketing outreach, access to a large and engaged database of talented candidates, and support from our tenured team of expert recruiters.

Work with the best physician recruiting firm

The WiseAnt Group partners with you to effectively find and hire physicians, physician assistants, and nurse practitioners. We can help you build your medical team so that you can continue to provide quality health care to your community. We adhere to all the codes of ethics and standards of practice of National Association of Physician Recruiters. As a top physician and advanced practitioner recruiting firm, we do one thing really well— partnering with you to place the right candidate quickly. If you’ve been trying to handle recruitment on your own and are still struggling to fill your positions, we can help.

Employer Services

The WiseAnt Group’s experienced healthcare consultant team offers Physician and Advanced Practitioner recruitment in all specialties on both a retained and contingency basis to employers throughout the U.S.

Our clients include:

At WiseAnt Group, our clients benefit from working with one representative to streamline your search process and ensure timely follow up on all presented candidates and communication. This eliminates the burden and confusion of having several different recruiters contacting you for different openings.

Our candidate sourcing includes the following efforts on our client’s behalf:

Potential candidates are thoroughly screened on employer opportunities/location to determine they fit both professionally and personally with your organization. Curriculum vitae of interested candidates are forwarded to you with an accompanying detailed profile/presentation, highlighting their personal qualifications, desires and motivations.

For our retained clients, we also provide the following services;

Physician Services

At WiseAnt Group, our consultative and recruitment services are always provided at no charge to the physician. We work with all types of healthcare employers throughout the U.S., including private group practices, community hospitals, regional health networks and national hospital chains.

 

A WiseAnt consultant/recruiter will be assigned to work one-on-one with you throughout your job search to give you a consistent point of contact who knows your individual desires to better present you with appropriate opportunities that meet both your personal and professional goals. Our industry knowledge and experience allows us to provide you with essential information on market trends regarding physician supply/demand and compensation data by specialty. We also offer curriculum vitae advice and consultation to improve your overall marketability and also follow the highest level of ethical standards and recruitment practices, including strict confidentiality regarding your job search.

We have worked with several physicians on how to build a successful strategy for a career in medicine in the United States. Our team will advise you on the following:

To start the process and for more information on your specific situation

Advanced Practitioner Services

The WiseAnt Group also recruits Advanced Practitioners in the following fields:

  • Nurse Practitioners
  • Physician Assistants
  • Certified Registered Nurse Anesthetists
  • Physical Therapists
  • Chiropractors etc.

 

Our services are always free to the providers we work with and include CV/Resume advice as well as strict confidentiality regarding your job search. We provide in depth consultation to help understand your practice desires and geographic areas of interest, along with industry trends within your specific field to better determine your overall marketability.

 

The WiseAnt Group’s experienced and knowledgeable team act as your professional advocate, matching your skills/interests with the needs of our clients.