Medical Credentialing Services

Is verifying the background of healthcare professionals a time-consuming task for your practice? Are issues like this leading to delays in provider enrollment, forcing you to tolerate operational inefficiencies? Our medical credentialing services offer tailored solutions to streamline and expedite the verification process. We bank on verification experts, advanced tools, and a check-list-based process to round off completions in a timely manner.

24

Years of Experience

10+

Industry Verticals

5000+

Experienced Professionals

StripMedical Credentialing Services

Medical Credentialing Services

Is verifying the background of healthcare professionals a time-consuming task for your practice? Are issues like this leading to delays in provider enrollment, forcing you to tolerate operational inefficiencies? Our medical credentialing services offer tailored solutions to streamline and expedite the verification process. We bank on verification experts, advanced tools, and a check-list-based process to round off completions in a timely manner.

Get a Quote

24

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

Medical Credentialing Services

Outsource Medical Credentialing Services to the Expert

Our expertise in medical credentialing solutions dates back to 2000. During this extensive tenure, we have diligently supported our clients in verifying and assessing the qualifications and backgrounds of healthcare professionals. Our credentialing process entails a meticulous verification process that thoroughly scrutinizes credentials, licenses, certifications, education, training, and work history. Additionally, we collect, organize, and manage all necessary documentation, including diplomas, transcripts, and letters of recommendation.

We have developed a simplified yet comprehensive process to ensure accuracy, efficiency, and compliance. Our method begins with thorough documentation gathering, where we collect all necessary information from healthcare providers. This is followed by meticulous verification of credentials, including education, training, licenses, certifications, and work history.

Our expert team conducts rigorous background checks to confirm the authenticity of all provided data. We then liaise with relevant authorities and credentialing organizations to facilitate smooth and timely processing. Throughout the process, we maintain transparent communication with our clients, providing regular updates and addressing any concerns promptly.

Our team comprises seasoned professionals with diverse expertise in medical credentialing. We have dedicated specialists proficient in data management, verification protocols, and regulatory compliance. The team includes credentialing specialists, data analysts, compliance officers, healthcare administrators, and more. Each member possesses in-depth knowledge of healthcare regulations, credentialing standards, and database management systems.

They undergo constant training to get updated on evolving regulations and industry best practices. This collective proficiency enables us to deliver efficient and reliable credentialing services tailored to the specific needs of healthcare providers.

Our services adhere to stringent compliance standards to ensure confidentiality and ethical handling of sensitive information. Our compliance framework encompasses primary adherence to HIPAA (Health Insurance Portability and Accountability Act) regulations to ensure the protection of patients' personal health information. Additionally, we comply with industry standards such as CAQH (Council for Affordable Quality Healthcare) requirements to maintain up-to-date credentialing data for healthcare providers.

Our processes are also aligned with NCQA (National Committee for Quality Assurance) standards to ensure the quality and accuracy of credentialing activities. Moreover, we prioritize adherence to state and federal regulations governing healthcare provider credentialing to mitigate risks and ensure legal compliance. All these compliance measures help us deliver reliable and secure credentialing services.

Our Medical Credentialing Process

  • Initial Evaluation

    First, we collect the necessary documents and information from providers to begin the credentialing process.
  • Verification of Credentials

    Next, our team meticulously verifies the education, training, licenses, certifications, and relevant work history of healthcare providers.
  • Application Submission

    We submit completed credentialing applications to relevant healthcare organizations, insurance companies, and regulatory bodies.
  • Follow-Up and Communication

    We maintain regular communication with providers and credentialing authorities to ensure the process progresses smoothly.
  • Review and Approval

    Next, credentialing authorities review the applications, ensuring compliance with standards and regulations.
  • Clarification and Correction

    Further, if any discrepancies or additional information are required, we promptly address them to expedite the process.
  • Credentialing Completion

    Once approved, we notify providers and ensure all necessary documents are in place for participation in healthcare networks or facilities.

Our Comprehensive Medical Credentialing Services

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  • Provider Credentialing
  • Group Credentialing
  • Insurance Credentialing 
  • Provider Enrollment Assistance
  • Primary Source Verification
  • Provider Profile Maintenance
  • Credentialing Audits
  • Re-Credentialing Support
  • Privileging Coordination
  • License Maintenance 
  • Credential Database maintenance
  • Reporting and Analytics

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The Invensis Advantage for Medical Credentialing Outsourcing Services

Comprehensive Verification

We cross-reference information from multiple sources, including primary source verification, to validate the authenticity of credentials. This includes examining education, training, licensure, certifications, work history, malpractice claims, and disciplinary actions.

Cutting-Edge Technology

Our experts bank on sophisticated credentialing software to automate repetitive tasks, expedite application processing, and minimize errors. We also integrate this with various databases and verification systems to gain access to credentialing information and updates.

Customizable Workflows

We have developed tailored workflows that accommodate the intricacies of medical credentialing processes. This involves mapping out each step, from initial application submission to verification and privileging, ensuring efficiency and accuracy throughout.

Real-time Status Updates

Our team uses intuitive dashboards to monitor the progress of each credentialing application, track pending tasks, track approvals and documentation requirements, and receive automated notifications at key milestones.

Data Security Measures

Our systems deploy encryption, access controls, and regular audits, and comply with the General Data Protection Regulation (GDPR) and the Health Information Technology for Economic and Clinical Health (HITECH) Act to safeguard sensitive information.

Expertise in Healthcare Regulations

We stay abreast of updates to regulations such as Centers for Medicare & Medicaid Services (CMS) enrollment standards, National Committee for Quality Assurance (NCQA) guidelines, and state-specific licensing requirements.

Step-by-step process for Medical Credentialing Services
Step-by-step process for Medical Credentialing Services

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Invensis - The Most Trusted Medical Credentialing Outsourcing Company

Invensis is an established medical credentialing services provider with over 24 years of expertise. Over the years, we have offered various services, including provider enrollment, credential verification, privilege, and ongoing monitoring, ensuring compliance with industry standards and regulations. Our diverse clientele includes hospitals, clinics, individual practitioners, medical staffing agencies, telemedicine providers, and healthcare organizations worldwide. We have processed more than 500,000 credentialing applications for these clients with an accuracy rate of 99.5%. It boasts an average turnaround time of less than 15 days, ensuring swift and precise results.

24

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company
HIPPA-Complience

99.5%

Accuracy Rate

8X

Faster Credentialing
Process

2X

Faster Provider
Enrollment

98.5%

Compliance with Healthcare
Regulations

95%

Reduction in
Credentialing Backlogs

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What Our Customers Say

We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.

Christina Sussex
Leading Healthcare Provider in France

Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.

Christopher Middleton
Leading Healthcare Company in US

Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.

Chris Lauren
Leading Healthcare Company in US

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

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John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

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Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

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Sarah Smith
Leading Healthcare Provider in Italy.

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Contact Information

You can reach us at:

Call us
+1 (302)-261-9036
sales@invensis.net
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

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