Sunknowledge Billing and Credentialing Services
Sunknowledge billing extends comprehensive set of medical credentialing service for healthcare providers eligible for credentialing with Medicare and Medicaid or any commercial insurance payers.
As our esteemed client, the provider will be eligible for dedicated medical credentialing coordinators ensuring all necessary documentation are collected as well as processed according to each payer guidelines. Medical credentialing enables a healthcare provider to utilize the insurance coverage of the patient and pay for the medical services that has been performed.
Hence, it is critical for a healthcare provider to credential it with most payers in a specific geography. If you fail in doing the same, you will be losing patients to other healthcare providers.
“Simply put, if the potential patients can’t use their insurance plans at your practice, you can be out of the race sooner than later.“
Sunknowledge‘s expertise in provider credentialing and enrollment will keep physician credentials updated with the payers and reduce your denials.
We have ”Excellent Client References”.
From large to small, we provide services to any healthcare providers including:
- Physicians
- Primary care practices
- Dentists
- Physical, Occupational, Speech Therapists
- Group Medical Practices
- Home health Agencies
- DME companies
- Hospitals & Large Healthcare Facilities
Our simple 4-step Credentialing process
On boarding
We make recommendations and help you select the insurance company you want to be networked with. After completing the master survey, you send in the applicable documentation.
Application
We obtain all the up to date insurance applications and complete them on your behalf, helping you focus on your patients. After receiving the documents, we complete all the requisites within five business days.
Follow up
Our team will be following up and make sure that all applications are received. We do all the activities to ensure that the enrollment process moves forward effectively and without any delays.
Completion
We will be informing you of all the insurance approvals as soon as we receive a confirmation. All the applicable information from the insurance panel will be sent over to you. We will make it job ready for you to see your clients and bill for the services.
Our resources will deliver it all with
- Gathering of credential documents
- Verification of the documents
- Update or obtain missing documents
- Payer application evaluation
- Submitting application to payers
- Following up with the payers for approval of application
- Maintain the provider data and CAQH profiling
Our services will also cover
- Weekly Customized reports on the credentialing process
- Dedicated resources to assist in the process
- Prior notifications of the malpractice insurance, DEA, licenses, Board Certifications
- Prior notifications on facility re-credentialing
Our experts will be happy to share our best practices, client references and how we serve as your reliable operational extension. Even at these extraordinary times, we promise you the highest productivity metrics with consistency and trust.