Healthcare Leadership and Innovation

Provider Credentialing and Insurance Enrollments

  • 1.  Provider Credentialing and Insurance Enrollments

    Posted 11 days ago
    Hello All,
    I was wondering if there are any provider credentialing staff on this forum who may be willing to share some helpful hints.  I am fairly new to the process and have been struggling for awhile to come up with a good process to keep track of all of the information needed and juggling all the different processes.

    Thank you

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    Cindy Goering
    Him Supervisor/Coder/Credentialing Coordinator
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  • 2.  RE: Provider Credentialing and Insurance Enrollments

    Posted 10 days ago
    Cindy,

    I have had oversight of our facility's Medical staff credentialing and enrollments for many years - there is definitely and advantage having an HIM background in this work.  I would be happy to discuss your needs and provide guidance to you.

    Sincerely,

    Jennifer Abbott, RHIT
    Manager, Medical Staff Support
    Mount Desert Island Hospital
    jennifer.abbott@mdihospital.org

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    Jennifer Abbott
    Manager of Medical Staff Support
    Mount Desert Island Hospital
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  • 3.  RE: Provider Credentialing and Insurance Enrollments

    Posted 3 days ago
    Hi Jennifer,
    I apologize for being a little slow on responding to your kind offer.  Crazy days!  I work for an FQHC, which comes with it's own special rules.  I am also located in Kansas, so I know different states have different regulations as well.
    I really struggle with keeping up on where I am in the process when credentialing multiple providers with different specialties.  I also have a very hard time in the insurance enrollment/credentialing process.
    I have tried using a spreadsheet to keep track of everything, and I have paper folders for each provider where I keep copies handy of needed documents.  I create a list in the folder as well that I can check off payers as I have them completed.
    I am just struggling to make sure that I am following through timely.  What tips do you have to help?
    Thank you for willingness to assist!

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    Cindy Goering
    Him Supervisor/Coder/Credentialing Coordinator
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