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Credentialing and Enrollment

We are your trustworthy credentialing and enrollment partners, offering up-to-the-mark credentialing services to uplift your practice and let you focus on the bottom line.

Get Your Credentialing Sorted by Our Experts

Your medical billing credentialing is considered the first step toward your medical practice making a mark in the healthcare sector. Without proper and accurate credentialing and enrollment, your healthcare practice is likely to suffer the adverse impacts that can get your practice sued as well. This is why it is high time you find a professional credentialing and enrollment company that not only takes care of all documentation but also provides you with a complete revenue cycle management system for medical billing and coding credentials. This is why, we at RJMedex LLC, are offering medical practices a complete package when it comes to their credentialing in the revenue cycle process along with proper credentialing and enrollment consultancy for the best results. We have a number of billing and credentialing services available for various types of medical practices. For instance, if you are a psychologist looking for a credible credentialing service, our custom credentialing and billing specialist for psychologists would be highly affordable and cost-effective for you. This will eventually save you a lot of time & money and put you in a position of stability and peace of mind when it comes to focusing on patient care.

Credentialing and Recredentialing: All Backed Up!

Credentialing in medical billing isn’t a one-time thing that medical practices can do away with at the beginning of their startup. This is primarily because the services offered by a medical or healthcare practice keep changing and improving time-to-time, along with new updates and legislations being passed by the US government or state governments. To make sure that your credentialing is in line with all legal and ethical requirements, you have to keep re-credentialing and making your practice completely up-to-date with all standards. This is where our credentialing experts at RJMedex can save you from all the hassle and provide you with a backup that’ll eventually manage your credentialing in an up-to-date manner.

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Our Credentialing Experts Are Best in the Game!

What does it take for one to be a qualified credentialing expert? Well, scientifically speaking, a person has to spend almost 10,000 hours doing a specific job to become an expert in that domain. This is why we, at RJMedex LLC, have some of the most experienced credentialing experts with us in the business. These veterans have spent the major part of their lives with medical billing and credentialing companies, providing both large-scale and small-scale medical providers and healthcare practices with credentialing and recredentialing services to make sure that these practices are serving patients without having to worry about the intricate and hefty documentation processes associated with credentialing and enrollment.

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Benefits of Our Medical Credentialing and Billing Service

Call Our Credentialing and Billing Specialist to Get Started!

Our credentialing and billing consultants are available 24/7 to provide you with cost-effective credentialing services at highly affordable rates. So contact us without wasting any more time and see your medical practice growing in revenue collections instantly.

Get Started

Step-by-Step Credentialing Process for Physicians

Gather The Data Required

The first step is to gather all the background information necessary for the credentialing process.

Enroll For CAQH

The second step pertains to enrolling for CAQH by thorough profile maintenance and record keeping.

Submit The Applications

In the third step one prepares and rechecks all documentation before submitting them to payers.

Communicate Actively

The fourth step requires proper verification and communication with the concerned payer organization.

Provide Quick And Transparent Access

Once the applications are submitted, we prefer the credentialing system to be entirely transparent.

Ensure 24/7 Customer Representation

Lastly, we provide a dedicated customer representative to cater to your questions regarding the credentialing process.

Helped Over 100+ Medical Practices "Reviews & Testimonials"

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Amos Cosar

Chiropractor

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Angie Hastings

Internal Medicine

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Angie Hastings

Family Practice

The guys at RJMedex Claims are really professional and always available for help and assistance and provide us with quality billing services. They’re the best medical billers for your custom needs, even if you’re on a budget.

“ RJMedex Claims team helped us with quick claim processing and claims are always scrubbed, which reduced denial rates. We have a decent claim acceptance rate now. They exceeded our expectation on everything related to billing. ”

“ We’ve found RJMedex Claims’ chiropractor billing experts to be on point with the overall claim filing, coding, and reimbursements. They’ve helped us grow our revenue by manifolds. ”

4.9
Zocdoc Overall Rating , based on 7541 reviews.
Eligibility Verification FAQs

Medical practices have to make sure that the healthcare services they’re offering are actually covered by the patient’s insurance. This is why they have to perform eligibility verification for the purpose.

The term Breakdown of Benefits (BOB) is used to represent the act of checking for co-pays, deductibles, coinsurances (%), or other non-covered amounts that are to be paid to medical practice or physicians by patients.

RJMedex is a professional RCM Billing company that ensures proper eligibility verification and breakdown of benefits for medical practices to avoid any chance of claim denials affecting a practice’s overall revenue.

The usual time required for verification of benefits takes 20 minutes. However, it is recommended that you get in contact with the payer 72 hours before the appointment of the patient.