Provider Credentialing Services

Hiring a new provider? Need assistance in maintaining existing provider enrollments? Depending on the entity and providers, enrollment and contracting can take up to 180 days to become effective. Kassouf’s Credentialing Services Team handles this complex process for you, allowing you more time to invest in your providers and your practice.

What We Handle

New Provider Support

Many to do’s come with hiring a new provider and/or starting a new healthcare practice. Whether you’re recruiting a physician directly from their residency or fellowship or bringing in a provider from another health system, cumbersome paperwork must take place to ensure the provider is ready to see patients (and receive payment for doing so). Our new provider support offerings include the following: 

• Initial Provider Credentialing and Network Enrollment
• Council for Affordable Quality Healthcare (CAQH) Profile Setup and Attestation
• Medicare and Government Payer Enrollment – Provider Enrollment, Chain and Ownership System (PECOS)
• Commercial Payer Application Preparation and Submission
• Provider Number and Effective Date Communication
• New Entity or Location Enrollment (When Applicable)

Ongoing Provider Maintenance

Once a provider is credentialed, maintaining enrollment is critical to avoid disruptions in reimbursement. Our team ensures that you don’t miss important credentialing and provider enrollment deadlines through continuous support, organization, and communication. Our ongoing provider maintenance services include the following: 

• Recredentialing, Revalidation, and Re-Enrollment Management
• Provider Directory Profile Maintenance and Periodic Re-Attestation via Council for Affordable Quality Healthcare (CAQH), Availity, United Healthcare, and More
• License and Insurance Expiration Monitoring
• Provider and Practice Information Updates
• Payer-Requested Updates and Maintenance Submissions
• Ongoing Communication with Payers and Status Updates

Payer Enrollment and Contracting

Ensuring providers are in-network with payers is critical to cash flow and patient access. Kassouf’s Credentialing Services Team not only handles the network participation process but also stays abreast with relevant payer updates, making sure you don’t miss a new deadline or rule. Based in Birmingham, Alabama, we support major payers across the Southeast and additional markets nationwide. We provide enrollment with major payers, including but not limited to Medicare, Medicaid, Blue Cross Blue Shield, and United Healthcare. Our payer enrollment and contracting services include the following: 

• Enrollment with Commercial and Government Payers
• Medicare Enrollment and Provider Enrollment, Chain, and Ownership System (PECOS) Coordination
• Commercial Payer Application Preparation and Submission
• Coordination with Payers during Contracting and Processing
• Payer Approval and Effective Dates Tracking
• Support for Payer Additions or Network Expansion

Application Tracking and Follow-Up

Our team is here to handle every step of the credentialing process from start to finish. After applications are submitted, active follow‑up is imperative to keep the credentialing process moving forward. Kassouf doesn’t just submit applications; we track, follow up, and keep you informed. Our application tracking and follow-up services include the following: 

• Full-Cycle Application Status Monitoring
• Application Receipt Confirmation
• Coordination of Additional Information or Signatures
• Timely Status Updates
• Documentation of Approvals, Denials, and/or Final Outcomes

Reading to get credentialing off your plate?

Our team can help you navigate provider onboarding, payer enrollment, and ongoing credentialing support.