Medical Credentialing Services
Your office should not have to keep calling a payer just to find out what’s missing. Our credentialing services handle payer follow-up, respond to outstanding requests, and keep your team updated on each provider’s enrollment status and confirmed effective date.
Results vary by specialty, payer mix, claim volume, documentation quality, existing A/R, and current billing performance.
Medical Credentialing Services That Help You Get In-Network
Unlimited payer enrollment and re-credentialing, handled by the same team that bills your claims. Free for Swift Billing Solutions billing clients.
Our medical credentialing takes care of the provider applications, payer follow ups and renewal tracking off your desk. Our credentialing services are designed to help you manage every important step such as CAQH profile management to Medicare, Medicaid as well as commercial insurance enrollment. To make sure, we follow the latest trends, we have credentialing specialists working with us to have years of experience in handing those jobs.
Stuck Waiting on Payers? You're Losing Revenue Every Week
You hired a new provider. The schedule is filling up. But the payer application went in six weeks ago and nobody can tell you where it stands. We see the same problems in almost every practice we take on:
- Applications sitting in a payer queue with no follow-up
- CAQH attestations lapsing quietly, putting existing contracts at risk
- New hires seeing patients before they are in-network
- Claims denied for "provider not enrolled" or "rendering provider not on file"
- Revalidation letters that got buried in someone's inbox
What Our Medical Credentialing Services Cover
From payer applications to renewal tracking, we manage credentialing details for individual providers and groups while keeping billing teams informed.
Medicare Enrollment & PECOS
We prepare Medicare applications through PECOS, coordinate individual and group enrollment details, respond to information requests, and track application progress and provider revalidation due dates.
Medicaid Provider Enrollment
We prepare state Medicaid enrollment applications, organize required documents, review provider and practice details, and follow up on outstanding requests throughout the application review process.
Commercial Insurance Credentialing
We manage commercial payer applications and insurance panel enrollment, coordinate CAQH information, follow up with payers, and confirm approved effective dates and provider billing IDs.
CAQH Profile Management
We support CAQH registration, profile management, document uploads, and maintenance, keeping provider information current while coordinating attestation and required updates for participating insurance payer applications.
NPI Registration & Enrollment
We support group NPI setup, review Type 1 and Type 2 records, correct practice details, and coordinate individual and organizational identifiers for payer enrollment applications.
Re-Credentialing & Maintenance
We track payer re-credentialing, Medicare revalidation, CAQH updates, and document renewals, coordinating submissions and information requests to help providers maintain current enrollment and credentialing records.
Hospital Privileging Support
We prepare hospital privileging application packets, gather requested credentials and supporting records, and follow up with medical staff offices on missing information and application progress.
License Tracking & Compliance
We track license renewals, DEA expirations, board certification status, and malpractice policies, flagging outdated documents and coordinating updates needed for payer and facility credentialing requirements.
Primary Source Verification for Accurate Credentialing
The Physician Credentialing Process, Step by Step
The physician credentialing process has a lot of moving parts. Here’s exactly how we run it, and how little we need from you.
1. Discovery call and checklist
We learn your specialties, locations and target payers, then send one checklist of the documents we need. Your part: a 30-minute call and one document upload.
2. CAQH and NPI clean-up
We fix mismatched addresses, outdated taxonomy codes and expired documents before anything is submitted. Most avoidable rejections start here.
3. Credential verification requirements reviewed
We review the credentialing checklist, organize supporting records and identify any primary source verification required by the payer or facility. Verification responsibilities and the scope of Swift’s support are agreed before submission.
4. Payer applications submitted
We complete and submit every application: Medicare, Medicaid and each commercial payer on your list. Your part: sign where needed.
5. Weekly payer follow-up
We call and check portals every week, answer payer requests fast, and escalate stalled files. You get a status update without having to ask.
6. Approval and effective date confirmed
We confirm participation, effective dates and provider IDs in writing, and share copies of every approval.
7. Provider loaded for billing
Effective dates and IDs go straight to our billing team, so billers can use the confirmed enrollment details.
8. Recredentialing calendar set
Every renewal, re-attestation and revalidation goes on the calendar, and we coordinate the updates and submissions needed for each due date.
How Long Does Credentialing Take?
Credentialing and enrollment can take several weeks to several months. The timeline depends on your payer, state, provider type, application completeness and panel availability. We review those factors during your consultation.
Application Type | Factors that can affect timing |
Medicare / PECOS | Application completeness, information requests and enrollment review |
State Medicaid enrollment | State requirements, site visits and application backlogs |
Commercial insurance panels | Panel availability, CAQH completeness and payer review cycles |
Hospital privileging | Verification requests, references and committee schedules |
We can’t make a payer move faster than its own process. What we can do is help reduce avoidable delays on your side: clean applications, fast responses to payer requests, and follow-up every week through the application decision.
Why Outsource Credentialing Services to Swift Billing
Credentialing is detailed, deadline-driven work that rarely gets anyone’s full attention in a busy practice. When you outsource credentialing services to us, it becomes someone’s actual job.
Responsibility | In-house | With Swift Billing Solutions |
Who owns it | Front desk or office manager, between other tasks | A dedicated credentialing specialist |
Payer follow-up | When someone remembers | Every week, on a schedule |
Renewals and re-attestation | Tracked in inboxes and sticky notes | Tracked on a shared calendar |
Cost | Staff hours plus lost revenue from delays | Free for billing clients |
Credentialing Service Summary
- HIPAA Compliant
- Guaranteed Accuracy
What You Get (Included Features)
Dedicated Specialist
A dedicated specialist who knows your providers, your payers and your file history.
Weekly Status Updates
Weekly status updates so you always know where every application stands.
Unlimited Payers & Providers
Unlimited payers and providers with no per-application fees for billing clients.
No Hidden Fees & No Contracts
Transparent pricing backed by zero setup fees and no long-term contract constraints.
- Fast 24-Hour Onboarding Setup Available
Medical Billing and Credentialing Services Under One Roof
Why wait for disapprovals when you can actively secure your reimbursements?
- Traditional Credentialing Agencies
The Passive Waiting Trap
- Wait passively for approval letters without proactive follow-ups.
- Typographical errors or date mistakes stall files in queues for weeks unnoticed.
- Disconnect between credentialing and billing causes unexpected claim denials.
- Extra fees added for every single credentialing application.
- Swift Billing Solutions Approach
Seamless Revenue Integration
- Proactively chase approval status with payers daily.
- Billing team builds claims directly off confirmed enrollment dates.
- Credentialing is handled free of extra charges once you enroll in billing.
- Full RCM coverage: eligibility, prior auth, denial management & A/R recovery.
Credentialing Support for Practices of Every Size
We handle your payer applications and CAQH setup, and track outstanding requirements as you establish or maintain your independent practice.
We organize applications for each provider, check shared practice details, and track renewals so your group knows what needs attention.
We prepare medical staff application packets, gather requested documents, and follow up with facility teams on missing information and approvals.
When you add providers or locations, we update practice records, coordinate payer applications, and track outstanding requirements for each enrollment.
Frequently Asked Questions
No setup fees. No long-term contracts. Just a team that gets it done.
Ready to Get In-Network?
Whether you're opening a new practice, adding providers or untangling applications that have stalled, our medical credentialing services help you prepare applications.
Medical credentialing services check a provider’s licenses, training and professional history. They also help prepare payer and hospital applications and keep records current through renewals.
We collect your documents, check provider records, submit applications and follow up with payers. Once approved, we share confirmed enrollment details with billing.
Some applications take weeks; others take months. Your payer, state and any missing information affect the wait. We’ll discuss timing during your consultation.
Credentialing is free and unlimited for billing clients. Billing costs 3%–5% of monthly collections, with no setup fees or long-term contracts. Contact us for standalone credentialing pricing.
Payer calls, document requests and renewals take time. We handle that work and keep your staff updated on what each application needs.
Yes. One team handles both, so billers receive confirmed provider IDs and effective dates. Credentialing comes at no extra cost for billing clients.
Yes. We prepare application packets and follow up with hospital or surgery center staff. The facility decides which privileges to grant.
Yes. We track payer renewals, Medicare revalidation, CAQH re-attestation and license deadlines, then coordinate the documents and updates each one needs.
No. CAQH stores your credentialing information for authorized organizations. You still need to complete each payer’s required application and approval steps.
