Results vary by specialty, payer mix, claim volume, documentation quality, existing A/R, and current billing performance.
In-house billing seems simple until something breaks. A biller quits and claims sit for weeks. A payer changes a rule and denials pile up. Prior authorizations eat hours your front desk doesn’t have.
Specialty-accurate CPT, ICD-10, and HCPCS assignment on every claim.
Root-cause denial analysis and payer rule tracking before claims stall.
All three working your revenue cycle together for a flat 3% of collections.
| Feature | In-House Billing | Outsourcing to Swift Billing Solutions |
|---|---|---|
| Expertise | One or two people cover everything | A full team for coding, posting, denials, and A/R |
| Staff turnover | Billing stops when someone leaves | Your account is always covered |
| Denials | Fixed one at a time, so they repeat | Root cause found and fixed |
| Old A/R | Often ignored after 90 days | Worked at 30, 60, 90, and 120+ days |
| Reporting | Whatever there’s time to pull | Daily, weekly, and monthly reports |
| Compliance | Staff tracks payer and HIPAA changes alone | Keeping up is our full-time job |
Here’s how the two options compare on the things that affect your revenue.
$60,000 to $70,000 a year (one full-time biller)
$36,000 a year (practice collecting $100,000 a month)
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.
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:
From payer applications to renewal tracking, we manage credentialing details for individual providers and groups while keeping billing teams informed.
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.
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.
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.
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.
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.
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.
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.
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.
The physician credentialing process has a lot of moving parts. Here’s exactly how we run it, and how little we need from you.
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.
We fix mismatched addresses, outdated taxonomy codes and expired documents before anything is submitted. Most avoidable rejections start here.
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.
We complete and submit every application: Medicare, Medicaid and each commercial payer on your list. Your part: sign where needed.
We call and check portals every week, answer payer requests fast, and escalate stalled files. You get a status update without having to ask.
We confirm participation, effective dates and provider IDs in writing, and share copies of every approval.
Effective dates and IDs go straight to our billing team, so billers can use the confirmed enrollment details.
Every renewal, re-attestation and revalidation goes on the calendar, and we coordinate the updates and submissions needed for each due date.
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.
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 |
A dedicated specialist who knows your providers, your payers and your file history.
Weekly status updates so you always know where every application stands.
Unlimited payers and providers with no per-application fees for billing clients.
Transparent pricing backed by zero setup fees and no long-term contract constraints.
Why wait for disapprovals when you can actively secure your reimbursements?
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.
No setup fees. No long-term contracts. Just a team that gets it done.
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.
Healthcare providers can maximize reimbursements and improve cash flows with outsourced billing services.
Outsourced billing services to certified billing teams at Swift Billing Solutions to boost financial growth of your practice.
Ensure continuous success and simplify the entire RCM process by outsourcing billing services to Swift Billing Solutions .
Drive large revenues and attain higher claims acceptance rates with an outsourced medical billing company.
Improve efficiency by proactively validating the insurance coverage with our real-time eligibility services.
Prevent claim denials to improve the bottom line and address cash flow issues with our denial management services.
Reduce accounts receivable to optimize collections with our hospital billing services and empower your group practice.
5% of Monthly Collections
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