Streamline Provider Onboarding With Medical Credentialing Services and Enrollment Solutions

We provide effective, compliant, and hassle-free solutions for everything from paperwork collecting and credential verification to applying and locating payers.

Professional Credentialing Services for Every Healthcare Setting

At MB Global Group, we provide expert medical credentialing and provider enrollment services designed to reduce administrative workload and improve revenue cycle efficiency. Our team works closely with solo practitioners, group practices, and small and large healthcare organizations to ensure that providers are fully credentialed and enrolled with insurance payers quickly and accurately. From collecting paperwork and verifying credentials to applying and tracking down payers, we take care of all so you can concentrate on patient care. With expert knowledge of industry regulations and payer guidelines, we simplify onboarding, reduce delays, and prevent expensive mistakes or denials. Trust MB Global Group to provide timely, compliant, and professional credentialing services and enrollment solutions customized to your specific needs.

What Is Medical Credentialing?

Medical credentialing is the process of confirming the education, training, licensure, and work experience of a healthcare provider. It is essential that you:

  • Assure the security of patients
  • Respect payer standards
  • Keep up the good name of your company.

Inadequate credentialing puts physicians at risk for privilege loss, legal problems, and claim denial.

Medical Billing Services Made for You

MB offers tailored medical billing services for each specialty including:

MB offers tailored medical billing services for each specialty including:

Why Credentialing and Enrollment Matters

Credentialing and enrollment are important steps for any medical professional. They prove that you’re qualified to treat patients and allow you to get paid by insurance companies. Without them, providers can’t bill payers correctly, which can cause serious problems for your practice. That’s where MB Global Group comes in, we make the process easier, faster, and more accurate so you can focus on what you know best: patient care. Without proper credentialing services and enrollment:

  • You may face delays or denials in insurance payments
  • Your practice could run into legal or compliance issues
  • Your reputation and income may suffer
  • Patients may lose trust in your services
  • You might miss out on joining key insurance networks

MB Global Group helps you connect the dots between the complicated payer criteria and your clinical expertise.

Our Detailed Solutions for Medical Credentialing and Enrollment

We take care of the entire credentialing and enrollment process so you can do what’s most important, taking care of your patients. From checking provider credentials to enrolling with payers and staying compliant, MB Global Group delivers a smooth, accurate, and headache-free experience.

Provider Credentialing

We verify all essential details about your providers, including education, licenses, certifications, and work history, through primary sources. Our team also manages setup and updates of your system in our medical billing, ensures ongoing re-credentialing, and helps secure hospital privileges when needed. We monitor expiration dates and regulatory changes so your providers remain compliant and in good standing at all times, reducing risk and avoiding costly interruptions in care or billing.

Payer Enrollment

Our experts also handle major commercial insurance companies for the management of enrollment. We maintain accurate enrollment and credentialing for group practices as well as individual providers. This involves denial management and handling the registration of NPI, setting up accounts, as well as the configuration of EFT(electronic funds transfer), ERA(electronic remittance advice), and EDI(electronic data interchange) for eventual claims processing. We automatically follow up with payers to resolve delays and application issues quickly and efficiently.

Delegated Credentialing Support

If your organization qualifies for delegated credentialing, MB Global Group helps set up the structure to meet payer requirements. We assist with policy and procedure development, file audits, and documentation workflows. Our credentialing services team ensures your internal credentialing processes meet payer-specific standards and remain audit-ready. We also manage credentialing files and renewals so your delegated agreements stay active, compliant, and efficient over time with our medical billing services.

CAQH Profile Management

At MB Global Group, we set up your CAQH profile and manage all the related procedures in it. Our expert team provides automated updates. From attestations to audit-proofing, we handle everything. This ensures that your work is going well and helps you maximize your revenue. We make sure that your CAQH profile stays flawless 24/7 without dragging you into the hassle. At MB Global Group, our experts take care of everything while you can peacefully focus on your patient care.

Process for Our Customized Credentialing Services

We have a well-organized and straightforward process at MB Global Group to simplify credentialing services and enrollment solutions for your practice. We begin with a Consultation & Assessment in which we sit down with you to learn about your objectives, how many providers you have, and which insurance plans or hospitals you wish to work with. From that, we can develop the proper strategy for your credentialing.

Next is Data Collection. We collect all the necessary documents, like licenses, certifications, work history, and identification from every provider. We proceed to Verification & Submission, where we carefully verify every document using official sources. After verifying, we complete and submit applications to the respective insurance payers or hospitals.

Once submitted, we take care of Tracking & Follow-Up. We monitor every application closely and follow up frequently with the payers or facilities. You will get frequent updates from us so you never lose track. Lastly, during the Approval & Enrollment Confirmation stage, we ensure your provider is legally enrolled, included in payer directories, and prepared to begin billing. We strive to ensure the process is smooth, accurate, and hassle-free for your staff.

Industries and Specialties We Serve

Every medical specialty has its own rules and challenges when it comes to credentialing services. At MB Global Group, we know how to work with many different types of healthcare providers. Our team understands what each specialty needs and adjusts the process to fit your practice. Whether you’re starting out, hiring new providers, or growing into new locations, we’ve got you covered. We offer credentialing services for:

  • Primary Care and Internal Medicine
  • Behavioral Health and Mental Health Providers
  • Dental Offices and Oral Surgeons
  • Physical Therapy and Rehabilitation Centers
  • Chiropractors and Holistic Health Providers
  • Radiology, Pathology, and Laboratory Services
  • Urgent Care and Walk-In Clinics
  • Telemedicine and Virtual Care Providers

We ensure our credentialing process is personalized to your specialty and meets all the proper requirements, so you can continue to focus on patient care.

Credentialing Services and Complaint Support

Credentialing is not just about getting approved by insurance, it’s also about keeping your practice safe and running smoothly. At MB Global Group, we make sure your providers are properly credentialed to avoid mistakes that could lead to audits, lost revenue, or legal problems. Our process helps reduce compliance risks, prevent lapses in credentials, and meet important standards. We also maintain detailed records and provide you with ongoing updates, so you’ll always be in the know. Beyond credentialing, we provide denial management services to recover lost payments and minimize claim rejections. Our staff also manages VOB and prior authorizations, keeping your staff free from busy work and ensuring patients receive the care they deserve sooner. With MB Global Group, your practice remains compliant, secure, and financially sound.

Integration With Your Workflow

We make it simple to integrate our credentialing services with your existing workflow at MB Global Group. We interact easily with your current staff and systems so as not to disrupt business. We use secure communication tools and ongoing status reports to keep your employees completely informed along the way. We receive documents in whatever manner is most convenient for you, either by secure e-mail, shared drives, or directly out of your system. We also support major platforms and eClinicalWorks. Plus, every client gets a dedicated account manager who knows your practice and serves as your go-to contact for fast, consistent support.

Cost Effective Solutions

MB Global Group offers you credentialing services at your price point and business model. We have transparent, straightforward pricing with no surprise fees, so you always know what to expect. Select from convenient options such as per-provider rates, monthly retainers for recurring credentialing services, and discounted bundle rates for group or multi-state enrollments. Our service is there to save time, reduce in-house administrative work, and avoid expensive delays in insurance reimbursements. Outsourcing your credentialing to us will save you money because of lower internal costs, and you’ll have a running revenue cycle right from day one.

Why Health Organizations Trust MB Global Group

  • Certified Credentialing Experts 
  • Multi-State, Multi-Specialty Expertise 
  • Real-Time Updates & Status Tracking 
  • Full Transparency with no Hidden Fees 
  • Custom Solutions for Small & Large Practices

Our Clients Are Making Healthcare Better

Partner With Us

Partnering with MB Global Group means gaining a long-term ally in credentialing services and compliance solutions. Whether you’re launching your practice, scaling your team, or managing credentialing for a multi-site operation, we’ve got you covered.

Get in touch with us now and enhance your practice with our pro credentialing services.

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