"With 20 years of comprehensive experience and 14 years specializing in the healthcare industry, We bring a dedicated work ethic and a customer-focused leadership approach. Proven success in enhancing team efficiency and boosting company profits through strategic process improvements. Possessing in-depth knowledge of federal and commercial provider credentialing, including CAQH, NPPES, and PECOS, We are collaborative team players with exceptional communication skills. Highly motivated, detail-oriented, and committed to delivering high-quality results. Strong negotiator with solid business acumen, capable to achieve organizational goals."

Streamline the process of enrolling providers with payors.

When a provider is hired, obviously both they and their employer want them to be billable as rapidly as possible. It is anything but straightforward. Each provider must submit an application to each health plan using their specific process. These requirements can vary widely and sometimes require a unique credentialing application, a state standardized application or CAQH. Once the application arrives at the health insurance company, they have their own comprehensive verification process which ensures the provider in question meets all of their requirements. Once the insurer has performed due diligence, they will issue a letter of participation.

What lies at the bottom of all of this elaborate protocol is the need for your credentialing company to know exactly what every insurer expects. HRV Elite RCM takes the responsibility for getting it right every time. We understand the time is of the essence, that the enrollment processes can be lengthy, and a swift sure hand is needed to be in control of the process. This is why we are in business and we take it very seriously.

Applications

"We Do It All For You."

We do it all for you, preparing the applications according to the appropriate insurance’s specific guidelines for your specialty. This ensures your application is submitted accurately and the process goes smoothly. Our clients are informed of the status of their application with an automated report from our software system sent directly to their email. We want you to always know where your application stands with each carrier. Transparency with our clients and their projects is what makes us different from other services..

"Payor Enrollment"

Payor enrollment is the process of submitting an application for medical professionals, entities and facilities so they can become in-network with an insurance company. When accomplished efficiently, your practice experiences streamlined onboarding of all professionals and enhanced revenue flow as soon as possible. When you work with HRV Elite RCM, we help your providers become billable faster because we deal with all payors and are familiar with their requirements..

Using our proprietary software, we can expedite and efficiently carry out this time-consuming process, as well as track the needs for renewals, complete applications, and send comprehensive enrollment reports to practice members who need them.

Maintenance

"Managing All Your Enrollment and Recredentialing."

Maintaining the integrity of a provider is essential. As the saying goes, “Trust, yet verify.” That is the ongoing work at HRV Elite RCM. It is important to everyone in the chain of medical care that providers have fulfilled the qualifications to be trusted by the healthcare system, hospital, behavioral health provider, and, of course, the patient! When HRV Elite RCM is handling your paperwork, the trust is built in through our processes.

"Managing the Continuum of Payor Enrollment."

The multiple variables involved in Payor Enrollment – many insurers, multiple certifications, numerous attesting bodies – mean that the work of maintaining a provider’s status with payors is always there, always in need of monitoring. At HRV Elite RCM we are passionate about managing each provider’s expiration dates for their licenses, certifications and their CAQH file. With us on board, there is both quality and assurance in our management of recredentialing dates for insurance and facilities.

"We can be as flexible as you need us to be."

A hallmark of HRV Elite RCM is that we provide as many or as few of our services as you want. You don’t need to be a maintenance client for us to help you with applications. Similarly, we can streamline both those processes for you. Either way, you can have total confidence in our ability to keep track of all the details that keep your providers enrolled and billing..

"Let us handle the paperwork!"

We process credentialing applications for healthcare providers so that they can bill health plans and receive in-network reimbursement..

The process of getting a provider credentialed with a payer involves too many manual steps such as completing application forms, providing clarifications to questions from payers and following up with them to close the credentialing request. With HRV Elite RCM you can keep your data up-to-date with payers by using our Provider Credentialing Services.

"Physician Credentialing and Provider Enrollment Services"

HRV Elite RCM works as your advocate with insurance networks to complete the payor enrollment (credentialing) and contracting process for the healthcare providers in your organization. Becoming an "In-Network" provider for health plans often requires completion of lengthy forms and continuous follow up with insurance companies. The HRV Elite RCM Credentialing platform along with the experienced Provider Enrollment staff at HRV Elite RCM combine to provide you with a quick and efficient payor enrollment process.

"CAQH Credentialing File Maintenance"

HRV Elite RCM will handle creation, validation, and maintenance of your provider's CAQH profiles. Maintaining your CAQH profile is one of the services included in our credentialing file maintenance plan. Our staff will make sure your documents are kept up to date, make necessary changes as needed, and re-attest your file on a regular basis to ensure all insurance companies have access to your current credentialing information..

"Our services include:"

CAQH registration & maintenance.

Medicare and Medicaid enrollment and credentialing.

Medicare and Medicaid revalidation.

Commercial insurance enrollments and credentialing.

Commercial insurance recredentialing.

NPI registration (Type I and Type II).

PECOS.