Provider Credentialing

Credentialing is the first step to putting a physician to work at a facility. It’s how employers ensure the applicant is who they say they are. Are the credentials they have provided legitimate? Do they meet the requirements to be on staff at your facility?

Although the credentialing process is initiated by the credentialing organization, it ultimately starts with the provider. They are responsible for getting the required information to the person who will be overseeing the process. In most healthcare organizations, this will be a designated credentialing expert, such as a medical staff coordinator for larger facilities or a practice manager or business office manager for smaller facilities and private practices.
One of the biggest challenges faced in credentialing is when applicants provide incomplete information. When the credentialing expert receives partial, incomplete, or missing information, it creates a lot of back and forth, which can be very time consuming.

  • We, at MedLead look through the specifications of your credentialing applications to thoroughly complete all paperwork and identify any exceptions.
  • We communicate with the appropriate licensing authorities, medical schools, previous employers, and healthcare agencies to double-check that every piece of evidence is in order.
  • We submit the relevant documents, follow-up with payors about ongoing credentialing requests, and re-submit any updated or renewed credentials.
  • We ensure a successful credentialing process and provider enrollment application.
  • We work with your network of practitioners to acquire the certificates, letters, licenses, and degrees proving full compliance with the credentialing requirements.