Provider Enrollment & Credentialing
Streamline Your Enrollment. Accelerate Your Reimbursements.
Getting in-network with payers is essential to ensuring timely and full reimbursement for patient services—but the provider enrollment and credentialing process can be complex, slow, and error-prone. That’s where RCM Business Solution comes in.
Our Provider Enrollment Services (PES) team manages the entire process for you—from gathering documentation to maintaining enrollment portals—so you can focus on care, not paperwork.
Provider Enrollment Services (PES)
Contract negotiations with commercial payers
Credentialing and enrollment with commercial insurance
Medicare and Medicaid enrollment and revalidation
CAQH registration and maintenance
NPI registration (Type I & II)
PECOS profile management
Benefits
Significantly reduced administrative workload
Faster, error-free payer enrollment
Fewer enrollment-related claim denials
Increased and timelier reimbursements
Ongoing compliance and credentialing upkeep
How it Works
Our team starts by collecting and validating all required documentation—licenses, malpractice coverage, TINs, certifications, and more. We ensure consistency and accuracy across all forms to avoid delays and denials. We handle submissions, manage CAQH and PECOS profiles, and proactively track revalidations or upcoming expirations to keep your enrollments current and compliant.
We don’t just enroll—you stay enrolled, with minimal effort on your end.
On-going Monitoring
Credentialing isn’t a one-time task—it requires constant oversight. Our team partners with your back-office staff to monitor claim statuses, resolve enrollment-related denials, and ensure your reimbursements align with contract terms. We keep a close eye on payer communication and updates so you’re always in compliance—and always getting paid what you deserve.
Why RCM Business Solution
Clear career development path and advancement opportunities
Competitive total rewards package including medical, dental and vision
401(k) with match
Rapidly growing company
Work with the best-of-the-best!
Culture of excellence, innovation and expertise
RCM Business Solution is an equal opportunity employer. We are committed to creating a workplace that is free from discrimination and harassment of any kind. Employment decisions are made without regard to race, color, religion, age, sex, national origin, disability, genetic information, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by applicable federal, state, or local laws.
This policy applies to all aspects of employment, including recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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We offer providers a clear financial advantage and scalability you can count on. Outperform the industry and competition with Advantum on your team.
Increased claims & revenue capture
Expedited processes & cash flow
Enhanced patient experiences
Reduced administrative burden