Provider Credentialing & Payer Enrollment

Provider Credentialing & Payer Enrollment

Precision Provider Credentialing & Payer Enrollment

Comprehensive Credentialing & Payer Enrollment Services

Before you can bill, you must be recognized. At TimberLake Services, LLC, we understand that timely provider onboarding and payer approvals are the foundation of effective Revenue Cycle Management. Our end-to-end credentialing and enrollment services ensure your providers are properly credentialed with insurance networks, Medicare, Medicaid, and commercial payers, enabling seamless revenue cycle operations from day one.

We handle every aspect of the credentialing process, from initial CAQH setup to primary source verification and ongoing compliance monitoring. Our dedicated team works tirelessly to accelerate approvals, reduce administrative burden, and ensure your practice never misses a billing opportunity due to credentialing delays.

Our Credentialing Services Include

  • CAQH Management: Complete CAQH setup, attestation, and ongoing maintenance to ensure accurate and up-to-date provider profiles
  • Primary Source Verification (PSV): Thorough verification of licenses, certifications, education, and work history
  • License & DEA Monitoring: Proactive tracking of expirations and timely renewals for all provider credentials
  • Document Management: Secure collection, organization, and compliance tracking of all credentialing documents
  • Payer Enrollment: Medicare, Medicaid, and commercial payer enrollment applications and follow-ups
  • Revalidations: Timely completion of payer revalidations and demographic updates
  • Reassignment of Benefits: EFT and benefit assignment setup for streamlined payments
  • Hospital Privileging: Preparation and submission of hospital privileging applications
  • Network Participation Tracking: Status monitoring and follow-up for all network participation requests

Our Implementation Roadmap

Phase 1 - Discovery & Setup (Weeks 1-2): Dedicated credentialing team assigned, document gathering, CAQH access confirmation

Phase 2 - Execution (Weeks 2-6): Application submission, payer enrollment workflows initiated, primary source verifications completed

Phase 3 - Status Reporting (Weeks 4-8): Weekly dashboards, high-impact enrollment prioritization, escalation support

Phase 4 - Go-Live (Weeks 6-10): Approval confirmation, PAR status validation, claims activation verification

Ongoing Maintenance: Continuous monitoring for revalidations, renewals, provider updates, and regular payer communication

Benefits of Our Credentialing Services

  • 98% clean claim rate through accurate provider data
  • Reduced Days in AR with faster payer approvals
  • Timely provider onboarding and revenue cycle activation
  • Compliance assurance with regulatory requirements
  • Proactive expiration and revalidation management
  • Transparent status reporting and dedicated point of contact

Partner with TimberLake Services

With our expertise in credentialing and payer enrollment, we help healthcare providers eliminate administrative bottlenecks and accelerate revenue generation. Our closed-loop approach ensures every financial touchpoint is optimized, from initial provider enrollment to final payment posting.

Contact Michael TimberLake, Founder & CEO, at +1(864)-363-7077 or MichaelTimberLake@TLSCred.com to schedule your kick-off call and begin your journey to streamlined credentialing.

Audit Protection

Every claim processed via provider credentialing & payer enrollment is internally audited to meet the highest OIG and HIPAA standards.

Rapid Response

Our infrastructure guarantees a 24-48 hour turnaround on most claim submissions and follow-ups.

Client Focus

Physicians & Mid-Level ProvidersHospitals & Health SystemsPrivate Practices

Clinical Scope

CardiologyInternal MedicineFamily PracticeSurgeryAll Specialties