UPDATED (12-25-2020) – Payer enrollment can be complicated, but it doesn’t have to be. Experienced medical staffing professionals understand that credentialed providers cannot generate revenue until they are enrolled with payers. Moreover, healthcare organizations are reliant on a streamlined payer enrollment processes because of its impact on the team’s bottom line.

We get a lot of questions about payer enrollment, so we feel like it’s our duty to share a few of our top tips to help with your payer enrollment and credentialing endeavors.

So, what does the ideal Payer Enrollment Solution look like? We’re glad you asked. Here are a few advantages you’ll have when working with experienced PE specialists:

• Get enrolled faster with proven proficiencies
• Receive important updates and notifications with custom dashboards
• Make better-informed decisions and unlock hidden income potential
• Save time with a streamlined credentialing and expirables workflow
• Avoid costly mistakes and maximize cash-flow velocity
• Keep sensitive data safe and secure in our HIPAA compliant software

Are you convinced yet? Let’s get to the good stuff. Here are our 5 tips to help your organization maximize its payer enrollment process:

1. Keep it Simple

As we previously mentioned; payer enrollment can get downright complicated. That’s why it’s crucial to have the right experts (and technologies) in place to help you manage all your payer and provider data. A (simple) streamlined process for payor enrollment is vital when it comes to increasing your revenue.

2. Choose the Right Payers

Not all payers are designed equal. Choosing the right payers that align with your organization’s needs is critical, so it’s important to find an expert that is willing to establish a list of insurances that will benefit your bottom line.

3. Maintain Clear Communication

When different enrollment departments are on the same page, good things happen. By implementing a cross-cultural management system, you’ll organization will build an ecosystem that results in maximum efficiency, productivity, and financial growth.

4. Be Transparent

If your practice doesn’t embrace change, it will always struggle. This is where custom enrollment dashboards really shine. Combining enrollment and revenue data in a customized dashboard allows you to make more informed decisions. Having access to key data fields and KPI’s is golden for any healthcare business.

5. Be Proactive

Working with a dedicated enrollment specialist that is proactive in nature is important when it comes to speeding up the insurance enrollment process and, when necessary, working through appeals.

Conclusion

When it comes to building a rock solid payer enrollment process, strategy, technology, communication, and transparency all matter. You can try to go at it on your own, risking errors, security breaches, revenue loss, and ultimately, burnout. Or, you can invest in the kind of expert help that will give you a significant advantage over the competition. The question we need to consider is: “Is my practice worth it?”