Introducing Phoenix Credentialing: Your Partner in Efficient Credentialing and Contract Management
At Phoenix Credentialing, we understand the challenges mental health providers face when it comes to securing and maintaining contracts and staff credentialing. Launched by BreezyBilling Director of Operations Carrie Ripley and CEO Paul Jonas, Phoenix Credentialing was born out of a recognized need for efficient, reliable credentialing services.
Phoenix Credentialing is dedicated to helping behavioral health providers navigate the complex world of insurance contracts and credentialing with ease and confidence.
Why Start Phoenix Credentialing?
Focusing on People and Process
We needed BreezyBilling to focus on billing and RCM services. Credentialing is different enough of a service that we decided to set up a different company built upon all the lessons we learned while it was offered within BreezyBilling. What sets Phoenix Credentialing apart is its unique combination of responsiveness, extensive industry experience, and a friendly yet methodical approach. The goal is to take the burden of complex contract management processes off provider’s and practice management’s shoulders, allowing them to focus on providing exceptional care to their clients.
Good credentialers are meticulous and efficient. Great ones focus on relationships, too.
Every payer has different requirements, and navigating these can be daunting. Phoenix employs a systematic approach to ensure consistent, expected results, no matter how unique the process.
Whether you're just starting out, growing your practice, or maintaining your existing contracts, Phoenix Credentialing is here to help.
Our Services
1. New Provider Credentialing
Congratulations on getting licensed! Whether you manage a supervision program at a group practice or are a newly licensed provider, we help you get paneled and added to insurance contracts quickly and efficiently.
What's included?
Provider Data Collection
NPPES Review
Credentialing Management Site (CAQH, MCC, etc.) review and update
License verification
Adding Provider to Contracts
Credentialing Application
Payer Follow-Up until Payer Decision
Monitoring Recredentialing Requests
2. Securing New Contracts
Expanding your clinic or starting a new private practice? We can help. With years of experience in behavioral health, our team handles the application process to ensure every contract we work on is done right. We guarantee it.
What's included?
Create Provider Roster
Assist Provider in Requesting Contracts
Deep dive into each payer contract
Review Practice Name
Review Locations
Review Licensed Providers on Contract
Review Clinic Demographics (Hours, Accessibility, etc.)
Generate Report of Findings and Recommended Next Steps
3. Contract Review
As your practice grows, it’s crucial to keep your contracts up to date. Our Contract Review service delivers a complete picture of your practice and provides a path forward to ensure each contract is in alignment.
What's included?
Provider Data Collection
Address Verification
NPPES Review (Group and Individual(s))
Adding Credentialed Providers to Contracts
Follow-Up Until Final Decision Reached and Signed Contract on File
One Appeal
4. Contract and Credentialing Maintenance
Maintaining your practice’s contracts and credentials is vital. Outdated and mismatched insurance contracts can lead to increased stress, wasted time, and financial loss. Our maintenance services ensure your contracts are always current.
What's included?
Create and Maintain Provider Roster
Annual Roster Review
Reduced pricing on contract updates including Add/Remove/Update Providers, Locations, Demographics
NPPES Group NPI Maintenance
Discounts for Bundled Services
5. Credentialing Maintenance
Recredentialing can be a daunting task. Missing a recredentialing request can have catastrophic effects. We work with providers to ensure a planful, organized approach to maintaining credentials.
What's included?
Create and Maintain Provider Roster
Annual Roster Review
New Provider Credentialing
Credentialing Maintenance via Payer Portal, CAQH, etc.
Recredentialing
NPPES Individual NPI Maintenance
Discounts for Bundled Services
Our Approach
Process
Every payer has a specific set of steps required to achieve the desired outcome. We nail down each payer's processes and regularly revisit them to find ways to improve our efficiency and effectiveness.
Transparency
Credentialing and contracting can seem like sorcery. Our approach is to demystify the process, answer your questions honestly, and set realistic expectations and timelines.
Meticulousness
This work is highly detailed, with numerous boxes to check and nuances to navigate. We ensure every piece of information is accurate and complete, so your contracting and credentialing is done right the first time.
Responsiveness
Credentialing and contracting can take weeks or months, with long periods of inactivity. We ensure we’re ready to respond quickly to payer representatives and address any questions from our providers promptly.
Meet Our Founders
Paul Jonas - Founder, CEO
Carrie Ripley - Founder, President
Based in Minnesota but with a team in multiple states, Phoenix Credentialing is equipped to support behavioral health providers across the country.
Contact Us:
Email: info@phoenixcredentialing.com
Phone: 612-594-5875
Address: 7525 Mitchell Rd, Eden Prairie, MN 55344
How Can We Help Your Practice?
The health insurance industry is complex, and acquiring and maintaining contracts and credentialing can be equally challenging.
With years of experience working within both the health insurance and behavioral health industries, we built Phoenix Credentialing to bridge the gap and help our clients succeed. Let us help your practice rise above the challenges and achieve success.
