Credentialing and Eligibility

The Credentialing and Eligibility team at MedConverge is responsible for verifying provider qualifications and ensuring compliance with healthcare regulations, thereby facilitating the credentialing process for medical professionals. They also handle patient eligibility checks and authorization processes to ensure that billing and services align with insurance coverage, maximizing revenue recovery for the company. The team's collaborative efforts help enhance operational efficiency and ensure quality service delivery within healthcare revenue cycle management.