Physicians Credentialing and Enrollment services

Physicians credentialing and enrollment services is an enrollment and attestation process were a physician is approved to participate in insurance network plan to render services for its plan members. Credentialing verifies that a physician meets standards as determined by the payer by reviewing items such as the Individuals education, certification, training, affiliation, experience, malpractice and more

Who We Can Help With Provider Credentialing and Enrollment

At BlissMD, we understand that every practice is facing a unique set of obstacles, so a one-size-fits-all approach is not the best approach. We are experienced helping providers and provider groups of various sized work through the provider credentialing process. Providers that we commonly work with include:

  • Physicians who Begins the first practice after Med school
  • Physicians who Change from one Practice to another
  • Facility adding New Physicians to an existing Group
  • Provider wants to become enrolled with a new Payer

Physician Enrollment Process followed at BlissMD Healthcare solutions

Step I

BlissMD prepares all applications including Medicare enrollment and Medicaid application. This takes approximately 5 – 7 business days once all documentation is received for the provider.

Step II

BlissMD delivers the applications. Applications will be tabbed to indicate where additional inputs and signatures are required. Provider approves and signs all the applications. This is provider dependent, but should only take about a week to complete the applications.

Step III

BlissMD receives all applications from provider, forwards them to the insurance carriers and follows the progress of each application. This step typically takes 30 – 120 days depending on the insurance carriers. In some instances, this step could take longer for certain insurance carrier.

What Enrollment and Credentialing Services We offer for physicians

  • New provider affiliations and Group Credentialing
  • Handling Provider letter of interest and application requisition from Payers
  • Medicare and Medicaid Provider Enrollment and Credentialing
  • Commercial Insurance Provider Enrollment and Credentialing
  • Facility Credentialing with addition of Providers to the Facility’s ID
  • Updating Provider change of information whenever required
  • Handling Re-Credentialing whenever required
  • Expirables maintenance
    (DEA, License, Malpractice, etc)
  • Medicare Re-validation
  • CAQH Registration
  • NPI Registration
  • Reimbursement Issues
  • Managed Care Contracting Issues

Insurance Electronic Transactions Enrollment

BlissMD encourage and assist the providers to enroll in following electronic transactions for faster reimbursements and to encourage paper less environments

Electronic Data
Interchange (EDI)

Electronic Remittance
Advice (ERA)

Electronic Fund
Transfer (EFT)

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Neelaveni Jayakumar

Sr. Manager – RCM

Neelaveni comes with nearly 10 years of experience in the healthcare industry spread across home health, In-Patient, Out patient, anesthesiology and radiology environment. Her specific areas of expertise are Revenue Cycle Management and Managed care contract negotiations. Prior to joining BlissMD Healthcare Solutions, she has spent a considerable amount of time working in Banking sector, Life Insurance and Health Insurance companies.

Neelaveni has a solid understanding of all aspects of revenue cycle management with a focus on best practices and expected outcomes to bring and show value at the client level, she has immensely contributed towards BlisMD’s continuous growth, innovation and expansion. Her strength includes client co-ordination, process enhancements and handling escalations, which comes from spending a significant amount of time in managing all billing processes resulting in increased savings and process improvements for the clients she has managed. She has completed a Bachelor’s degree in Mathematics and Science.

Elanchezhiyan A (Dean Mayor)

Founder and CEO

Elanchezhiyan is the Founder and a Chief Executive Officer at BlissMD Healthcare Solutions. He has more than 15 years of experience in US Healthcare industry. Elan created the company in the year 2013 and through his brilliant track record in leadership, management, and operational experience; He made BlissMD a cost effective, client centric, client oriented and most preferred Revenue Cycle Management service provider.

As a CEO of the Company, He oversees the strategic direction of the organization and upholds the company’s position at the forefront of the industry. Under his direction, the Company enjoys a rapid growth and achieves higher rate of customer retention, employee’s satisfaction and add new talents every day.

As a Founder of BlissMD, Elan brings an incredible amount of industry knowledge and relationships that he has built through the years while working in senior management positions in various US-based healthcare services companies. Personally, He is a peace loving Man. He likes playing chess, practicing yoga and Meditation.

Qurathul Zahira

Sr. Manager – Coding operation

As an accomplished healthcare professional with nearly 13 years of experience, Qurathul Zahira has successfully managed the operations, deliverables and audit functions for BlissMD’s coding department. Qurathul has been with BlissMD Healthcare Solutions since its inception. Qurathul is a certified professional coder. She holds a Master’s degree in physiotherapy (M.P.T) and has previously served as a physiotherapist in hospitals and nursing homes. Her Knowledge and understanding of Hospital and Professional fee coding has helped the organization cater to niche demands from clients.

Qurathul is also a subject matter expert of HCC Coding and regulations and this has helped BlissMD support payer side of business. In her current role, She plays a key role in planning overall organizational strategy, growth and customer satisfaction within coding services and Technology. Her client centric work ethic coupled with her focus on streamlining processes has helped BlissMD manage, retain and grow new and existing coding accounts.

Rajiv Manoharan

Sr. Manager – IT and Compliance

Rajiv Manoharan leads the IT and Compliance dept at BlissMD Healthcare Solutions. He and his team acts as BlissMD’s technical safeguards. Under Rajiv’s supervision his team monitors the patient’s electronic ePHI to keep it safe from any threats and control the access to it. He ensures all HIPAA technical safeguard standards are implemented strictly in the organisation without any breach. He ensures his team is kept updated to face any new security challenges.

Rajiv also takes the responsibility of managing full project lifecycle right from accessing the requirements of the project in accordance with the IT strategy, architecture, analysis and building solutions in line with customer requirements, testing, deploy and end-user training (technical and non-technical audiences).

He specializes in IT data security and project management. He has nearly 16 years of experience in the IT and web content management domains and brings in his creative problem-solving and analytical skills to the table. Prior to joining BlissMD Healthcare Solutions, He worked with organizations such as Chettinad Academy of Research & Educations., Dpro Technologies Pvt Ltd, etc.

Revathi R

Manager – Accounting and Finance

Revathi is one of the key decision makers for BlissMD’s over all administration. Revathi ensures the organization is in full compliance with the Law. Under her leadership the company’s Accounting and Finance department executes company’s receivables, payables, payroll, financial controls and financial reporting as per industrial standards. She is a BTech graduate and holds an MBA in accounting. Prior to joining BlissMD, she has spent a considerable amount of time working as a chief accountant in a reputed organization.

As a part of BlissMD’s leadership team, she has been one of a driving initiative to build a skilled and united workforce. She meticulously maintains and up skills the organization’s standards by implementing and evaluating the employees relationship policies and programs. She is known as a high energetic and a positive leader, who loves to face challenges and works smart to achieve it.