Will Alvarez, CPCS - Medical and Mental Health Credentialing Services

I’m Will Alvarez, a Medical & Behavioral Credentialing Specialist with over 7 years of experience in credentialing and payer enrollment for individual providers and group practices across the entire United States — covering all 50 states, from Alabama to Wyoming.

I specialize in credentialing and enrollment with Medicaid, Medicare, HMO, CMO, and Commercial health plans. I manage over 500+ CAQH provider profiles, along with PECOS, NPPES, and state-specific Medicaid enrollments, ensuring smooth onboarding and full payer participation.

🩺 Health Plan Types I Handle:

Medicaid (State-Level) – e.g., AHCCCS (AZ), Gainwell (WY), FL Medicaid, TX Medicaid, etc.

Medicare – Original (Parts A & B via PECOS), Medicare Advantage (MA), Dual-Eligible SNPs

HMO / MCO Plans – UnitedHealthcare, Aetna, Humana, Anthem BCBS, Molina, and more

CMO Plans – Care Management Organizations for behavioral health (e.g., GA's Amerigroup, Peach State, CareSource)

Commercial / Marketplace Plans – BCBS, Oscar, Bright Health, Cigna, Ambetter, etc.

📍States I Serve:

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

With a strong understanding of payer systems, enrollment workflows, and credentialing timelines, I help practices stay compliant and get providers in-network fast.