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Meet Danielle Wagar, CPES - Healthcare Billing and Credentialing Specialist
MEET THE FOUNDER
Who You'd Be Working With
Most billing problems don't start with billing. They start with an enrollment that was never finished, a taxonomy code that doesn't match, or a payer contract nobody read closely, and by the time it surfaces as a denied claim you've already lost months. An incomplete application packet is the single most common reason enrollments get sent back, and every bounce costs four to six weeks. Nobody warns you about that. You find out in month three, when you still can't bill. With over 15 years in medical billing, revenue cycle management, and provider credentialing, my job is to make sure that doesn't happen to you.
As a Certified Provider Enrollment Specialist, I bring credentialing depth most billing services simply don't have. I work with 29 practices across 11 states and 62 payers: mental health and psychiatry, physical therapy, occupational therapy, and speech-language pathology, all solo providers and small groups. Seventeen of those are behavioral health. I've handled Medicaid enrollment in five states and their five very different portals, built practices from scratch in SimplePractice and Jane, and I work claims daily rather than supervising someone who does.
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You'd be working with me directly, not a team you never meet. Every application you have with me carries a follow-up date and a reference number, and you get portal access showing exactly where each one stands: what's filed, what's waiting on a payer, and what's waiting on you. I call payers on a schedule rather than waiting to hear back, because they generally won't reach out first. Applications rarely stall because someone said no. They stall because nobody followed up.​
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Outside of work I'm in Upstate New York with my husband and our two daughters. When I'm not untangling insurance rules you can usually find me hiking or in the garden. I know what it is to juggle family, a full workload, and nonstop admin, and I build systems with that reality in mind.
My Mission
My mission is to get you enrolled and paid correctly, on time, without you having to manage it yourself.
MY METHOD
How I Work
Every engagement is built on the same four commitments.
Not values, but things you can hold me to.
Transparency
You shouldn't have to email me to find out what's happening with your own practice. Portal access, live status on every application, and updates whether or not there's news.
Follow-Through
Payers will not call you. The follow-up is most of the job, and it's the part that usually gets skipped. I work a schedule, not a wish list.
Straight Answers
If a panel is closed to new solo applicants in your county, you'll hear it from me before you pay for the application, not after. Panel availability shifts constantly and it's genuinely hard to track from the outside.
Realistic Timelines
Commercial payers commonly run 90 to 150 days, and most of that sits with them rather than with me. I'd rather set that expectation now than apologize for it in month four.
BEYOND CONSULTING
Upstate Access
I also built Upstate Access, a self-serve credentialing portal with the same tracker I use with clients: payer requirements, document checklists, and application status in one place. It's free. Most providers don't need a consultant. They need to stop losing enrollments in their inbox.