Analyst, AR Credentialing

Job Details: Job Location: IPR Atlanta Office - ATLANTA, GA, Salary Range: Undisclosed, ABOUT APOLLOMD

ApolloMD is a leading Medical Billing company for Emergency, Hospitalist, Anesthesiology, and Radiology Medical services, conveniently located off I-285 in Sandy Springs. Currently serving approximately 1,000 physicians, we support the financial services for more than 2 million patients across the U.S. each year.

Our mission is to maximize the efficiency and performance of our healthcare providers and deliver unparalleled billing and claim support to the patient. To achieve this, we implement leading-edge technology and provide our staff with the knowledge to be successful. As one of the nation’s largest and fastest-growing physician services provider, we offer a competitive salary, and benefit packages. This position supports PaymentsMD, the billing side of ApolloMD. 

PERFORMANCE EXPECTATIONS

In performance of their respective tasks and duties all employees of ApolloMD are expected to conform to the following:

Uphold all principles of confidentiality and patient care to the fullest extent.
Adhere to all professional and ethical behavior standards of the healthcare industry.
Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
Possess cultural awareness and sensitivity.
Execute and enforce all organizational policies.

POSITION PURPOSE

To review and advise on all aspects of the revenue cycle process as it pertains to the billing system.  Communicate all findings and proposed solutions to enhance the organizations ability to accelerate and increase cash collections through cleaner claim processing.

ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIES

Work directly with Credentialing staff to enhance workflows within the billing system.
Analyze the accounts receivables inventory to determine opportunities for systemic resolutions.
Advise how the organization can eliminate or reduce the amount of holds/tasks
Work with Athena to optimize workflows within the billing system.
Work with IT to automate any workflows that can be to eliminate manual workflows.
Validate provider credentialing information
Manage provider workflow buckets
Locate and resolve trending denial codes for payments
Contact both government and commercial payers daily to resolve provider credentialing issues

This is a full-time, non-exempt role.
Qualifications: REQUIRED EDUCATION AND SKILLS:

High School Diploma or equivalent required.
Bachelor’s Degree in Healthcare Administration or related field a plus.
Prior medical billing, credentialing, or data entry experience preferred but not required.
Ability to interpret Explanation of Benefits from insurance carriers.
Proficiency with Microsoft Office Excel and Word a plus
Athena Collector System, NaviNet, GAMMIS Portal, CAQH, Payspan, Change Healthcare (formerly Emdeon) ProviderNet and VeriNet experience a plus.