Specialist I, Finan Cred
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ApolloMD
Atlanta, GA, US
Summary
The specialist is responsible for facilitating and maintaining provider enrollments with various payers to ensure accurate billing for ApolloMD. They must also manage credentialing records, troubleshoot enrollment issues, and coordinate with the A/R department to resolve billing denials.
Job Description
Job Details: Job Location: IPR Atlanta Office - ATLANTA, GA, Salary Range: Undisclosed,
Responsible to Facilitate and maintain all the enrollments of all assigned providers with various payers required for billing purposes for ApolloMD.
Maintain a positive and productive relationship with various payers and provider reps to ensure enrollment is initially accomplished and subsequently maintained.
Address any credentialing related billing denials in a timely and efficient manner.
Must have great communication skills, strong organizational skills, and can multitask.
Correspond with the A/R Department to obtain information or inform them of credentialing status or changes.
Maintain records of applications, documents, and approval/revalidation letters pertaining to assigned providers’ enrollment.
Evaluate information on applications to verify completeness and accuracy.
Troubleshoot any enrollment issues that may arise for assigned providers.
Keep supervisor abreast of any enrollment issues which may affect a provider’s billing numbers.
Ensure all provider enrollment applications are submitted for any payer requiring submission before the first date of service.
Make sure all enrollment applications are submitted timely to ensure a correct effective date.
Follow up in a timely manner to avoid delays in obtaining provider billing numbers.
Announce provider numbers within 24 hours of receiving the number or the next business day.
Ensure all provider enrollment applications are submitted within two weeks or less after obtaining the financial signature pages.
Possibly working queues within Athena Collector if promoted to a higher tier.
Essential Job Responsibilities
Maintain records of applications, documents, and approval/revalidation letters pertaining to assigned providers’ enrollment.
Evaluate information on applications to verify completeness and accuracy.
Troubleshoot any enrollment issues that may arise for assigned providers.
Keep supervisor abreast of any enrollment issues which may affect a provider’s billing numbers.
Ensure all provider enrollment applications are submitted for any payer requiring submission before the first date of service.
Make sure all enrollment applications are submitted timely to ensure a correct effective date.
Follow up in a timely manner to avoid delays in obtaining provider billing numbers.
Announce provider numbers within 24 hours of receiving the number or the next business day.
Ensure all provider enrollment applications are submitted within two weeks or less after obtaining the financial
signature pages.
Organize and maintain Salesforce with credentialing statuses and payor numbers.
Qualifications:
High School Diploma or equivalent
Great communication skills, strong organizational skills, and ability to multitask.
Financial Credentialing Experience 0-2 Years
Strong written & verbal communication skills
Ability to multitask with accuracy
Exceptional attention to detail
Ability to set and consistently meet deadlines and commitment
ApolloMD is a physician-led national group practice, specializing in Emergency Medicine, Hospital Medicine, Anesthesia and Radiology Services. Emphasizing quality, efficiency, communication and patient satisfaction, ApolloMD works collaboratively with our partner facilities to implement best practices and process improvement across the board.
Company size
1,001-5,000 employees
Industry
Medical Practices
Org type
Privately Held
Headquarters
Atlanta, GA
ApolloMD is a physician-led national group practice, specializing in Emergency Medicine, Hospital Medicine, Anesthesia and Radiology Services. Emphasizing quality, efficiency, communication and patient satisfaction, ApolloMD works collaboratively with our partner facilities to implement best practices and process improvement across the board.
Company size
1,001-5,000 employees
Industry
Medical Practices
Org type
Privately Held
Headquarters
Atlanta, GA