Specialist I, Finan Cred (58181)

• 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.

• 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