• Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance.• Complete revalidation requests issued by government payers. • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid • Obtain licenses, Malpractice insurance, work employment history and school history.• Assist customers with credentialing inquiries.• Complete re-credentialing applications for commercial payers • Working with IT to… Show more • Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance.• Complete revalidation requests issued by government payers. • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid • Obtain licenses, Malpractice insurance, work employment history and school history.• Assist customers with credentialing inquiries.• Complete re-credentialing applications for commercial payers • Working with IT to get access for providers.• Partner with payer representatives on JOC calls, from Medicare/Medicaid state plans and PHP plans, to address areas of concern relating to provider enrollment, specializing in identifying and investigating trends.• Revenue cycle services claims analyst, effectively working through and resolving 80-100+ enrollment denial and rejection.• Resolve claim edit work queues when needed.• Consults with leaders to create SOPs and workflow.• Credential new providers and re-credential current providers with hospitals at which they hold staff privileges.• NPPES NPI Registry, ECHO Credentialing, PECOS, online insurance portals and clearinghouses such as Availity to verify provider enrollment as well as enrollment and claim discrepancies and accuracy.• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. • Multiple assignments in high-pressure situations and consistently meet tight deadline schedules in frequently interrupted environment.• Other duties as assigned. Show less

• Maintains an efficient patient flow through the registration process and provides excellent customer service to patients/families.• Promptly answers the telephone, directs all calls appropriately, takes an accurate message and delivers to the appropriate individual/demonstrates appropriate etiquette.• Informs patients of delay in physician schedules, assists with patient comfort while delayed.• Schedules appointments accurately according to department guidelines; using waitlist… Show more • Maintains an efficient patient flow through the registration process and provides excellent customer service to patients/families.• Promptly answers the telephone, directs all calls appropriately, takes an accurate message and delivers to the appropriate individual/demonstrates appropriate etiquette.• Informs patients of delay in physician schedules, assists with patient comfort while delayed.• Schedules appointments accurately according to department guidelines; using waitlist when applicable. Confirms future appointments as needed. Review Eligibility and Phone report.•Schedules and enters orders for diagnostic tests, and procedures, following all appropriate workflows. Show less

• Online job postings, background checks, and new hire orientations were all managed.• Maintained current employee data in the HRIS system and sent payroll time and attendance data for processing.• Handled all change authorization documents, such as those for new hiring, pay raises, and terminations.• Developed, managed, and maintained numerous spreadsheets containing various types of data.• Kept track of all leaves of absence and made sure that employees and their departments… Show more • Online job postings, background checks, and new hire orientations were all managed.• Maintained current employee data in the HRIS system and sent payroll time and attendance data for processing.• Handled all change authorization documents, such as those for new hiring, pay raises, and terminations.• Developed, managed, and maintained numerous spreadsheets containing various types of data.• Kept track of all leaves of absence and made sure that employees and their departments were effectively communicating.• Investigated and responded to different reports and surveys from the municipal, state, and federal levels. Show less

Oversee billing, coding, and collections.• Schedule appointments.• Maintain medical records.• Make deposits.• Reconcile account information.• Pay medical office bills.• Arrange cleaning staff.• Arrange for emergency maintenance visits for building.• Order medical and office supplies.• Submit claims to insurance.• Process company's response to claims.• Submit billing statements to patients.• Delegate responsibilities.• Assess employee… Show more Oversee billing, coding, and collections.• Schedule appointments.• Maintain medical records.• Make deposits.• Reconcile account information.• Pay medical office bills.• Arrange cleaning staff.• Arrange for emergency maintenance visits for building.• Order medical and office supplies.• Submit claims to insurance.• Process company's response to claims.• Submit billing statements to patients.• Delegate responsibilities.• Assess employee performance.• Assist staff with other clerical duties, including patientregistration and insurance verification as needed. Show less