The Credentialing Manager will lead client relationships and oversee provider enrollment, credentialing, and re-credentialing workflows to ensure operational excellence. This role involves driving process improvements, managing key performance indicators, and serving as a senior liaison between providers, payers, and internal stakeholders.
The role involves managing patient accounts, handling billing and insurance updates, and resolving patient concerns. Additionally, the lead will provide escalation support and educational guidance to the offshore call center team.
The UR Coordinator manages client insurance authorization processes for Spravato and TMS services by submitting clinical documentation and medical necessity letters. They coordinate with providers and billing teams while tracking authorization requests, denials, and appeals to ensure timely coverage.
The Customer Success Specialist will manage client onboarding, coordinate documentation, and ensure internal team alignment for healthcare providers. They will also monitor account health, maintain accurate records, and provide ongoing support to ensure client satisfaction and success.
The SNF Tracker manages resident payer sources by processing Medicaid applications and re-determinations while maintaining accurate data in Utrack. They also ensure facility compliance and maintain professional communication with directors, administrators, and resident families.
The representative will handle high-volume patient calls to resolve billing inquiries, process payments, and update insurance information. They will also coordinate with collection agencies and attorneys to manage account balances and documentation.
The Account Manager will lead the end-to-end implementation and onboarding of new RCM clients, ensuring successful go-live and stabilization. They will manage project timelines, document workflows, and coordinate with internal teams to optimize billing configurations and performance.
The Provider Relations Representative is responsible for managing end-to-end provider enrollment applications and maintaining accurate physician enrollment profiles. They will also resolve claim issues and communicate status updates to physicians, payers, and internal stakeholders.
The Director of RCM Account Management will lead and mentor a high-performing team while serving as a strategic advisor to board-level clients. They are responsible for driving revenue growth, ensuring operational excellence, and maintaining high levels of client satisfaction across the Physician RCM division.
Oversee and coach a multi-disciplinary offshore team while supporting RCM Account Managers with client inquiries. Manage complex denials, appeals, and A/R health status through detailed reporting and investigation of unpaid claims.
The Revenue Cycle Account Manager will serve as the primary point of contact for assigned clients, managing relationships and addressing inquiries. They will monitor revenue cycle performance, optimize processes, and ensure compliance with industry regulations.
