Manage end-to-end provider credentialing and enrollment processes while ensuring compliance with regulatory standards. Collaborate with internal stakeholders and insurance payors to resolve enrollment gaps and maintain accurate provider data.
The Senior Manager oversees daily revenue cycle operations, including billing, coding, and collections for a multi-site optical organization. They are also responsible for managing third-party billing vendors, monitoring financial KPIs, and driving process improvements to enhance cash flow.
The Claims Specialist is responsible for managing and resolving outstanding insurance and patient accounts to ensure timely reimbursement. This role involves investigating claim denials, submitting appeals, and collaborating with internal teams to improve revenue cycle performance.
