The Provider Enrollment Specialist manages the enrollment and revalidation of healthcare providers with government and commercial payers. They serve as a liaison between providers and payers to ensure accurate documentation, compliance, and uninterrupted reimbursement.
The Scheduler is responsible for managing multi-line phone systems, coordinating appointments with surgeons and facilities, and maintaining accurate schedules for clinicians. They also perform administrative tasks, ensure HIPAA compliance, and reconcile clinician hours for payroll.
The customer service representative manages incoming inquiries from patients, providers, and payers regarding billing, claims, and collections. They are responsible for resolving issues accurately, documenting all interactions, and maintaining high standards of customer satisfaction.
The Coding Manager oversees the coding team to ensure accurate, compliant, and timely medical coding for anesthesiology services. This role involves auditing work, providing staff training, and implementing process improvements to maintain regulatory standards.
Responsible for collecting outstanding accounts receivable from patients and third-party payers. Duties include following up on insurance claims, processing appeals, and researching patient accounts for adjustments.
