The Facility Credentialing Specialist manages initial and reappointment applications for healthcare providers while ensuring accurate documentation and timely submission. They serve as the primary point of contact for credentialing inquiries and maintain strong relationships with CVO and MSO partners.
The Certified Coder abstracts clinical information from medical records to assign accurate ICD-10 and CPT-4 codes for anesthesia services. They also review charge tickets for supporting documentation and assist the billing department with corrections and reporting.
The Coding Manager oversees the coding team to ensure accurate, compliant, and timely medical billing through training, auditing, and performance management. They are responsible for monitoring coding quality, implementing compliance policies, and providing guidance to providers regarding documentation standards.
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.
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.
