The Contracting and Credentialing Coordinator manages provider enrollment, credentialing, and contracting processes with commercial and government payers. They serve as a liaison between providers, insurance carriers, and internal teams to ensure accurate documentation and timely network participation.
The Director of Business Development will own the full sales cycle for Procode AI's revenue cycle management services, targeting surgical practices and ambulatory surgery centers. This role involves proactive pipeline development, managing complex sales conversations, and building long-term relationships with healthcare decision-makers.
Provide first-level technical support for hardware, software, and account-related issues across various departments. Manage user accounts, assist with workstation deployment, and document resolutions while maintaining HIPAA and security standards.
The Authorizations Coordinator manages the end-to-end prior authorization and referral process by initiating, tracking, and following up on requests. They ensure accuracy in medical documentation, insurance verification, and communication with payers and providers to prevent delays in patient care.
Manage the strategy and financial performance of out-of-network claims qualifying for Independent Dispute Resolution (IDR). Oversee the full lifecycle of disputes, including eligibility assessment, evidence preparation, and payment reconciliation.
