What are the responsibilities and job description for the Credentialing Coordinator position at Vanguard Staffing?
A large, multi-specialty surgical group in Westchester is seeking an Accounts Receivable / Credentialing Representative on a temp-to-hire, or direct hire basis. This position will be fully onsite, Monday through Friday, 9am - 5pm. Our client is seeking candidates who have experience with Provider Credentialing and will provide training on their Accounts Receivable functions.
RESPONSIBILITIES :
- Serving as a liaison between practice, credentialing company, and new / current providers; obtaining all necessary information to complete insurance credentialing, current hospital credentialing / privileges and re-credentialing status, ensure applicable fees and permits are issued and kept current, submit current malpractice liability certificates
- Organize, file, maintain detailed records of all credentialing and receivables information in designated drives, EMR, and / or other systems
- Analyze EOB information, co-pays, deductibles, co-insurance, contractual adjustments, underpayments and denial reasons.
- Review, follow up and respond to inquiries via email, phone or incoming correspondence in a timely manner to resolve outstanding balances, patient complaints or questions regarding the billing process
- Review patient account balances to ensure all patient payment are applied appropriately.
REQUIREMENTS :
