Key Responsibilities: Manage AR calls, follow up on balances and denials. Ensure accurate claims submission. Handle denials, appeal claims, and resolve errors. Provide excellent customer service while maintaining financial confidentiality.
Role & responsibilities Hospital Privileging: Manage initial credentialing and re-credentialing applications for Doctors and hospital staff privileges. CAQH & Payer Enrollment: Maintain accurate provider profiles in CAQH , NPPES , and PECOS for government (Medicare/Medicaid) and commercial payer enrollment. Primary Source Verification (PSV): Verify provider credentials including education, board certifications, and work history directly with issuing bodies.