Analyst, AR Credentialing

ApolloMD; Atlanta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

ApolloMD is a leading medical billing company supporting emergency, hospitalist, anesthesiology, and radiology services. This role focuses on reviewing and improving revenue cycle processes to accelerate cash collections and cleaner claim processing.

You will work with credentialing staff, analyze accounts receivable, and partner with IT to automate workflows, ensuring accurate provider credentialing and timely payer communications. This is a full-time, on-site position in Atlanta, GA.

Qualifications

• Experience in medical billing and credentialing is preferred.
• Ability to interpret Explanation of Benefits from insurer payments is a plus.
• Proficiency with Microsoft Office (Excel/Word).

Responsibilities

• Review and advise on all aspects of the revenue cycle within the billing system.
• Analyze accounts receivable to identify systemic opportunities and resolutions.
• Suggest ways to eliminate holds/tasks and streamline workflows.
• Collaborate with Credentialing staff to enhance billing workflows.
• Coordinate with IT to automate workflows and reduce manual tasks.
• Validate provider credentialing information and resolve credentialing issues with payers.

Skills

Medical billing

Credentialing

Data entry

Microsoft Excel

Microsoft Word

Athena Collector System

NaviNet

GAMMIS Portal

CAQH

Payspan

Change Healthcare

ProviderNet

VeriNet

Education

High School Diploma or equivalent

Bachelor’s Degree in Healthcare Administration or related field

Tools

Athena Collector System

NaviNet

GAMMIS Portal

CAQH

Payspan

Change Healthcare

ProviderNet

VeriNet

Job description

ABOUT APOLLOMDApolloMD is a leading Medical Billing company for Emergency, Hospitalist, Anesthesiology, and Radiology Medical services, conveniently located off I-285 in Sandy Springs. Currently serving approximately 1,000 physicians, we support the financial services for more than 2 million patients across the U.S. each year.Our mission is to maximize the efficiency and performance of our healthcare providers and deliver unparalleled billing and claim support to the patient. To achieve this, we implement leading-edge technology and provide our staff with the knowledge to be successful. As one of the nation’s largest and fastest-growing physician services provider, we offer a competitive salary, and benefit packages. This position supports PaymentsMD, the billing side of ApolloMD.PERFORMANCE EXPECTATIONSIn performance of their respective tasks and duties all employees of ApolloMD are expected to conform to the following:Uphold all principles of confidentiality and patient care to the fullest extent.Adhere to all professional and ethical behavior standards of the healthcare industry.Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.Possess cultural awareness and sensitivity.Execute and enforce all organizational policies.POSITION PURPOSETo review and advise on all aspects of the revenue cycle process as it pertains to the billing system. Communicate all findings and proposed solutions to enhance the organizations ability to accelerate and increase cash collections through cleaner claim processing.ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIESWork directly with Credentialing staff to enhance workflows within the billing system.Analyze the accounts receivables inventory to determine opportunities for systemic resolutions.Advise how the organization can eliminate or reduce the amount of holds/tasksWork with Athena to optimize workflows within the billing system.Work with IT to automate any workflows that can be to eliminate manual workflows.Validate provider credentialing informationManage provider workflow bucketsLocate and resolve trending denial codes for paymentsContact both government and commercial payers daily to resolve provider credentialing issuesThis is a full-time, non-exempt role.REQUIRED EDUCATION AND SKILLS:High School Diploma or equivalent required.Bachelor’s Degree in Healthcare Administration or related field a plus.Prior medical billing, credentialing, or data entry experience preferred but not required.Ability to interpret Explanation of Benefits from insurance carriers.Proficiency with Microsoft Office Excel and Word a plusAthena Collector System, NaviNet, GAMMIS Portal, CAQH, Payspan, Change Healthcare (formerly Emdeon) ProviderNet and VeriNet experience a plus.