Specialist I, Finan Cred

ApolloMD; Atlanta (GA); On-site; USD 45,000 - 65,000; Full time

Job summary

ApolloMD is seeking a Credentialing Specialist to manage enrollment for providers across multiple payers. The role focuses on maintaining complete documentation, ensuring accurate submissions, and coordinating with the A/R team to update credentialing status.

Strong communication and organizational skills are essential to minimize delays. Responsibilities include maintaining Salesforce records for credentialing, submitting timely applications, and ensuring provider billing numbers are issued

Qualifications

• Excellent written and verbal communication required.
• Strong organizational skills and ability to multitask with accuracy.
• Excellent attention to detail and ability to meet deadlines.
• Experience with credentialing or billing workflows is a plus.

Responsibilities

• Maintain enrollment records and documents for assigned providers.
• Evaluate provider enrollment applications for completeness and accuracy.
• Troubleshoot enrollment issues and inform supervisor of potential billing delays.
• Communicate with A/R to relay credentialing status or changes.
• Submit enrollment applications before first date of service where required.
• Announce provider numbers within 24 hours of receipt.

Skills

Communication skills

Organizational skills

Multitasking

Attention to detail

Education

High School Diploma or equivalent

Tools

Salesforce

Job description

Responsible to Facilitate and maintain all the enrollments of all assigned providers with various payers required for billing purposes for ApolloMD.Maintain a positive and productive relationship with various payers and provider reps to ensure enrollment is initially accomplished and subsequently maintained.Address any credentialing related billing denials in a timely and efficient manner.Must have great communication skills, strong organizational skills, and can multitask.Correspond with the A/R Department to obtain information or inform them of credentialing status or changes.Maintain records of applications, documents, and approval/revalidation letters pertaining to assigned providers’ enrollment.Evaluate information on applications to verify completeness and accuracy.Troubleshoot any enrollment issues that may arise for assigned providers.Keep supervisor abreast of any enrollment issues which may affect a provider’s billing numbers.Ensure all provider enrollment applications are submitted for any payer requiring submission before the first date of service.Make sure all enrollment applications are submitted timely to ensure a correct effective date.Follow up in a timely manner to avoid delays in obtaining provider billing numbers.Announce provider numbers within 24 hours of receiving the number or the next business day.Ensure all provider enrollment applications are submitted within two weeks or less after obtaining the financial signature pages.Possibly working queues within Athena Collector if promoted to a higher tier.Essential Job ResponsibilitiesMaintain records of applications, documents, and approval/revalidation letters pertaining to assigned providers’ enrollment.Evaluate information on applications to verify completeness and accuracy.Troubleshoot any enrollment issues that may arise for assigned providers.Keep supervisor abreast of any enrollment issues which may affect a provider’s billing numbers.Ensure all provider enrollment applications are submitted for any payer requiring submission before the first date of service.Make sure all enrollment applications are submitted timely to ensure a correct effective date.Follow up in a timely manner to avoid delays in obtaining provider billing numbers.Announce provider numbers within 24 hours of receiving the number or the next business day.Ensure all provider enrollment applications are submitted within two weeks or less after obtaining the financialsignature pages.Organize and maintain Salesforce with credentialing statuses and payor numbers.High School Diploma or equivalentGreat communication skills, strong organizational skills, and ability to multitask.Financial Credentialing Experience 0-2 YearsStrong written & verbal communication skillsAbility to multitask with accuracyExceptional attention to detailAbility to set and consistently meet deadlines and commitment