Specialist I, Finan Cred (58181)

Paycom; Atlanta (GA); On-site; USD 42,000 - 64,000; Full time

Job summary

Paycom is seeking an Enrollment Specialist to facilitate and maintain provider enrollments with multiple payers for billing purposes. You will ensure timely submissions before the first date of service and maintain credentialing records with accuracy.

Strong communication, organization, and multitasking are essential as you coordinate with A/R and payer representatives, troubleshoot enrollment issues, and track provider numbers in Salesforce.

Qualifications

• High School Diploma or equivalent.
• Excellent communication and organizational skills.
• Ability to multitask with accuracy.
• Exceptional attention to detail.
• Ability to meet deadlines consistently.

Responsibilities

• Maintain records of applications, documents, and approval/revalidation letters.
• Evaluate information on applications for completeness and accuracy.
• Troubleshoot enrollment issues for assigned providers.
• Keep supervisor on enrollment issues that may affect billing numbers.
• Ensure all provider enrollment applications are submitted before first date of service.
• Submit enrollment applications timely to ensure correct effective date.
• Follow up promptly to avoid delays in obtaining provider billing numbers.
• Announce provider numbers within 24 hours of receiving the number or next business day.
• Ensure all enrollment applications are submitted within two weeks after obtaining the financial signature pages.
• Organize and maintain Salesforce with credentialing statuses and payor numbers.

Skills

Great communication skills

Strong organizational skills

Ability to multitask

Education

High School Diploma or equivalent

Tools

Salesforce

Job description

Job Details

• Job Location: ATLANTA, GA 30328,
• 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 Responsibilities

• 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.
• Organize and maintain Salesforce with credentialing statuses and payor numbers.

Qualifications

• High School Diploma or equivalent
• Great communication skills, strong organizational skills, and ability to multitask.
• Financial Credentialing Experience 0-2 Years
• Strong written & verbal communication skills
• Ability to multitask with accuracy
• Exceptional attention to detail
• Ability to set and consistently meet deadlines and commitment