Current jobs related to Credentialing Coordinator I - Clemmons, North Carolina - EMS Management & Consultants

Company Overview:

EMS Management & Consultants specializes in comprehensive revenue cycle management solutions, focusing solely on emergency medical services across the United States. Our offerings encompass a wide range of services, including software, hardware, and billing solutions, all tailored to meet the unique needs of our clients.

With over 25 years of dedicated service, we pride ourselves on delivering exceptional results and a client-focused approach that prioritizes patient satisfaction. Our commitment to customization allows us to provide innovative financial services that enhance the efficiency of EMS systems.

Position Summary:

The Credentialing Coordinator I plays a crucial role in maintaining accurate licensing, banking, and credentialing information for both new and existing clients. This position is essential for ensuring the proper submission of claims to federal and commercial payers, as well as facilitating the receipt of payments and remittances. Collaboration with Account Managers, Accounts Receivable Specialists, and Data Management personnel is key to success in this role.

Key Responsibilities:

• Document application statuses and collaborate with Client Relations and team members to meet deadlines.
• Assist in new client onboarding by performing tasks such as updating provider demographic data and setting up EDI, ERA, and EFT.
• Manage and track W9 requests from clients and internal teams, ensuring accurate provider addresses with payers.
• Process and monitor enrollment applications for existing clients, addressing changes in legal business names, addresses, tax identification numbers, and banking information.
• Handle revalidation applications for existing clients promptly and accurately.
• Process ambulance licensing paperwork in a timely manner.
• Support internal team member access and maintain company/client profiles for various payer websites and clearinghouses.
• Conduct all tasks with professionalism, respect, and a positive attitude, adhering to compliance policies and regulations.
• Promote the company mission and values consistently.
• Identify areas for improvement and provide constructive feedback to management and clients.
• Respond to inquiries from internal team members, clients, and third parties via phone and email, maintaining dedicated communication channels.
• Participate in relevant meetings, committees, and special projects as needed.
• Perform additional duties as assigned by leadership.

Qualifications:

• High school diploma required.
• At least one year of experience in healthcare billing preferred.
• Strong verbal and written communication skills, with the ability to build and maintain effective relationships.
• Excellent listening, decision-making, and critical thinking abilities.
• Proactive communication skills with clients and internal departments.
• Ability to meet deadlines with a strong sense of urgency.
• Professional demeanor in all interactions.
• Knowledge of Medicare, Medicaid, insurance, and other payment methods.
• Understanding of HIPAA and compliance practices.
• Ability to multitask and manage time effectively.
• Team-oriented with a focus on achieving results.
• Open to giving and receiving constructive feedback.
• Adaptable to changes in the work environment and job duties.
• Highly organized with strong attention to detail.
• Proficient in Microsoft Office applications.

Preferred Skills:

• Associate's degree or higher.
• Experience in healthcare credentialing within various healthcare settings.
• Familiarity with medical-legal issues and regulatory standards in the healthcare industry.
• Prior experience in EMS billing is advantageous.
• Comfortable in a general office environment with basic office equipment.
• Flexibility to work extended hours as needed.

Remote Work Requirements:

• A quiet and distraction-free home office environment.
• A secure internet connection with adequate speed for work tasks.
• Workspace must accommodate all necessary equipment and materials.

EMS Management & Consultants is an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage individuals from all backgrounds to apply.