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

About EMS|MC

EMS|MC specializes in comprehensive revenue cycle management solutions, serving as the foremost billing services provider dedicated solely to emergency medical services across the United States. Our offerings encompass a wide range of services, including software, hardware, and billing solutions, ensuring a seamless experience for our clients.

With over 25 years of experience, we pride ourselves on delivering exceptional service, measurable results, and a client-focused approach that has established us as leaders in professional EMS billing. Our commitment to patient satisfaction and tailored client solutions underscores our mission to provide innovative financial services that support an efficient EMS system.

Why Choose EMS|MC:

• Opportunities for career advancement and participation in employee resource groups
• Regular wellness seminars to promote health and well-being
• Comprehensive benefits package, including medical, dental, vision, and life insurance
• Flexible remote work options
• All necessary equipment provided for your role

We recognize and reward your contributions in a challenging environment that offers clear guidance for success and opportunities for professional growth.

Position Type: Full-time

Remote Work: Available within the USA

Role Summary:

The Credentialing Coordinator I plays a vital role in maintaining accurate licensing, banking, and credentialing information for both new and existing clients. This position is essential for ensuring that claims can be submitted correctly to federal and commercial payers, as well as clearinghouses, and that payment processes are established effectively.

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 provider addresses are accurate with payers
• Process and monitor enrollment applications for existing clients due to changes in legal business names, addresses, tax identification numbers, and banking information
• Handle revalidation applications for existing clients promptly and accurately
• Manage ambulance licensing paperwork efficiently
• Support internal team member access and company/client profiles for various payer websites and clearinghouses
• Conduct all tasks with professionalism, respect, and adherence to company compliance policies and applicable regulations
• Demonstrate and uphold the company mission and values consistently
• Identify issues and provide constructive feedback and suggestions for improvement to management and clients
• Respond to inquiries from internal team members, clients, and third parties via phone and email; maintain dedicated payer relations email and workflow
• Participate in relevant meetings, committees, and special projects as required
• Perform additional duties as assigned by leadership

Qualifications:

• High school diploma or equivalent
• At least one year of experience in healthcare billing
• 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 with clients and internal departments
• Strong sense of urgency and commitment to meeting deadlines
• Professional demeanor in all interactions
• Knowledge of Medicare, Medicaid, insurance, liability, and other payment methods
• Understanding of HIPAA and compliance practices
• Ability to manage multiple tasks and prioritize effectively
• Collaborative mindset to achieve results
• Willingness to accept and provide constructive feedback
• Adaptability to changes in work environment and procedures
• Highly organized with attention to detail
• Ability to work well in both team settings and independently
• Proficiency in Microsoft Office applications

Preferred Skills:

• Associate's degree or higher
• Minimum of one year of experience in healthcare credentialing
• Familiarity with the healthcare and credentialing industry, including regulatory agencies and standards
• Prior experience in EMS billing is advantageous
• Comfortable in a general office environment
• Ability to perform tasks involving typing, sitting, standing, walking, and some light lifting
• Experience with basic office equipment such as computers, fax machines, printers, copiers, and telephones
• Flexibility to work extended hours as needed

Remote Work Requirements:

• A quiet, distraction-free workspace at home
• A secure internet connection with a minimum download speed of 20 Mbps and upload speed of 10 Mbps
• A workspace that accommodates all necessary equipment and provides adequate surface area for productivity

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

*Please note that our hiring process typically involves multiple interviews.*