The Credentialing Specialist is responsible for managing insurance credentialing, payer enrollments, and regulatory compliance related to healthcare plans and government programs such as Medicare. This person will ensure that all provider and organizational credentialing requirem...

The Client Coordinator processes cases using CMS portals, enters data into the database, and reviews eligibility, ensuring high-quality customer service and regulatory compliance. Responsibilities also include pulling and verifying medical records from external sites, uploading them, and handling client inquiries promptly via email.

Accurately assign ICD-10-CM/PCS codes for inpatient encounters, evaluate medical records for coding compliance, collaborate with documentation teams, and ensure timely recording of codes in health information systems.

Manage revenue cycle operations to ensure timely claims submission and denial resolution. Monitor accounts receivable reports, educate staff on insurance changes, and respond to billing inquiries to enhance customer service.