Job Description
Overview
The Credentialing Specialist is responsible for payer enrollments, revalidations, follow up issues with claim submissions, ERA retrieval, and eligibility issues.
You will be responsible for building and maintaining relationships with clients and potential business partners. This role requires an individual who understands the dynamics of client relationships, is comfortable representing the organization, and presenting information. EMS experience and/or knowledge or understanding of medical terminology is helpful, but not required. Strong technical knowledge is a plus.
The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Emergency Medical Products.
Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.
This position is on-site at our Chappaqua, NY office.
Salary range for this role is $50k-$60k based on experience.
Responsibilities
Organizational Impact:
In this role for Digitech, you are our brand ambassador for our clients and the patients that they serve. You impact your line of business by ensuring our current clients’ needs are addressed and issues are resolved, and that our organization is always represented in a professional manner.
Essential Duties and Responsibilities:
- Assist with onboarding of new clients
- Ensure all payer enrollments and revalidations are completed on deadline(s)
- Follow up on all claims issues and eligibility issues
- Build relationships with key client decision makers
- Act as a point of contact for assigned clients
- Assist all parties, both internal and external, with implementation issues and billing inquiries, if necessary
- Ability to navigate our software; learn how to run reports and see detail on our payment posting screen and pull up claims in the system
- Able to collaborate with all internal teams including project management and client relations teams, as well as the Billing department
Skills/Experience Required:
- EMS experience and/or knowledge or understanding of medical terminology preferred
- Able to organize and prioritize tasks in order to complete all work assigned, and report on each project’s progress and status
- Knowledge of lockboxes is preferred
- Knowledge of ticketing systems is strongly preferred
- Strong computer skills. Experience with MS Outlook, Word, Excel required
- Ability to learn new computer systems & software and understand workflows
- Ability to deal calmly and effectively with situations via telephone while maintaining and promoting a positive company image
- Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner.
- Excellent attention to detail and accuracy
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401 (k) Plan. EEO/M/F/Veterans/Disabled
Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.
