Job Description

Under the director of the Clinch Market Director, this position acts as the facility payroll, AP, and credentialing coordinator. As the payroll coordinator, this position oversees any payroll/Kronos issues for the employees in physician services. As the AP coordinator, this position processes all accounts payables in physician services. This position also works closely with the HSC credentialing department to obtain provider information for payer credentialing at the facility level.

Essential Functions:

Credentialing Responsibilities:
1. Obtain Provider CV from Market Manager
2. Compile credentialing packet to send to provider
3. Identify areas in packet for provider to complete
4. Prefill all applicable questions in credentialing packet prior to sending to provider
5. Provide a checklist with credentialing packet identifying all items that are required from provider
6. Send packet to provider preferably by email when possible or overnight when email is not acceptable
7. Maintain contact with provider on progress of packet completion and expected return date.
8. When packet is received review packet for completeness and follow up with provider for missing pieces.
9. Once packet is complete upload into TrackVia for processing 90 days or earlier prior to providers start date.
10. Review TrackVia daily for provider status with payers and requested information from provider enrollment.
11. Follow up with HSC when there are issues with providers who are seeing patients that have an insurance who the provider is not credentialed with to determine why there is a delay and what can be done to expedite the process.
12. Respond to requests from HSC for provider signatures, documents etc. within 24 hours when possible (i.e. provider not out of office)
13. Respond to requests from payers providing what information is requested within 24 hours when possible (i.e. provider not out of office)
14. Obtain copies of licensure / certifications and upload to TrackVia
15. Obtain copies of malpractice insurances and upload to TrackVia
16. Submit requests for payments of 4 providers’ malpractice and forward policy renewals to insurance for processing.
17. Assist providers with any concerns when necessary.
18. Assist Market Director / Regional Director with any concerns with providers credentialing status when needed.
19. Notify appropriate personnel / offices when provider is approved for a specific payer

Payroll Responsibilities
1. Review time edits on a daily basis for 180+ employees
2. Contact employees / supervisors for missed punches
3. Make corrections to time as needed
4. Monitor overtime hours and notify supervisors daily
5. Review payroll for completeness at the end of the pay period

Accounts Payable
1. Review received invoices
2. Process invoices with correct coding information prior to sending to Parallon
3. Submit invoices to Parallon for processing
4. Follow up with finance on delinquent account notices
5. Respond to vendor requests via phone/email

Reimbursement Request
1. Receive reimbursement information from providers / employees
2. Complete expense form, check request and provider related paperwork for processing
3. Send report to provider for signature
4. Once form is returned from provider / employee and administrative signature is obtained, send completed form along with contract to finance.
5. Field questions from providers on where payments are if they have not been received.

Monthly Reports
1. Compile data for outside referrals and forward to administration
2. Maintain provider information regarding reimbursement / allotted days and submit to administration for provider review.

Front Office
1. Assist front office with scheduling, insurance, collections, payment posting and patient questions
2. Review end of day balance sheets and reports for accuracy
3. Assist Market Manager with schedules for employees
4. Fill in for front office when no other staff is available
5. Make sure all collections are reconciled on a weekly basis and definitely by month end

Purchase Orders
1. Provide PO numbers for local offices
2. Enter purchase requests into GHX for PO numbers and issue approval to vendor once PO is received