US Heart and Vascular

Manager

• Collect, verify, and maintain documentation for the credentialing and recredentialing of healthcare providers.
• Conduct background checks and review professional references.
• Ensure timely and accurate completion of credentialing applications, including CAQH, state Medicaid programs, Medicare PECOS, hospital medical staff offices, and commercial payer portals.
• Maintain up-to-date knowledge of state, federal, and accreditation requirements (e.g., CMS, NCQA, Joint Commission).
• Ensure compliance with organizational policies and credentialing standards.
• Maintain and update provider credentialing databases and tracking tools.
• Generate reports and track the status of credentialing and privileging applications with hospitals and health plans.
• Serve as a point of contact for healthcare providers regarding credentialing requirements, timelines, and status updates.
• Collaborate with clinical, administrative, and onboarding teams to facilitate seamless provider integration.
• Identify opportunities to optimize workflow in credentialing processes.
• Participate in training and development activities related to credentialing best practices.
• Assist in the coordination, preparation, and submission of payer enrollment forms, contract documents, amendments, and rate updates.
• Maintain contract documentation, payer correspondence, fee schedules, effective dates, and payment terms in centralized repositories.
• Track contract status across all practices, including renewals, expirations, delegated agreements, and participation changes.
• Support analysis of payer contracts, fee schedules, and reimbursement terms to identify gaps, discrepancies, or risks.
• Prepare summaries, comparison sheets, or redlines to support leadership decision-making and negotiation strategy.
• Collaborate with payers to resolve contract setup issues, enrollment errors, rate loading discrepancies, or network status delays.
• Assist in gathering utilization, rate, and policy information needed for contracting initiatives.
• Monitor payer policy updates, reimbursement changes, and regulatory requirements relevant to contracting work.
• Support cross-functional teams including Revenue Cycle, Operations, and Finance to ensure contract terms are operationally executable.
• Participate in payer meetings, contract implementation reviews, or special projects as assigned.

Credentialing & Contract Manager

Insurance

• Verify patient insurance benefits
• Explain insurance coverage and treatment costs and identify the need for any pre-authorizations
• Work with payers to obtain pre-authorizations necessary
• Advise patients of coverage, limitations and exclusions, co-insurance, deductible, special program requirements
• Communicate coverage, via electronic, phone, and in person communications
• Determine patient responsibility amounts in advance of the related procedures
• Serve as a Patient Advocate for patients when patients have difficulty navigating with their insurance company
• Communicate to management about pre-authorization requirements and any update any changes
• Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation
• Respond to a high volume of telephone inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes
• Meet positional metrics and benchmarks
• Maintain the highest degree of ethics when handling patient payments and bill processing
• Follow all department standard operating procedures carefully and accurately
• Other duties as assigned

Insurance Verification Specialist

Accounts Payable

• Actively participate in the accounts payable process from start to finish, including invoice processing, payment processing, and account reconciliation
• Process and verify invoices for accuracy
• Ensure timely and accurate payments to vendors and suppliers
• Maintain vendor relationships and negotiate payment terms
• Collaborate with other departments/practices to ensure accurate job costing and project accounting

Accounts Payable Specialist

Controller

• Oversee all accounting functions and ensure accuracy, completeness, and timeliness in accordance with US GAAP and internal policies
• Oversee general ledger, accounts payable, treasury, and cash management activities
• Maintain a robust system of internal controls and ensure processes are well-documented and consistently followed
• Lead month-end close, internal and external financial reporting, and the annual audit
• Plan and coordinate with external professionals for year-end audit, tax return preparation, and insurance policy renewals
• Provide accurate, timely, and insightful financial information to the Board of Directors, executive leadership, lenders, and operations team
• Partner with department leaders and operations team on financial performance, statistics, and budget variances
• Identify cost-saving opportunities and collaborate across departments to drive profitability
• Assist with annual budget, forecasts, ad hoc analysis, and strategic initiatives
• Continuously evaluate workflows, identify opportunities for efficiency, and lead process improvement initiatives
• Guide the team through change management to strengthen operational effectiveness and scalability
• Build, lead, and develop a high-performing accounting team; recruit, retain, and mentor staff
• Perform additional duties as assigned