Cody Armbrust

• Collaborate with multiple internal departments to ensure provider issues are resolved, including escalating outstanding items as appropriate.
• Work with providers of varying specialties to resolve problems including issues with claims, provider data management, and contracting.
• Continually research and stay up to date on latest Medicaid changes while paying particular attention to state specific changes.
• Interpret claims and provider contracts to ensure claims process accurately and in a timely manner, including appeals, denials, and retroactive payments.

• Solely responsible for the credentialing and privileging of over 50 Physical Medicine & Rehabilitation physicians, Advanced Practice Registered Nurses, and Physician Assistants.
• Guided credentialing, privileging, and payer enrollment during launch in
Largo/Tampa FL markets, adding over 18 new providers at 14 different facilities.
• Assisted with launch of telemedicine program in 4 new states, including onboarding of providers, facility credentialing, licensing, and payer enrollment.
• Negotiate contracts with insurance companies and help evaluate new territories for payer strategy.
• Implemented Modio credentialing platform which allowed for a two-week reduction in credentialing/privileging turnaround.