U.S. Healthcare RCM​/Billing​/Credentialing​/Prior Authorization Specialist

Position: U.S. Healthcare RCM / Billing / Credentialing / Prior Authorization Specialist
Location: Davangere

BreakthruAI is a U.S.

-based healthcare administration company supporting medical clinics across the United States. We help clinics streamline revenue cycle and administrative operations, including medical billing, accounts receivable follow-up, credentialing, prior authorizations, referrals, and patient access support.

We are hiring experienced U.S. healthcare professionals to join our growing remote team.
Candidates may specialize in one or more of the following areas:
Medical Billing / RCM
Credentialing / Provider Enrollment
Prior Authorization / Referral Coordination

Responsibilities may include:
Charge entry and claim submission
Payment posting, ERA/EOB review, and manual posting
Accounts receivable follow-up and denial management
Insurance eligibility and benefits verification
Prior authorization submission and follow-up
Referral coordination and documentation follow-up
Provider credentialing, CAQH maintenance, payer enrollment, and recredentialing

Requirements:
Real experience working in U.S. healthcare operations

Experience with Medicare, Medicaid, and commercial insurance
Familiarity with clearinghouses, payer portals, and EHR/PM systems

Preferred experience:

Primary Care / Family Medicine
Internal Medicine
Surgery / Orthopedics / Pain Management
Mental Health / Psychiatry
Home Health Agencies
FQHC / Community Health Centers
Allergy / Cardiology / Nephrology
eClinical

Works, Athena, AdvancedMD, Office Ally, Kareo, DrChrono, Waystar, Availity, Change Healthcare, Cover My Meds , CAQH, PECOS, NPPES, and payer portals

Important:
Only candidates with real U.S. healthcare billing, credentialing, prior authorization, or revenue-cycle experience will be considered.