Medical Billing​/Credentialing Specialist

Medical Billing / Credentialing Specialist

• Prepare and submit accurate claims to Medicare, Medicaid, and other insurance carriers.
• Monitor claim submissions, follow up on denials, and resubmit corrected claims as necessary.
• Verify patient insurance coverage and ensure compliance with Medicare and Medicaid billing regulations.
• Maintain detailed and accurate billing records within the EHR system.
• Investigate and resolve billing discrepancies promptly.
• Respond to insurance inquiries and requests for additional documentation in a timely manner.
• Generate and review monthly billing reports to ensure accuracy and completeness.
• Stay current on Medicare and Medicaid billing guidelines, regulatory updates, and policy changes.

Part-time W-2 employee position
, with scheduling based on your availability and organizational needs. Some flexibility in remote or hybrid work arrangements may be available.

• Proven experience in medical billing
  , with a focus on Medicare and Medicaid claims.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems.
• Proficiency in billing software and electronic health record (EHR) systems.
• Solid understanding of healthcare reimbursement processes and payer guidelines.
• Excellent attention to detail
  , analytical
  , and problem-solving skills.
• Certification such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or equivalent preferred.