Medical Billing Credentialing Assistant EST

Overview

Bright Shadows Telepsychiatry Services is seeking a highly organized and detail-oriented Medical Billing & Credentialing Assistant to support both revenue cycle operations and provider credentialing processes within a growing multi-state behavioral health telepractice. This role is essential to maintaining accurate billing, timely reimbursement, payer enrollment compliance, and uninterrupted provider service delivery. The ideal candidate demonstrates strong attention to detail, confidentiality, follow-through, and the ability to manage multiple administrative workflows in a fast-paced remote healthcare environment.

• 401(k)
• Bonus based on performance
• Opportunity for advancement
• Training & development

• Medical Billing & Revenue Cycle Support
• Assist with submission of electronic insurance claims for psychiatric and therapy services.
• Review claims for accuracy, completeness, and coding compliance prior to submission.
• Post insurance payments, adjustments, and patient payments accurately.
• Monitor accounts receivable and aging reports, flagging unpaid or denied claims.
• Conduct insurance follow-up, resubmissions, and appeals as needed.
• Maintain clear documentation within the billing system and EMR.

• Support initial credentialing and recredentialing for clinical providers across multiple states.
• Prepare and submit payer enrollment applications (Medicaid, Medicare, commercial).
• Track CAQH profiles, licenses, certifications, and renewal deadlines.
• Maintain organized credentialing files and compliance documentation.
• Communicate with payers, providers, and internal leadership regarding credentialing status.

• Ensure adherence to HIPAA, payer regulations, and company policies.
• Maintain confidential handling of provider and patient information.
• Assist with audit preparation and compliance tracking.

• Generate billing and credentialing reports for leadership review.
• Support workflow improvements and process standardization.
• Assist with additional revenue cycle or compliance projects as assigned.

• High school diploma or equivalent required; medical billing, coding, or healthcare administration training preferred.
• 1–2 years of medical billing, credentialing, or healthcare administrative experience.
• Familiarity with CPT, ICD-10, and insurance claim processes.
• Experience with payer enrollment, CAQH, or credentialing workflows preferred.
• Strong attention to detail, organization, and time management.
• Ability to handle confidential information with professionalism.
• Proficiency in EMR systems, clearinghouses, Microsoft Office, and Google Workspace.
• Reliable internet connection and secure remote workspace.

• Experience in mental or behavioral health billing.
• Knowledge of multi-state telehealth credentialing requirements.
• Familiarity with denial management, appeals, and payer compliance.

This is a remote position.