Medical Billing & Credentialing Specialist

position available

position: medical billing & credentialing specialist
reports to: director of finance
position to be filled: january 12, 2026
position type: full-time, bargaining
location: on-site, parma, oh
starting salary: $37,599 annually
hours: mon. – fri., 8:30 a.m. To 4:30 p.m.

vaccine policy: all new hires will need to meet vaccination requirements or request an exemption and submit a tb baseline as outlined in the ccbh vaccination policy.

• associate's degree in health information management technology or related field or two years of direct experience.
• minimum of three years of medical office and medical billing with collection experience. Or five years of experience (with hs diploma/ged), or one year of experience (with bachelor's degree), or no experience necessary (with master's degree).
• certified medical coder and certified medical insurance specialist credentials.
• ability to efficiently multi-task on a daily basis.
• strong knowledge of medical terminology, billing/collection processes, and insurance billing and coding (icd-10 and cpt).
• knowledge of local, state, and federal billing regulations and third-party insurance program requirements.
• proficiency with use of databases for data querying and reporting.
• proficiency with use of pc hardware & basic software (i.e., microsoft office), email, and office equipment (i.e., copier, fax, scanner, telephone, etc.).
• strong customer service, verbal and written communication skills, and organizational skills. Good interpersonal relationship skills including cultural sensitivity & competence.

• maintains up to date knowledge of third‑party billing procedures and regulations in accordance with hipaa, cms, the aca, etc. Leads the claims resolution process on behalf of the agency with third‑party providers. Provides assistance with the development, implementation and/or revision of policies/procedures governing ccbh's medical billing process.
• revises, corrects, and codes medical charges into the billing system. Enters/updates medical charges into billing system. Addresses and resolves billing discrepancies with third‑party providers.
• verifies insurance eligibility and level of benefit coverage for clients.
• reviews all medical claims for accuracy prior to submission to the medical claims clearinghouse for payment processing. Collaborates with third‑party providers to resolve claims issues on agency's behalf.
• assists with the updating and maintenance of the clinic fee schedule utilizing the cpt, hcpcs, and icd‑10 code databases.
• maintains up to date knowledge of the latest methods of data collection, coding, billing, collection, and claims submission. Serves as a resource to clinic staff related to the medical coding/billing process.
• receives and posts daily revenue from insurance carriers and direct client payments into the billing system and reviews and remedies any denials. Confers with the insurance carrier and/or clinic staff to resolve any discrepancies. Generates invoices to clients for balances owed.
• performs periodic reviews of ccbh contracts and agreements to ensure availability of the most current information for all medical insurance carriers, ccbh, and its providers. Consults with ccbh general counsel for contract approvals and collaborates with the relevant clinic supervisory staff.
• completes/updates provider enrollment credentialing and credentialing process. Maintains timely and accurate entry of provider data in caqh and all other required databases. Monitors expiring licensure, board and professional certifications, and other documents that expire for all providers and ensure timely renewals.
• collaborates with internal and external partners on special projects as assigned. Participates on internal and external subcommittees.
• develops and extracts reports from databases (i.e., ehr, etc.) for delivery to internal and external customers. Creates and runs regular reports for collections, billing, program statistics, etc. Gathers and organizes documents to satisfy client record audits or other reporting obligations.
• participates in public health emergency activities as needed.
• may be required to operate agency‑owned fleet…