Revenue Cycle Credentialing Specialist

Revenue Cycle & Credentialing Specialist

(Medical Billing, Contracts & Compliance)

Full-Time | Greater Houston Area

X-Ray Mobile Texas (XRMT) provides mobile X-ray, ultrasound, EKG, and laboratory services directly to homes, facilities, and corporate partners across Greater Houston. We are trusted for our speed, diagnostic accuracy, compassionate patient care, and rigorous compliance standards.

XRMT operates across hospice networks, senior living facilities, hospitals, industrial partners, and private-pay patients — requiring a billing and credentialing function that is both technically excellent and operationally reliable.

The Revenue Cycle & Credentialing Specialist owns the end-to-end financial, payer, and facility enablement lifecycle at XRMT.

This role goes beyond traditional medical billing. In addition to managing coding, claims, payments, and AR, this position is responsible for:

• Facility, hospice, and corporate billing relationships
• Provider and payer credentialing maintenance
• Contract support and documentation
• Compliance documentation, surveys, and insurance certifications

This role ensures XRMT can legally, credibly, and efficiently bill and operate across all payers, facilities, and partners — without revenue leakage or compliance risk.

The position works daily within eTactics, Emergent Connect, Quick Books, Square, and Rapid Rad, and collaborates closely with dispatch, operations, and leadership.

• Review imaging and diagnostic documentation to ensure accurate, compliant coding.
• Assign ICD-10, CPT, and radiology-appropriate procedure codes with precision.
• Validate documentation completeness prior to claim submission.
• Stay current on coding changes, CMS updates, and payer-specific billing rules.

• Submit clean claims through eTactics and payer portals.
• Monitor claim status, resolve rejections and denials, and submit corrections promptly.
• Manage Medicare, Medicaid, commercial insurance, hospice, and facility claims.
• Escalate unresolved or systemic payer issues with documentation and recommendations.

• Post EOBs and payments accurately in Quick Books.
• Reconcile insurance payments, patient payments, and facility payments.
• Maintain accurate AR tracking and aging reports.
• Identify underpayments, discrepancies, or missing remittances and resolve them with payers.

• Generate Square invoices for private-pay patients, facilities, and corporate clients.
• Manage recurring and multi-patient facility billing cycles.
• Apply approved pricing structures, discounts, and contractual terms.
• Maintain clear billing histories for audits, disputes, and leadership review.

• Create, organize, and maintain billing-related documentation for:
  • Hospice contracts
  • Facility service agreements
  • Corporate and industrial partners
• Track contract terms that impact billing, pricing, or payer submission.
• Support leadership with renewals, updates, and documentation requests.

(Legal negotiation is not required, but operational contract ownership is.)

• Maintain active credentialing for XRMT with all required:
  • Medicare and Medicaid programs
  • Commercial payers
  • Facility and hospice networks
• Track credentialing expirations, renewals, and revalidations.
• Maintain credentialing records for XRMT medical staff and providers.
• Ensure XRMT remains eligible to bill and operate without interruption.

• Respond to billing-, credentialing-, and compliance-related inquiries from:
  • Facilities
  • Hospices
  • Payers
  • Regulatory bodies
• Support annual surveys, audits, and payer reviews.
• Issue Certificates of Insurance (COIs) to facilities and ordering partners as required.
• Maintain organized, audit-ready records related to billing, insurance, and compliance.

• Serve as the primary point of contact for billing and insurance inquiries.
• Communicate clearly with patients, facilities, payers, and internal teams.
• Partner with dispatch and admin staff to…