Full Cycle Medical Biller with Credentialing Experience - Remote

Overview

An overview paragraph about the job

In Short

• Handle full-cycle medical billing: insurance verification, coding, charge entry, claim submission, denial management, payment posting, and collections.
• Assign CPT and ICD-10 codes based on provided documentation and practice-specific guidelines; conduct basic code research as needed.
• Manage nationwide provider credentialing and re-credentialing processes, ensuring compliance with NCQA, CMS, and payer-specific standards.
• Verify provider credentials, including licensure, education, board certifications, and malpractice history, and maintain updated records across systems.
• Submit and track payer applications and proactively manage expirations for licenses, DEA registrations, and insurance policies.
• Coordinate with internal teams to meet telehealth, hormone therapy, and controlled substance prescribing requirements.
• Communicate with providers and internal stakeholders to gather documentation, resolve discrepancies, and support timely onboarding.

Requirements

• Detail-oriented with experience in medical billing and credentialing.
• Strong understanding of CPT and ICD-10 coding.
• Knowledge of NCQA, CMS, and payer-specific compliance standards.
• Excellent communication skills for liaising with providers and stakeholders.
• Ability to manage multiple tasks and deadlines effectively.

Benefits

• Opportunity to work remotely.
• Competitive salary and benefits.
• Professional development opportunities.