Jun 18, 2024

Medical Billing and Credentialing Specialist

  • MedEx Pro Solutions
  • Remote
Full Time, Part Time, Contract Other

Job Description

Job Title: Medical Billing and Credentialing Specialist

Location: Remote 

Job Type: Contract (1099)

We are in IMMEDIATE NEED of a dedicated and meticulous Medical Billing and Credentialing Specialist to join our dynamic team at MedEx Pro Solutions. As a specialist in both medical billing and provider credentialing, this remote contract position will play a crucial role in the financial and operational health of our medical practice clients by ensuring accurate billing processes and maintaining current provider credentials.

Responsibilities:

  • Medical Billing:

    • Submit and follow up on claims with health insurance companies to receive payment for services rendered by healthcare providers.
    • Manage the entire billing cycle, accurately inputting patient information, coding services, and procedures to ensure proper records and reimbursement.
    • Resolve billing issues and disputes with insurance companies and patients.
    • Prepare and submit billing reports and other financial documentation.
  • Credentialing:

    • Coordinate and manage all aspects of the credentialing and recredentialing process for medical providers.
    • Maintain up-to-date data for all providers in credentialing databases and online systems.
    • Ensure timely renewal of licenses and certifications.
    • Work closely with healthcare providers and various insurance entities to ensure that credentialing requirements are met.
  • General Duties:

    • Maintain strict confidentiality of patient, company, and provider information.
    • Stay informed about the latest industry trends and compliance requirements.
    • Assist with audits and accreditations.
    • Collaborate with other departments to streamline operations and improve service delivery.

Compensation:

  • This is a non-hourly, contract position where compensation is based on a profit-sharing model. This structure offers the potential for substantial earnings based on performance and results, providing an excellent opportunity for a motivated individual to significantly increase their income.

Qualifications:

  • Proven experience in medical billing and credentialing.
  • Strong understanding of medical billing processes including compliance and documentation.
  • Extensive knowledge of various Practice Management (PM) software systems. Candidates are required to list all PM software with which they have proficiency.
  • Knowledge of healthcare insurance and experience working with various insurance companies.
  • Proficiency in medical billing software.
  • Excellent organizational skills and attention to detail.
  • Strong communication skills and the ability to handle multiple tasks simultaneously.
  • Relevant certification (e.g., Certified Professional Biller (CPB), Certified Provider Credentialing Specialist (CPCS)) is preferred.

Why Join Us?

At MedEx Pro Solutions, we are committed to fostering a supportive and inclusive environment where our employees can thrive. We offer competitive compensation with a profit-sharing model and the flexibility of remote work.

Interested candidates, please submit your resume and cover letter to admin@medexprosolutions.com

Required Experience Level

Senior Level

Minimum Education

High School

Minimum Experience Required

2-4 years

Required Travel

No required travel

Applicant Location

US residents only