Medical Billing and Credentialing Specialist

This is a remote position.

Full Time: 40 hours a week 

Working hours: M-F 8am -5pm  Central Time (Houston) 10:00pm - 7:00am Manila Time

Responsibilities:

• Process and submit medical claims to insurance companies.
  
• Verify patients' insurance coverage and obtain authorizations when necessary.
  
• Review patient bills for accuracy and completeness and obtain any missing information.
  
• Follow up on unpaid claims within standard billing cycle timeframes.
  
• Credentialing.
  
• Check each insurance payment for accuracy and compliance with contract discount.
  
• Resolve billing issues and respond to inquiries from patients and insurance companies.
  
• Prepare, review, and transmit claims using billing software.
  
• Maintain up-to-date knowledge of billing regulations and policies.
  
• Keep records of patient billing information and payment status.
  
• Collaborate with healthcare providers to ensure accurate and timely billing.
  

Requirements:

• Proven experience as a Medical Billing and Credentialing Specialist at least 2+ years
  
• Knowledge of insurance policies, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  
• Familiarity with medical terminology and experience with healthcare billing.
  
• Proficiency in medical billing software.
  
• Strong attention to detail and commitment to accuracy.
  
• Excellent communication and problem-solving skills.
  

• HMO Coverage
  
• Permanent work from home
  
• Immediate hiring
  
• Steady freelance job