Medical Billing and Credentialing Specialist – Athena Proficiency
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Job Description
Medical Billing & Credentialing Specialist supporting financial and administrative operations at a healthcare practice. Ideal for a detail-oriented healthcare professional experienced in billing and credentialing.
Responsibilities:
- Manage the full medical billing and Revenue Cycle Management (RCM) process
- Monitor and follow up on aging Accounts Receivable (AR) and outstanding claims
- Investigate and resolve claim denials, payment discrepancies, and reimbursement issues
- Verify patient insurance eligibility and benefits
- Complete provider credentialing and recredentialing processes
- Maintain accurate billing, credentialing, and provider records within Athena
- Communicate with insurance companies regarding claims, credentialing, enrollments, and payment issues
- Maintain accurate documentation within the practice management system
- Support additional healthcare administrative tasks as needed
- Ensure compliance with HIPAA regulations and medical billing best practices
Requirements:
- Minimum 3 years of experience in medical billing, Accounts Receivable (AR), and provider credentialing
- Strong understanding of the complete Revenue Cycle Management (RCM) process
- Hands-on experience using Athena
- Proven experience resolving denied claims and managing aging AR
- Excellent verbal and written English communication skills
- Ability to work independently with minimal supervision
- Strong organizational, analytical, and time-management skills
- High level of accuracy and attention to detail
Benefits:
- Fully remote position
- Opportunity to grow into a full-time role with a growing healthcare practice
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