Medical Biller & Credentialing Specialist Job at Clinical Professional Connections, Clearwater, FL

VzRCWkF6VUdvQVEreGY2WWtTUVAvakVP
  • Clinical Professional Connections
  • Clearwater, FL

Job Description

Seeking a full time AR/Medical Billing and Credentialing Specialist.

AR/Biller

 
  • Gather and verify invoices for appropriate documentation prior to payment.
  • Maintain accounts receivable records to ensure aging is up to date, credits and collections are applied, uncollectible amounts are accounted for, and miscellaneous differences are cleared.
  • Perform daily cash management duties, including the recording of bank deposits, updating and distribution of cash receipt logs, and posting of cash to the accounts receivable sub-ledger.
  • Monitor and collect accounts receivable by contacting clients via telephone, email, and mail.
  • Prepare analytical and ratio analyses relevant to A/R so management can gain a better understanding of how collection efforts are progressing.
  • Support other accounting and finance team members, inventory management, and cost accounting.
  • Prepare and submit charges to insurance; apply modifiers as needed for correct coding, assign ICD10 codes in proper sequencing.
  • Review claim payments for appropriate levels of reimbursement and identify inaccurate claims processing decisions by insurance companies.
  • Perform various claim collection actions including correcting and resubmitting claims to third party payers, contacting payers for claim status, and prepare appeals as needed.
  • Participate in educational activities and monthly staff meeting
Credentialing Specialist

Our Credentialing Specialists ensure healthcare providers meet the necessary qualifications and credentials required for practice. This involves verifying professional licenses, education, training, and relevant certifications. Liaise with medical boards, insurance companies, and healthcare facilities to complete credentialing applications accurately and efficiently. Maintain credentialing databases, track expiration dates, and facilitate the renewal process to ensure ongoing compliance. Attention to detail, knowledge of healthcare regulations, and strong organizational skills are vital in this role to uphold quality standards and ensure providers are credentialed to deliver patient care. 

Qualifications:

 
  • Bachelor's degree in Healthcare Administration or Associate’s Degree or related field
  • Minimum of 2 -5 years of experience in medical Billing and Credentialing
  • Strong attention to detail and organizational skill
  • Excellent communication and interpersonal abilities
  • Proficiency in Microsoft Office and eClinical Works software
  • Knowledge of credentialing standards and regulations

Job Tags

Full time,

Similar Jobs

Visiting Angels of VA

PCA, NA, CNA Job at Visiting Angels of VA

 ...(NA) Personal Care Aide (PCA) Certified Nursing Assistant (CNA) Caregiver Benefits: Incentive Retention Program : Earn EXTRA money! Supplemental Aflac insurance, and a401k program Offers FREE Continuing Education Units valid towards maintaining your... 

We Travel Smarter

Virtual Vacation Planner Job at We Travel Smarter

 ...We are seeking a Virtual Vacation Planner to join our team! You will be responsible for booking incredible trips for corporate and leisure clients worldwide. This position is ideal for travel enthusiasts who enjoy helping others plan their dream vacations. Planners handle... 

Optimum Source Inc.

Full Stack PHP Laravel/VueJS Developer Job at Optimum Source Inc.

 ...Nucleus is actively looking for a skilled and experienced full stack developer. As we build our custom SaaS platform, we are looking for a...  ...customers and our team. Location This is a full-time, remote position; candidates should be eligible to work in one of the following... 

Coachella Fitness Concepts

Yoga Teacher - YogaSix La Quinta Job at Coachella Fitness Concepts

 ...Yoga Teacher for Vinyasa-Based Heated Yoga & Sculpt Studios in La Quinta and Palm Desert (in-person classes). Our yoga teachers are dedicated to their growth, taking their teaching to the next level, and are part of an amazing group of teachers that is changing lives... 

Gregory Poole

Shop Technician - Caterpillar Industrial Engine Job at Gregory Poole

 ...restore the engine to the proper operation. This is not limited to Caterpillar engines only. This would include other OEMs such as Cummins, John Deere, etc. ESSENTIAL DUTIES: Review the work schedule, check the equipment and supplies required to perform the work scheduled...