Billing and Credentialing Specialist

Dr. MobiCare -

Job Summary

Seeking Billing and Credentialing Specialist to join our team! Responsible for credentialing new and current providers with Medicare, Medi-Cal and all other Insurance Plans, assisting with billing functions to obtain revenue and payment including maintaining account receivable reports according to our policy and procedure manual.

Responsibilities :

• Follow up on unpaid or denied claims, identifying and resolving billing discrepancies.
• Collaborate with healthcare providers, administrators, and insurance companies to obtain necessary documentation and resolve billing-related inquiries.
• Keep up-to-date with insurance policies, billing codes, and regulatory requirements to ensure compliance and accurate billing practices.
• Maintain and update provider credentialing records, ensuring compliance with credentialing guidelines and contract requirements.
• Process and submit provider credentialing applications to insurance companies, government agencies, and other relevant entities.
• Monitor provider enrollment status, track expiring credentials, and initiate the re-credentialing process as needed.
• Maintain a centralized database of provider credentialing information, ensuring confidentiality and accuracy.
• Collaborate with internal teams, such as billing, finance, and operations, to streamline processes and improve billing and credentialing efficiency.
• Stay informed about changes in billing and credentialing regulations, attending training sessions and conferences as necessary.

Qualifications :

Experience :

Minimum Experience Required : 2 years medical and institutional billing and accounts receivable. Knowledge of CPT codes and Medicare

Qualifications :

What We Offer :

When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically. This is a career destination for engaged, caring, passionate and talented people who want to make a difference. We are the leader in the development and management of comprehensive wound healing.

Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status or marital status.