Medical Billing Clearinghouse and Credentialing Specialist

We are seeking a detail-oriented and highly organized team member with expertise in ERA/EFT processes as well as payer credentialing to play a critical role in managing clearinghouse operations and ensuring client carrier compliance. Join Healthcare Revenue Group (HRG), a thriving medical billing and credentialing company located in Overland Park, KS, as we expand our team.

Responsibilities:

• This is an on-siteposition
• Facilitate the enrollment and implementation of ERA/EFT processes for healthcare providers with insurance payers
• Monitor and maintain accurate ERA/EFT records, ensuring timely updates to payer agreements and provider information
• Perform and manage enrollments, re-credentialing, and execute new contract applications with commercial and government health plans on behalf of our diverse client base
• Monitor application progress and proactively follow up as required to ensure timely completion
• Possess comprehensive knowledge of managed care company and plan requirements for efficient credentialing of providers
• Effectively communicate the contracting and enrollment process, addressing client staff inquiries and providing regular status updates to clients and internal stakeholders
• Perform CAQH maintenance for providers, both new enrollments and ongoing updates
• Handle clearinghouse set-up and enrollments
• Maintain and secure insurance website and clearinghouse access credentials
• Be self-motivated to accomplish tasks
  
  

Required Qualifications:

• Demonstrated excellence in organization and follow-up skills
• Strong project management abilities, capable of handling multiple applications and collaborating with payers to meet enrollment deadlines
• Self-motivated and able to work independently while diligently monitoring progress
• Exceptional customer service and communication skills
• Profound understanding of managed care companies, plans, and managed care network concepts
• Minimum of 2 years experience in medical credentialing. Experience in Provider Enrollment strongly preferred
• Minimum of 2 years of experience in medical billing, clearinghouse operations, or ERA/EFT management
  
  

Why Choose HRG:

• Competitive wages: $20-$25/hr commensurate with experience
• Half dayFriday from home option (after 90 days, work 4 9 hour days in office, then half day Friday from home)
• Comprehensive benefits package
• Health insurance
• Dental insurance
• Vision insurance
• Short-term/long-term disability
• Life insurance
• 401(k) with company match
• 3 weeks PTO
• Potential for impactful responsibilities and career advancement
• Job autonomy with a focus on professional growth
• Enjoy a collaborative and friendly team environment
  
  

If you are seeking a fulfilling career opportunity in Revenue Cycle Management, HRG is the place for you! Apply now to become a valuable part of our esteemed team.

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