Billing & Credentialing Specialist

Job Description

We are seeking an energetic, dedicated person to fill a Billing and Credentialing Specialist position.

The Billing & Credentialing Specialist is responsible for managing the day-to-day activities relating to revenue cycle functions and coordinating all aspects of the credentialing and recredentialing process for payers and providers.

The primary responsibilities of this position are:

Billing, collections, accounts receivables and financial planning for patients

Develop and implement strategies to bill medical claims, process payments, minimize bad debt, improve cash flow, and manage the overall health of receivables

Verify lab charges are captured

Review and resolve ‘Missing Slips’ Athena bucket

Review and submit denials and appeals from payers

Verify and resolve patient insurance eligibility issues

Speak with patients and answer questions relating to their billing or insurance (ex. GAAP)

Review chart documentation for correct coding and missed revenue opportunities

Review patient accounts receivable for large balances

Oversee patient account collection processes

Communicate and educate providers and staff regarding coding and documentation guidelines

Credential new providers and re-credential current providers with facilities at which they hold privileges

Complete credentialing applications to add providers to payers

Demonstrate and promote positive internal and external customer service standards

*Please note that this is not an all-inclusive list of the responsibilities of the position.

Qualifications and Skills

Familiarity with Athena billing practices

CPB Certification preferred

Exceptional customer service and critical thinking skills

Five years of experience working in a health care environment preferred

Ability to work collaboratively with multiple health professionals in a busy and complex environment using tact and diplomacy

Ability to defuse tense situations through diplomatic problem-solving

Ability to operate computer and other office equipment

What we can offer:

Competitive compensation plans.

Competitive medical, dental, and vision plans

Generous paid time off

401k Retirement Plan with a company match

Relocation Assistance

Tuition Reimbursement

Excellent work/life balance schedules

Physical Job Requirements:

Frequent long periods of standing, bending, stooping, walking, sitting

The ability to lift up to 30 lbs.

Reasonable accommodations may be made for individuals with disabilities

Liberty Administrative Services, LLC provides an inclusive and safe environment for all applicants and employees. Liberty Administrative Services, LLC treats all individuals equally without regard to race, color, religion, sex (gender identity, gender expression, transgender), sexual orientation, age, pregnancy, parenthood, marital status, national origin or ancestry, citizenship status, disability, military status, genetic predisposition or carrier status or any other impermissible factor according to applicable law.

For applicants in need of assistance or special accommodations for any part of the application process because of a medical condition or disability, please send an email to to let us know the nature of your request.

PI292b87737989-25405-35614906

Full-time