Medical Billing/Credentialing Specialist

Job Description

Job Description

Salary : $18.00-$23.00

Job description

Silver Linings is looking for an Medical Billing Specialist to join our successful team of professionals. We are specifically seeking someone that brings a positive can-do and professional customer-service attitude to our team.

If you are interested in expanding your horizons by joining a growing and thriving company, then we want to talk to you today!

Essential Functions and Job Duties

• Perform insurance verifications (Medicare and commercial payers).
• Post payments and electronic remints into EMR system (Integrity Check Point).
• Input manual remits, complete 1500 forms and / or initial filings as needed.
• Research and resubmission of denied claims and / or partial payments.
• Submitting claim appeals as needed.
• Making outbound calls to insurance companies, clients and referral sources as needed.
• Works with clients, Therapists and office staff with billing provider and credentialing matters.
• Helps the front office with referrals as needed including but not limited to, communicating estimated client financial responsibility to clients / POA’s, admin staff and providers as needed.
• Prepare and send invoices and statements for clients.
• Ensure all existing and new Therapists and provider enrollment and credentialing clients are appropriately credentialed with necessary payors, including renewing credentialing contracts with Medicare / Medicaid and commercial payers.

Knowledge, Skills, and Attributes

• Knowledge Medicare and commercial payers
• Ability to read and understand an EOB / RA.
• Proficient in navigating multistep processes with a high attention to detail in a fast and consistent manner.
• A strong commitment to managing client accounts.
• A complete understanding of HIPPA.
• Ability to work effectively in a deadline-driven, multi-priority environment; exhibit consistent usage of effective time management skills and appropriate resource management.
• Ability to relate well with all types of people, attentive and active listener; patience to hear others out and build rapport with respect and diplomacy;

ability to effectively manage change and support and promote acceptance; encouraging, motivating, clear and effective communicator.

Ability to think on their feet while working independently and as a team member.

Experience and Preferred Skills

Minimum of two years of experience in medical billing, credentialing and provider enrollment preferred.

• Associate degree or equivalent experience (preferred).
• Previous experience with insurance / payor contracts managing and maintaining contracts highly preferred.
• Previous experience with MS-Office (Word, Excel, etc.).
• Previous experience EMR / EHR.
• Ability to work in an office environment full-time in Cary, NC.
• Must speak and write fluent English.

This position provides room or advancement for the right professional!