Medical Billing & Credentialing Specialist

Only experienced Billers need apply. This is not an entry-level or trainee position.

Cleveland Kidney & Hypertension Consultants is a small medical practice known for taking excellent care of our patients and having a great staff!

We have an immediate opening for an experienced full-time Billing and Credentialing Specialist. This position is responsible for submitting charges to insurance companies, processing Medicare, Medicaid, and private insurance payments and takebacks, denials and rejections; verification and collection of unpaid claims; and account follow-up.. The successful candidates will have at least 3 years of healthcare billing in a busy office and have worked with insurance web portals and Availity. Experience with credentialing is a plus but we are willing to train on the job if you have tech savvy.

Some of the duties include, but are not limited to:

• Run claims tracking reports and follow up

• Review rejected and denied claims and do what’s necessary to get them paid

• Verification of all benefits eligibility including Medicare and Private Insurance

• Provide Additional Documentation Requests

• Know the rules for adding modifiers and the order of CPT codes

• Prepare Denials and Rejection reports weekly for Supervisor

• Submit charges and work rejections

• Credentialing providers with insurance companies and hospitals

• Enter office and weekend call schedule on the company calendar

• Process payments from insurance companies and review low payments

Required Skills:

• Experience in medical billing and claims processing

• Attention to details.

• Fast keyboarding skills

• Very meticulous about documenting your work on the computer, not on paper

• Accuracy with data entry.

• Computer skills (email, Word Excel spreadsheets, etc.).

• Enthusiastic.

• Good at multitasking, and teamwork

• Ability to start working immediately.

• Reliable

• College degree or some college with experience is a plus.

• CDCA not required

• Nice to have experience: RSL, EPIC, Availity, Google Calendar, gmail

Only experienced Billers need apply. These are not entry-level or trainee positions. We offer excellent pay with benefits and a updated professional work environment.

We believe your success is our success, so you will have our full support!

Email resume today to Jan at ckhcjd@gmail.com

Job Type: Full-time

Benefits:

401(k)

Health insurance

General Schedule, with some flexibility::

Monday - Thursday. 8-4, Fridays 8-12,

Work Location: Private Office in Euclid, Ohio near Richmond Rd/260th Street and Euclid Ave.

Work is in our nice office.

You must have a reliable car with a commute of less than 40 mintues.