Credentialing and Billing Support Specialist
About The Position
Affinity Health Center is seeking a Credentialing and Billing Specialist that will work under the supervision of the Revenue Cycle Manager to maximize medical billing revenue for the agency, through effective credentialing management, to support the general functions of the Revenue Cycle Department. This position will manage internal credentialing and privileging documentation to comply with requisite policies for applicable professional staff, including medical, dental, and behavioral health licensed or certified staff. This position will also maintain comprehensive notebooks, files, records, and a dashboard of credentialing statuses. The Credentialing Specialist is expected to assist the Revenue Cycle Team with claim support, good faith estimates, and answers patients’ questions regarding AHC’s billing structure, along with implementing projects as directed pertaining to billing.
Requirements
- High School Diploma Required, Associates or Bachelor’s Degree Preferred
- 3-5 years experience in provider and site insurance credentialing; medical/ dental billing electronic claim filling; payment posting
- Valid Driver’s license preferred; reliable transportation required
Nice To Haves
- Certification in ICD-10 preferred
- Experience in FQHC preferred
Responsibilities
- Manage internal credentialing and privileging documentation
- Maintain comprehensive notebooks, files, records, and a dashboard of credentialing statuses
- Assist the Revenue Cycle Team with claim support, good faith estimates
- Answer patients’ questions regarding AHC’s billing structure
- Implementing projects as directed pertaining to billing
Benefits
- Fully Funded Health Insurance
- Paid Time Off
- Group Health/Life/Dental/Vision/Disability
- 403b Retirement Plan up to 3% match
- Training and education opportunities provided
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
