Remote Medical Credentialing & Billing Specialist

Jobgether SRL; Australia; Remote; AUD 60,000 - 90,000; Full time

Benefits offered by this job

Fully remote work arrangement

Full-time employment

Standard business hours

Job summary

Jobgether SRL seeks a Medical Insurance Credentialing Specialist based in Australia to manage provider enrollment, credentialing, and medical billing operations in a remote healthcare environment.

You will coordinate with insurance payers, providers, and internal teams to ensure compliant documentation, timely claims processing, and accurate reimbursement, while monitoring credentialing timelines and payer policies.

Qualifications

• Two+ years in medical credentialing or billing
• Experience with multiple insurance payers
• Familiarity with CPT/ ICD-10/HCPCS coding

Responsibilities

• Prepare credentialing applications for providers
• Manage re-credentialing within timelines
• Submit accurate insurance claims
• Verify eligibility and coverage before submission
• Audit credentialing files for completeness and accuracy
• Maintain payer portals and credentialing databases
• Monitor denials and appeals, document follow-up

Skills

Insurance credentialing

Medical billing

Credentialing databases

HIPAA compliance

Attention to detail

Education

Healthcare administration degree or related

Credentialing/coding certification (advantage)

Tools

CAQH ProView

NPPES

Availity

EHR/billing software

Job description

Jobgether SRL seeks a Medical Insurance Credentialing Specialist based in Australia to manage provider enrollment, credentialing, and medical billing operations in a remote healthcare environment.

You will coordinate with insurance payers, providers, and internal teams to ensure compliant documentation, timely claims processing, and accurate reimbursement, while monitoring credentialing timelines and payer policies.