Remote Medical Credentialing & Billing Specialist

Jobgether SRL; Australia; Remote; AUD 70,000 - 100,000; Full time

Benefits offered by this job

Fully remote work

Full-time employment

Mon–Fri business hours

Develop expertise across credentialing

Collaborative cross-functional team

Regulatory compliance focus

Job summary

Jobgether SRL in Australia is seeking a meticulous Medical Insurance Credentialing Specialist to manage provider enrollment, credentialing, and billing in a remote healthcare setting. You will coordinate with payers, providers, and internal teams to ensure accurate documentation and timely reimbursements.

The role requires proficiency in credentialing, CPT/ICD-10 coding, and compliance with HIPAA and CMS rules, with the ability to work independently in a remote environment and maintain detailed

Qualifications

• Hands-on credentialing and billing experience with payer processes.
• Knowledge of CPT/ICD-10/HCPCS coding and payer policies.
• Familiarity with CAQH ProView, NPPES, PECOS, Availity, and payer portals.
• Strong attention to detail and regulatory compliance.

Responsibilities

• Prepare credentialing applications for new providers across payers and networks.
• Manage re-credentialing within timelines to prevent lapses.
• Submit accurate claims and resolve denials; monitor payments and adjustments.
• Maintain credentialing logs and payer portals; prepare management reports.

Skills

Medical credentialing

Medical billing

HIPAA compliance

Communication

Organization

Time management

Problem solving

Education

High school diploma or equivalent

Associate or bachelor's in healthcare administration or related field

Tools

CAQH ProView

NPPES

PECOS

Availity

EHR/medical billing software

Job description

Jobgether SRL in Australia is seeking a meticulous Medical Insurance Credentialing Specialist to manage provider enrollment, credentialing, and billing in a remote healthcare setting. You will coordinate with payers, providers, and internal teams to ensure accurate documentation and timely reimbursements.

The role requires proficiency in credentialing, CPT/ICD-10 coding, and compliance with HIPAA and CMS rules, with the ability to work independently in a remote environment and maintain detailed