Virtual Medical Biller & Credentialing Leader

Staffing For Doctors; Philippines; Remote; PHP 1,736,000 - 2,604,000; Part time

Job summary

Staffing For Doctors is seeking an experienced Virtual Medical Biller & Credentialing Specialist to support a mental health clinic, auditing an external billing vendor and driving revenue recovery, while leading credentialing across payors.

The role starts part-time (~20 hours/week) with a direct path to full-time as operations move in-house. Requires 3+ years US medical billing/credentialing, Availity mastery, CAQH, and remote work capability.

Qualifications

• 3+ years medical billing, coding & RCM experience.
• Mental health billing/credentialing experience required.
• Experience with Availity, Optum and Medicare portals.
• Ability to lead credentialing workflows and manage CAQH.

Responsibilities

• Audit external billing agency outputs and identify unbilled encounters.
• Clear backlog using payor portals and communicate with payors.
• Lead provider credentialing, CAQH management, and payor contracting.
• Ensure end-to-end credentialing and compliance.
• Prepare for full in-house transition.

Skills

Medical billing & RCM

Credentialing leadership

Availity mastery

California payer knowledge

Tools

OnlyMD EMR & Billing System

CAQH ProView

Payor portals (Availity, Optum, Medicare)

Job description

Staffing For Doctors is seeking an experienced Virtual Medical Biller & Credentialing Specialist to support a mental health clinic, auditing an external billing vendor and driving revenue recovery, while leading credentialing across payors.

The role starts part-time (~20 hours/week) with a direct path to full-time as operations move in-house. Requires 3+ years US medical billing/credentialing, Availity mastery, CAQH, and remote work capability.