Billing & Credentialing Specialist: Drive Accurate Reimbursements

ADP, Inc.; Corpus Christi (TX); On-site; USD 40,000 - 55,000; Full time

Job summary

Pediatricz Now Primary Care, PLLC-CC in Corpus Christi, TX is seeking a Medical Billing and Credentialing Specialist. This role ensures accurate and timely billing, submits claims and ERA's, processes payments, and maintains financial records while coordinating with clinical and administrative teams.

Responsibilities include reviewing data, credentialing applications, maintaining provider profiles, and communicating with payors and clients.

Qualifications

• 1–3 years of medical billing experience.
• High school diploma or equivalent.
• Billing certification is a plus.
• Credentialing experience is preferred.
• Proficiency with billing software and Excel.
• Bilingual and pediatric billing experience preferred.
• Strong attention to detail and accuracy.
• Excellent communication with clients and teams.

Responsibilities

• Review billing data for accuracy and completeness.
• Process payments and apply them to accounts.
• Submit claims and ERAs to insurance payors.
• Maintain organized billing records and reports.
• Manage initial and re-credentialing applications.
• Maintain provider profiles and monitor expirations.

Skills

Analytical skills

Attention to detail

Communication skills

Problem-solving

Billing software proficiency

Excel

Bilingual

Pediatric billing experience

Education

High school diploma or equivalent

Billing certification (e.g., CPBS)

Tools

Billing software

Excel

Job description

Pediatricz Now Primary Care, PLLC-CC in Corpus Christi, TX is seeking a Medical Billing and Credentialing Specialist. This role ensures accurate and timely billing, submits claims and ERA's, processes payments, and maintains financial records while coordinating with clinical and administrative teams.

Responsibilities include reviewing data, credentialing applications, maintaining provider profiles, and communicating with payors and clients.