Billing & Credentialing Specialist — Elevate Care Access

Hope on Haven Hill; City of Rochester (NY); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vacation and sick leave

Paid holidays

Personal days

Simple IRA matching

Life insurance

Disability insurance

Retention bonus

Job summary

Hope on Haven Hill in Rochester, NH, is seeking a detail-oriented Billing & Credentialing Assistant to support revenue cycle, billing, and provider credentialing. You will collaborate with clinical, administrative, and finance teams to ensure timely access to care, accurate documentation, and a positive client experience while upholding HIPAA compliance.

Join a team committed to compassionate, recovery-oriented care and grow your career in healthcare administration through hands-on billing,

Qualifications

• Two+ years of medical billing or related experience.
• Experience in medical office administration or healthcare administration is preferred.
• Proficiency with Microsoft Office and database systems.

Responsibilities

• Assist with preparing, reviewing, and submitting insurance claims including prior authorizations.
• Verify client insurance eligibility and benefits.
• Monitor claims and help resolve denied or unpaid claims.
• Post client payments and verify the accuracy of insurance payments posted through the billing system.
• Respond to client billing questions and maintain accurate billing documentation.
• Maintain fee schedules in the billing system to ensure accurate reimbursement.
• Assists with reporting insurance payments to the Finance team to support bank reconciliations.
• Assist with provider enrollment, credentialing, and recredentialing for Medicaid and commercial insurance plans.
• Maintain credentialing files, licenses, certifications, and required documentation.
• Track renewal deadlines and communicate with insurance companies and providers to ensure timely approvals.
• Update provider information within payer portals and organizational databases.
• Welcome clients with professionalism, compassion, and a trauma-informed approach.
• Verify demographic and insurance information.
• Answer incoming calls and assist clients with scheduling and general inquiries.
• Support front desk operations and help create a positive client experience.
• Maintain confidential billing and credentialing records in compliance with HIPAA.
• Organize electronic and paper documentation.
• Assist with audits and reporting within medical and behavioral health teams.
• Support compliance with federal, state, and payer requirements.

Skills

Medical billing

Office administration

HIPAA compliance

MS Office

Customer service

Multitasking

Data accuracy

Confidentiality

Education

High school diploma; Associate degree preferred

Tools

AthenaOne

Electronic health record systems

Job description

Hope on Haven Hill in Rochester, NH, is seeking a detail-oriented Billing & Credentialing Assistant to support revenue cycle, billing, and provider credentialing. You will collaborate with clinical, administrative, and finance teams to ensure timely access to care, accurate documentation, and a positive client experience while upholding HIPAA compliance.

Join a team committed to compassionate, recovery-oriented care and grow your career in healthcare administration through hands-on billing,