Billing Specialist

LOVE RECOVERY AND CONNECTIONS INC; Wisconsin; On-site; USD 42,000 - 56,000; Full time

Job summary

LOVE RECOVERY AND CONNECTIONS INC is seeking a Billing & Credentialing Specialist to manage the billing and revenue cycle, submit claims via the EMR, monitor status, post payments, and resolve denials. The role also coordinates provider credentialing with Medicaid/Medicare and commercial plans, maintaining CAQH profiles and renewal deadlines to ensure continued reimbursement.

The position emphasizes compliance, revenue optimization, and collaboration with clinical and administrative staff to

Qualifications

• Experience with medical billing and revenue cycle management.
• Ability to manage provider credentialing workflows and CAQH profiles.

Responsibilities

• Submit claims via EMR, monitor status, post and reconcile payments.
• Investigate denials, follow up with payers, and maximize reimbursement.
• Coordinate provider enrollment, CAQH profiles, and renewal tracking to keep credentialing current.

Skills

Medical billing

Credentialing

Tools

EMR system

Job description

Job Description

The Billing & Credentialing Specialist is responsible for managing the organization's billing and revenue cycle processes to ensure timely and accurate reimbursement for services. This position submits claims through the electronic medical record (EMR), monitors claim status, posts and reconciles payments, investigates and resolves denied or unpaid claims, and follows up with insurance companies to maximize reimbursement. The specialist also maintains accurate billing records, verifies authorizations and payer requirements, and works collaboratively with clinical and administrative staff to resolve billing discrepancies.

In addition to billing responsibilities, this position coordinates provider credentialing and recredentialing with Medicaid, Medicare, commercial insurance plans, and other payers. Responsibilities include completing provider enrollment applications, maintaining CAQH profiles, tracking credentialing status, monitoring renewal deadlines, and ensuring providers remain credentialed and eligible for reimbursement. The Billing & Credentialing Specialist plays a key role in maintaining compliance, optimizing revenue, and supporting the financial health of the organization.

Company Description

https://anesistherapycenter.com/

Company Description

https://anesistherapycenter.com/