Credentialing & Billing Specialist — Payer Compliance

Cenikor Foundation; Houston, Northern (TX, KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Tuition Reimbursement

Bonuses

401K

Paid Time Off

Competitive Pay

Job summary

Cenikor Foundation is seeking an Insurance Billing Specialist for its Corporate Office in Houston, TX. You will verify credentials, manage payer documentation, and coordinate with third-party payers to ensure timely billing and contract compliance.

The role requires strong Microsoft Office and data-entry skills, attention to detail, and the ability to handle confidential information in a team environment. Join Cenikor's mission-driven culture and growth opportunities.

Qualifications

• Solid administrative and clerical procedures experience.
• Proficient with Microsoft Office and ten-key
• Strong organization and communication skills required.
• Attention to detail and accurate data entry.
• Ability to work in a team environment.
• HIPAA and confidentiality awareness.

Responsibilities

• Perform PSV of credentials and maintain licensing and education records.
• Track and process documentation for third party payer contracts and billing.
• Maintain and audit credentialing documents and systems for accuracy.
• Coordinate with Payer Relations Manager on payer communications and status updates.
• Maintain NPI registry demographics for facilities and clinicians.
• Monitor compliance with payer contracts and renewals; coordinate onboarding of new contracts.
• Ensure adherence to federal, state, and local regulations and accreditation standards.
• Support audits with scheduling and documentation preparation.
• Maintain payer contracts, agreement summaries, and shared drives for contracts.
• Complete required training and adhere to Cenikor policies and HIPAA.

Skills

Administrative procedures

Microsoft Office

Ten-key

Organization

Communication

Detail oriented

Teamwork

HIPAA knowledge

Education

High School Diploma or GED

Associate degree or higher preferred

Tools

Microsoft Office

Outlook calendar

Job description

Cenikor Foundation is seeking an Insurance Billing Specialist for its Corporate Office in Houston, TX. You will verify credentials, manage payer documentation, and coordinate with third-party payers to ensure timely billing and contract compliance.

The role requires strong Microsoft Office and data-entry skills, attention to detail, and the ability to handle confidential information in a team environment. Join Cenikor's mission-driven culture and growth opportunities.