Credentialing & Compliance Specialist for Billing

Betances Health Center; New York (NY); Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

Betances Health Center is seeking a Credentialing, Compliance & Payment Posting Associate to support provider credentialing, payer enrollment, 340B monitoring, and revenue cycle activities on-site in New York. The role involves preparing and submitting enrollment applications, maintaining records, and coordinating with finance and coding teams to ensure accurate billing.

The ideal candidate has strong organizational and analytical skills, experience with ERA/EOB processing, and proficiency in

Qualifikationen

• High school diploma or equivalent required; an associate or bachelor’s degree is preferred.
• Experience with credentialing, payer enrollment, medical billing, or revenue cycle is preferred.
• Familiarity with ERA/EOB processing and payer remittances is desirable.
• Proficiency in MS Word, Excel, and Outlook is preferred.

Aufgaben

• Perform all phases of initial credentialing and re-credentialing for clinicians.
• Complete and submit provider enrollment and revalidation applications for payers.
• Maintain credentialing and payer enrollment trackers and ensure billing readiness.
• Communicate delays or risks to CFO and leaders to protect billing/reimbursement.
• Post payments in eCW and apply to patient accounts, reconciliations, and reporting.
• Support audits, compliance reviews, and monthly 340B activities.
• Prepare status reports for management and committees.

Kenntnisse

Organizational skills

Follow-up

Analytical skills

Communication skills

Customer service

Ausbildung

High school diploma or equivalent

Associate or Bachelor's degree preferred

Tools

Microsoft Word

Excel

Outlook

Jobbeschreibung

Betances Health Center is seeking a Credentialing, Compliance & Payment Posting Associate to support provider credentialing, payer enrollment, 340B monitoring, and revenue cycle activities on-site in New York. The role involves preparing and submitting enrollment applications, maintaining records, and coordinating with finance and coding teams to ensure accurate billing.

The ideal candidate has strong organizational and analytical skills, experience with ERA/EOB processing, and proficiency in