Medical Billing / Credentialing Specialist

Med-Care Providers; Las Vegas (NV); Hybrid; USD 27,552 - 41,328; Part time

Job summary

Med-Care Providers is seeking a Medical Billing / Credentialing Specialist in Las Vegas, NV. The part-time W-2 position requires expertise in medical billing with a focus on Medicare and Medicaid claims. Responsibilities include preparing and submitting claims, monitoring submissions, verifying insurance coverage, maintaining billing records, and resolving discrepancies. Candidates should possess strong knowledge of coding systems and healthcare reimbursement processes, along with relevant certifications. Flexibility for remote or hybrid work may be available.

Qualifications

• Proven experience in medical billing, focusing on Medicare and Medicaid claims.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems.
• Proficiency in billing software and EHR systems.
• Solid understanding of healthcare reimbursement processes and payer guidelines.
• Excellent attention to detail, analytical, and problem-solving skills.

Responsibilities

• Prepare and submit accurate claims to Medicare, Medicaid, and other insurance carriers.
• Monitor claim submissions, follow up on denials, and resubmit corrected claims as necessary.
• Verify patient insurance coverage and ensure compliance with Medicare and Medicaid billing regulations.
• Maintain detailed and accurate billing records within the EHR system.
• Investigate and resolve billing discrepancies promptly.
• Respond to insurance inquiries and requests for additional documentation in a timely manner.
• Generate and review monthly billing reports to ensure accuracy and completeness.
• Stay current on Medicare and Medicaid billing guidelines, regulatory updates, and policy changes.

Skills

Medical billing

Medicare and Medicaid claims

CPT coding

HCPCS coding

ICD-10 coding

Attention to detail

Analytical skills

Problem-solving skills

Education

Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS)

Tools

Billing software

Electronic Health Record (EHR) systems

Job description

Medical Billing / Credentialing Specialist

• Prepare and submit accurate claims to Medicare, Medicaid, and other insurance carriers.
• Monitor claim submissions, follow up on denials, and resubmit corrected claims as necessary.
• Verify patient insurance coverage and ensure compliance with Medicare and Medicaid billing regulations.
• Maintain detailed and accurate billing records within the EHR system.
• Investigate and resolve billing discrepancies promptly.
• Respond to insurance inquiries and requests for additional documentation in a timely manner.
• Generate and review monthly billing reports to ensure accuracy and completeness.
• Stay current on Medicare and Medicaid billing guidelines, regulatory updates, and policy changes.

Schedule

Part-time W-2 employee position, with scheduling based on your availability and organizational needs. Some flexibility in remote or hybrid work arrangements may be available.

Qualifications

• Proven experience in medical billing, with a focus on Medicare and Medicaid claims.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems.
• Proficiency in billing software and electronic health record (EHR) systems.
• Solid understanding of healthcare reimbursement processes and payer guidelines.
• Excellent attention to detail, analytical, and problem-solving skills.
• Certification such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or equivalent preferred.