Remote Credentialing & Billing Specialist

PTSMC; West Hartford (CT); À distance; USD 50 000 - 70 000; Plein temps

Avantages offerts par ce poste

401(k)

Disability insurance

Health insurance

Life insurance

Paid time off

Résumé du poste

PTSMC is hiring a Credentialing & Billing Coordinator to join our remote Billing team, leading insurance credentialing for providers and locations, maintaining accurate insurance information, and helping ensure claims are processed efficiently.

The ideal candidate is detail-oriented, enjoys problem-solving, and thrives in a collaborative environment where their work directly supports quality patient care and operational success.

Qualifications

• Experience with credentialing and billing in healthcare.
• Knowledge of ICD-10 and CPT codes.
• Strong attention to detail and accuracy.
• Experience with EMR systems and CAQH records.

Responsabilités

• Credential all clinicians and update licensure status as needed.
• Manage EMR signature rules to ensure accurate claims submission.
• Provide information to carriers for re-credentialing.
• Maintain CAQH records for clinicians.
• Complete credentialing for new networks and providers.
• Track license transfers and follow up with partners/new hires as needed.
• Conduct quarterly provider and demographic verifications for participating insurances.
• Resolve issues related to missing/incorrect provider demographic information.

Connaissances

Detail-oriented

Problem-solving

Collaborative

Revenue cycle knowledge

ICD-10/CPT knowledge

Description du poste

PTSMC is hiring a Credentialing & Billing Coordinator to join our remote Billing team, leading insurance credentialing for providers and locations, maintaining accurate insurance information, and helping ensure claims are processed efficiently.

The ideal candidate is detail-oriented, enjoys problem-solving, and thrives in a collaborative environment where their work directly supports quality patient care and operational success.