Remote Reimbursement & Credentialing Specialist (EMS)

Emergicon,-LLC-1; Terrell (TX); On-site; USD 32,000 - 36,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with company match

Life insurance

Short-term disability

Critical illness coverage

Paid training

Job summary

Emergicon LLC located in Terrell, TX is seeking a Reimbursement & Credentialing Specialist to ensure enrollment with Medicare, Medicaid and commercial plans. You will manage enrollment, re-enrollment and electronic payment setup, plus set up payer portals and maintain provider records to keep payments flowing correctly.

You will work under the Credentialing & Reimbursement Lead and must have strong attention to detail, excellent communication, and a commitment to timely processing in a

Qualifications

• High school diploma required.
• 2+ years of provider enrollment experience.
• Ability to explain EFT, ERA, EOB, COB, and pay-to addresses.
• Ability to read payer applications and understand payer processes.
• Knowledge of federal and state insurance laws.
• Knowledge of insurance claim processing and third-party reimbursement.
• Ability to prioritize work and meet tight deadlines.
• Clear, respectful communication.

Responsibilities

• Prepare enrollment and re-enrollment applications for all health plans (Medicare/Medicaid).
• Set up payer portals for eligibility, claim filing, claim status, ERA, EFT, and appeals.
• Set up and maintain group accounts for multiple providers.
• Keep provider licenses and insurance addresses up to date.
• Complete and send W-9 forms.
• Read and interpret complex payer documents.
• Solve problems and provide great service to clients and payers.
• Meet all deadlines in a fast-paced environment.
• Live Emergicon’s core values daily.
• Other duties as assigned.

Skills

Provider enrollment experience

Explain EFT/ERA/EOB/ COB/pay-to

Read payer applications

Knowledge of insurance laws (federal &

Insurance claim processing & third‑pay

Prioritize work & deadlines

Clear, respectful communication

Education

High school diploma

Job description

Emergicon LLC located in Terrell, TX is seeking a Reimbursement & Credentialing Specialist to ensure enrollment with Medicare, Medicaid and commercial plans. You will manage enrollment, re-enrollment and electronic payment setup, plus set up payer portals and maintain provider records to keep payments flowing correctly.

You will work under the Credentialing & Reimbursement Lead and must have strong attention to detail, excellent communication, and a commitment to timely processing in a