About the Role

We are seeking a dedicated and detail-oriented Contracting, Credentialing & Billing Specialist - Remote to join our growing team. In this role, you will play a crucial part in ensuring the smooth operation of our healthcare services by managing contracting, credentialing, and billing processes effectively. As a Contracting, Credentialing & Billing Specialist, you will work remotely, allowing you to balance your professional and personal life while contributing to a mission-driven healthcare organization.

What You'll Do

  • Manage the contracting process with healthcare providers, ensuring compliance with all regulations.
  • Oversee credentialing activities, verifying provider qualifications and maintaining accurate records.
  • Handle billing operations, including medical billing, insurance claims, and accounts receivable management.
  • Utilize healthcare administration systems to track and manage patient accounts efficiently.
  • Communicate with insurance companies and healthcare providers to resolve billing issues and ensure timely payments.

Requirements

  • 2-5 years of experience in contracting, credentialing, or billing within the healthcare industry.
  • Strong organizational skills and attention to detail.
  • Excellent communication skills, both written and verbal.
  • Familiarity with payer portals and revenue cycle management.
  • Proficiency in using healthcare administration systems, such as Athena.

Nice to Have

  • Experience in patient advocacy or case management.
  • Knowledge of coding and insurance follow-up processes.
  • Previous roles in care coordination or patient intake.

What We Offer

  • Full-time W-2 employment with a competitive salary.
  • Hourly pay ranging from $20 to $25, commensurate with experience.
  • A collaborative and supportive team environment.
  • Opportunities for professional growth within a mission-driven healthcare organization.
  • Flexible remote work options to enhance work-life balance.
Why This Job8.2 of 10

This remote role offers a competitive salary and the chance to work in a supportive healthcare environment. Ideal for those looking to grow in the industry.

Salary Range
Required
0/1
Optional
0/1
Bonus
0/1

Who Will Succeed Here

Proficient in medical billing software such as AdvancedMD or Kareo, with experience in processing insurance claims and managing payer relations effectively.

Detail-oriented with a strong ability to manage multiple tasks in a remote setting, demonstrating self-discipline and proactive communication skills to coordinate with healthcare providers and insurance companies.

Possesses a solid understanding of revenue cycle management processes, with at least 3-5 years of experience in healthcare administration to navigate complex credentialing and contracting environments.

Learning Resources

Healthcare Administration: A Brief Introductionarticle

Career Path

Contracting, Credentialing & Billing Specialist - Remote(Now)Revenue Cycle Manager(1-2 years)Director of Revenue Cycle Management(3-5 years)

Market Overview

Market Size 2024
$50B
Annual Growth
12.5%
AI Adoption in Healthcare Administration
35%
Investment in HealthTech
+150%
Labour Demand for Billing Specialists
+20%
Avg Salary for Credentialing Specialists
$75K

Skills & Requirements

Required
Healthcare AdministrationMedical BillingInsurance Claims
Growing in Demand
Health InformaticsTelehealth AdministrationData Analytics in Healthcare
Declining
Manual Claims ProcessingPaper-Based Billing Systems

Domain Trends

Rise of Telehealth Services
The telehealth market is expected to reach $459.8 billion by 2030, with a CAGR of 37.7% from 2022 to 2030, leading to increased demand for specialists who can manage remote billing and credentialing.
Integration of AI in Revenue Cycle Management
AI technologies are projected to improve efficiency in revenue cycle management by up to 30%, leading to a shift in roles towards more analytical and technology-driven positions.
Increased Focus on Patient Data Security
With 70% of healthcare organizations prioritizing data security, professionals skilled in data management and compliance will be increasingly sought after to navigate regulatory challenges.

Industry News

Loading latest industry news...

Finding relevant articles from the last 6 months

All job postings are automatically gathered by algorithms. We do not review or verify listings, be careful when applying and do not sign-in with iCloud or Google services.