Credentialing/Billing Specialist

Houston, TX 77024

Posted: 04/06/2021 Industry: Medical Financial Services Job Number: JR91311345 Pay Rate: 21

Job Description

Are you an experienced medical professional with knowledge in credentialing and billing?  Are you eager to join a growing medical practice?  Our client is seeking a Credentialing/Billing Specialist to join their team quickly!  

Credentialing/Billing Specialist Responsibilities:
  • Assist with the onboarding of providers by initiating the Initial Credentialing process Corresponding with new hires, collecting documents, references, updating checklist, CAQH entries, obtaining missing documents.
  • Monitors and maintains certification and license files for Physicians
  • Verifies provider licenses and certifications such as DEA, Specialty Boards, NPI, NPDB, OIG, SAM. 
  • Prepare Initial and re-credentialing files.
  • Credentials providers with all insurance groups and maintains files for licenses and certifications.
  • Assists billing department with any credentialing related billing issues.
  • Update data for providers on spreadsheets, credentialing data base and online systems in a timely and · Maintain compliance with UCA Accreditation Standards.
  • Negotiates both financial and language terms of hospital, ancillary and physician contracts utilizing 
  • Manages claim inquiries and complaints for the assigned Hospital, ancillary or physician network.

To be considered for the Credentialing/Billing Specialist position, you will need the following:
  • 5 years of credentialing and hospital billing experience required
  • High School Diploma required
  • Ability to build rapport with patients, hospitals and insurance carriers
  • Strong attention to detail
  • Ability to understand, analyze and negotiate contracts

Please read the qualifications for this position carefully. The successful applicant will have to get up to speed quickly after hired and therefore, the client will only consider those who meet all the criteria listed above. 

Company culture & perks:
  • Great location near Memorial City Mall
  • Excellent compensation ($20-$22 per hour) with the ability to grow
  • Opportunity to work with some of Houston renowned Nephrologist
  • Excellent benefit package including partially paid health insurance and 401K
If you are eager to grow your career in Credentialing and Billing, Apply today!

Meet Your Recruiter

Jessica Randolph, CTS/CHP
Sr Staffing Consultant

Employed with ExecuTeam since 2009, Jessica’s dedication and talents easily transitioned her to Team1Medical. Currently, she leads the division and maintains a commitment to her candidates and clients. She finds daily fulfillment in her recruiting and placement successes. Jessica graduated from Florida Atlantic University with a degree in International Business. In 2016, Jessica earned American Staffing Association’s CHP Certification – Certified Health Care Staffing Professional. Married and a devoted mother of two, she maintains a busy schedule, enjoys scrapbooking special memories, and dedicates her remaining time to volunteer work.
Apply Online

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.