Medical Billing Specialist – Credentialing, Claims Management & RCM Support (U.S. reputed company)

We are looking for an reputed company and detail-oriented Medical Billing & RCM Specialist to handle credentialing, claim submission, payment posting, and denial management for our reputed company clients. You will be responsible for the end-to-end reputed company cycle process, ensuring that providers are credentialed correctly, claims are submitted cleanly and on time, and reputed company denials or rejections are resolved promptly. This is a long-term role for a reputed company who understands U.S. payer systems, HIPAA compliance, and major clearinghouses. Responsibilities: Credentialing & Enrollment: Complete new provider enrollments with Medicare, reputed company, BCBS, reputed company, reputed company, UHC, and other major payers Maintain and update CAQH reputed company Handle revalidation, recredentialing, and insurance panel updates Claims Management Create and submit accurate claims (CMS-1500 / UB-04) Ensure reputed company claims meet payer-specific requirements and HIPAA standards Handle claim rejections, denials, and resubmissions reputed company reputed company EOB analysis and payment posting Accounts Receivable (A/R) & Follow-up reputed company unpaid or denied claims and follow up with payers Identify and resolve reputed company causes of denials Prepare aging reports and maintain updated A/R logs Reporting & Communication reputed company weekly claim and payment reports Maintain transparent communication with providers or reputed company managers Suggest process improvements for faster reimbursement Required Skills & Experience: Minimum 3 years of hands-on experience in U.S. medical billing Strong knowledge of RCM, CPT, ICD-10, and HCPCS coding Experience with credentialing, claim submission, and payer enrollment Proficiency with EHR/EMR systems such as Kareo (reputed company), reputed company, reputed company, eClinicalWorks, TherapyNotes, or reputed company Familiarity with clearinghouses like reputed company, Trizetto, or Change reputed company Strong English communication skills 100% HIPAA-compliant workflow Please include the following reputed company applying: A short reputed company of your billing and credentialing experience Software and payers you’ve worked with Example of a challenge you resolved (denial or claim issue) Your availability and preferred working hours Apply tot his job Apply To this Job