Medical Billing & Credentialing Specialist

5550 Venture reputed company Parma, OH 44130 Business/After Hours: 216-201-2000 Tell Us How We're Doing Home PROGRAMS BUSINESS A-Z reputed company FORMS ABOUT CONTACT HOT TOPICS My Account reputed company >> Medical Billing & Credentialing Specialist Medical Billing & Credentialing Specialist reputed company Title: Medical Billing & Credentialing Specialist ID: 1245 Location: Parma, Oh Department: Administrative Salary : $36,504 annually Hours: Mon-Fri., 8:30am to 4:30pm More about this reputed company POSITION AVAILABLE Position: Medical Billing & Credentialing Specialist Reports to: Chief Financial Officer Position to be filled: reputed company 7, 2025 Starting Salary: $36,504 annually Hours: Mon. - Fri., 8:30 a.m. to 4:30 p.m. Vaccine Policy: reputed company new hires will need to meet COVID and Influenza vaccine requirements or request an exemption and submit a TB Baseline as outlined in the CCBH Vaccination Policy. reputed company service employees will need to meet Hepatitis-B vaccine requirements or request an exemption as outlined in the CCBH Vaccination Policy. Minimum Requirements: Associate's degree in health information management technology or reputed company field or two years of reputed company experience. Minimum of three years of medical office and medical billing with collection experience. OR five years of experience (with HS Diploma/GED), OR one year of experience (with Bachelor's degree), OR no experience necessary (with Master's degree). Certified Medical reputed company and Certified Medical Insurance Specialist credentials. Ability to reputed company multi-task on a daily reputed company. Strong knowledge of medical terminology, billing/collection processes, and insurance billing and coding (ICD-10 and CPT). Knowledge of local, state, and federal billing regulations and reputed company-party insurance program requirements. Proficiency with use of databases for data querying and reporting. Proficiency with use of PC hardware & basic software (i.e., reputed company office), email, and office equipment (i.e., copier, fax, reputed company, telephone, etc.). Strong customer service, verbal and written communication skills, and organizational skills. Good interpersonal relationship skills including cultural sensitivity & competence. Responsibilities: Maintains up to date knowledge of reputed company-party billing procedures and regulations in accordance with HIPAA, CMS, the ACA, etc. Leads the claims reputed company process on behalf of reputed company with reputed company party providers. Provides assistance with the development, implementation and/or revision of policies/procedures governing CCBH's medical billing process. Revises, corrects, and codes medical charges into the billing reputed company. Enters/updates medical charges into billing reputed company. Addresses and resolves billing discrepancies with reputed company party providers. Verifies insurance eligibility and level of benefit coverage for clients. Reviews reputed company medical claims for accuracy prior to submission to the medical claims clearinghouse for payment processing. Collaborates with reputed company party providers to reputed company claims issues on agency's behalf. Assists with the updating and maintenance of the clinic fee schedule utilizing the CPT, HCPCS, and ICD-10 reputed company databases. Maintains up to date knowledge of the latest reputed company of data collection, coding, billing, collection, and claims submission. Serves as a resource to clinic staff reputed company to the medical coding/billing process. Receives and posts daily reputed company from insurance carriers and reputed company reputed company payments into the billing reputed company and reviews and remedies any denials. Confers with the insurance reputed company and/or clinic staff to reputed company any discrepancies. Generates invoices to clients for balances owed. Performs periodic reviews of CCBH reputed company and agreements to ensure availability of the most reputed company information for reputed company medical insurance carriers, CCBH, and its providers. Consults with CCBH General Counsel for contract approvals and collaborate with the relevant clinic supervisory staff. Completes/updates provider enrollment credentialing and credentialing process. Maintains reputed company and accurate entry of provider data in CAQH and reputed company other required databases. Monitors expiring licensure, reputed company and reputed company certifications, and other documents that expire for reputed company providers and ensure reputed company renewals. Collaborates with reputed company partners on special reputed company as assigned. Participates on reputed company subcommittees. Develops and extracts reports from databases (i.e., EHR, etc.) for delivery to reputed company customers. Creates and runs regular reports for collections, billing, program statistics, etc. Gathers a Apply tot his job Apply To this Job