Medical Billing / Credentialing Specialist

Responsibilities

• Prepare and submit accurate claims to Medicare, Medicaid, and other insurance carriers.
• Monitor claim submissions, follow up on denials, and resubmit corrected claims as necessary.
• Verify patient insurance coverage and ensure compliance with Medicare and Medicaid billing regulations.
• Maintain detailed and accurate billing records within the EHR system.
• Investigate and resolve billing discrepancies promptly.
• Respond to insurance inquiries and requests for additional documentation in a timely manner.
• Generate and review monthly billing reports to ensure accuracy and completeness.
• Stay current on Medicare and Medicaid billing guidelines, regulatory updates, and policy changes.

What Makes Us Unique

At Med-Care Providers, we are more than a healthcare organization — we are a family dedicated to improving lives. We value open communication, teamwork, and a shared sense of purpose. Our culture promotes professional growth, continuous learning, and excellence in everything we do.

When you join our team, you’ll work in an environment that recognizes your talents, supports your goals, and empowers you to make a meaningful impact — both on our patients and within our community.

Schedule

Part-time W-2 employee position, with scheduling based on your availability and organizational needs. Some flexibility in remote or hybrid work arrangements may be available.

Requirements

Qualifications

• Proven experience in medical billing, with a focus on Medicare and Medicaid claims.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems.
• Proficiency in billing software and electronic health record (EHR) systems.
• Solid understanding of healthcare reimbursement processes and payer guidelines.
• Excellent attention to detail, analytical, and problem-solving skills.
• Certification such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or equivalent preferred.