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Biller/Credentialing Specialist

Primary Duties & Responsbilities

  • Responsible for credentialing all providers with insurance carriers, including assisting providers with their initial Medicare and Medicaid applications, CAQH and others
  • Additionally, will be responsible for researching and resolving past-due accounts, the timely and accurate submission of claims to the responsible payer for services and products provided; obtaining necessary documentation to support claims
  • Posting of payments
  • Evaluation of payments received to ensure appropriate payment
  • Timely follow-up on invoices not paid and management of account receivables

Education and Requirements

High school diploma or equivalent; Certified Professional Coder preferred;  2 years of medical billing experience;  Knowledge of medical terminology.

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