ABOUT US:

Bright Side Wellness LLC is a growing, patient-centered mental health and wellness practice. We are seeking a detail-oriented and experienced Billing and Credentialing Compliance Manager to join our team. This is a part-time, remote, 1099 contractor position ideal for a professional with strong billing, credentialing, and management experience.

POSITION SUMMARY:

The Billing and Credentialing Compliance Manager will oversee the daily operations of medical billing and credentialing processes. This role acts as a liaison between the billing team and the practice manager/owner, ensuring timely claim submissions, accurate payment postings, and up-to-date credentialing. The ideal candidate is adaptable, proactive, and highly skilled in Excel, with a strong background in both billing and management.

QUALIFICATIONS:

• Minimum 5 years of management experience required.
• Minimum 3 years of experience in medical billing and/or accounts payable.
• High school diploma or equivalent required; Bachelor’s degree in Business, Accounting, or related field preferred.
• Advanced proficiency in Microsoft Excel (pivot tables, data analysis, reporting).
• Strong organizational, communication, and problem-solving skills.
• Ability to work independently, adapt quickly, and manage multiple priorities.
• Experience with medical billing software and credentialing processes preferred.
• Preference given to candidates who have their own business for payment/partnership.

• Review medical claims daily to ensure accuracy and timely submission.
• Monitor accounts receivable and daily claim submissions, following up on outstanding items.
• Communicate with providers regarding claim issues prior to submission.
• Ensure all payments are credited to patient accounts promptly.
• Oversee and track re-credentialing applications, ensuring timely completion.
• Run and analyze Excel reports to facilitate weekly discussions with the billing team and practice manager/owner.
• Act as a liaison between the billing team and practice leadership to resolve issues and improve processes.
• Provide virtual administrative support related to billing and credentialing as needed.
• Identify and report on trends in patient no-shows and their financial impact.