Billing & Credentialing Specialist at Bleeding and Clotting Disorders Institute

Peoria, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Jul, 26

Salary

60000.0

Posted On

21 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical billing, Provider credentialing, Insurance plans, Hospital privileges, NCQA standards, CMS standards, Medical terminology, Data entry, Claims processing, Denial management, Attention to detail, Regulatory compliance, Basic math

Industry

Medical Practices

Description

Description SIGNING BONUS! BCDI is hiring a Billing & Credentialing Specialist for our growing team! The Billing & Credentialing Specialist assumes full responsibility for credentialing all new providers and the maintenance of provider information in all databases and tracking systems by preparing, tracking and submitting initial and renewal credentialing applications for insurance plans and hospital privileges as well as ensuring all provider files meet NCQA, CMS, state, federal, and organizational standards. He or she also verifies healthcare charges via an automated billing system and provides timely follow up for claims and claim denials to ensure maximum reimbursement. If you are a motivated individual who would like to work with a team of experienced, upbeat coworkers in a friendly and warm atmosphere, please apply today! Some of the many reasons we differ from other healthcare facilities …. no corporate bureaucracy here! You are a person, not a number! Our team supports each other, focusing on what is important, which is to get the best possible outcomes for our patients. We have great managers who are knowledgeable, supportive, and want their team to succeed. We like each other! When our staff is asked what they like best about their job, 99% of the time the answer is they love working with the team at BCDI. We have fun together! You will regularly find our team at an impromptu happy hour, on a group bike ride, or walking to nearby Keller Station or Donovan Park. Salary Range: $50,000 - $60,000 dependent upon experience We Offer a Competitive Compensation Package: Health, vision & dental insurance: Excellent insurance plans at minimal cost to staff. Flex Spending Account or Health Savings account with generous employer match. Dependent Care Assistance. 401(k): BCDI matches 100% on the first 5% of salary invested. 120 Vacation hours, 40 sick hours & 11+ paid holidays annually. Hybrid position once fully trained. Requirements 1) 2+ years medical billing & provider credentialing experience preferred. 2) Medication billing a plus. 3) Experience with billing Part B drugs a plus. 4) High attention to detail and ability to prioritize responsibilities to ensure timely completion of assigned tasks. 5) Knowledge of medical terminology utilized in medical billing, current office practices and procedures, and basic math. 6) Ability to elicit and evaluate information, sometimes of a highly personal and sensitive nature. 7) Ability to read, interpret, and apply regulations, policies, and procedures.

Responsibilities

The Billing & Credentialing Specialist manages the credentialing process for new providers and ensures all provider files comply with organizational and regulatory standards. Additionally, the role involves verifying healthcare charges, processing claims, and managing denials to maximize reimbursement.