Healthcare Billing and Credentialing Coordinator

2 weeks ago


Clearwater, United States Clinical Professional Connections Full time
Position Overview:
We are looking for a dedicated full-time Accounts Receivable and Medical Billing Coordinator to join our team at Clinical Professional Connections.

Accounts Receivable Responsibilities:
- Collect and verify billing documents to ensure all necessary information is present before processing payments.
- Maintain accurate accounts receivable records, ensuring timely updates on aging reports, application of credits and collections, and resolution of discrepancies.
- Conduct daily cash management tasks, including recording bank deposits, updating cash receipt logs, and posting transactions to the accounts receivable ledger.
- Proactively monitor and follow up on outstanding accounts by reaching out to clients through various communication channels.
- Prepare analytical reports and ratio analyses related to accounts receivable to assist management in evaluating collection performance.
- Collaborate with other finance team members on inventory management and cost accounting tasks.
- Submit charges to insurance providers, ensuring correct coding and application of modifiers, and assign appropriate ICD10 codes in the correct order.
- Review payments from claims to ensure proper reimbursement levels and identify any discrepancies in claims processing by insurers.
- Execute various collection actions for claims, including correcting and resubmitting claims to third-party payers, contacting payers for status updates, and preparing appeals as necessary.
- Engage in ongoing educational activities and participate in monthly team meetings.

Credentialing Responsibilities:
As a Credentialing Coordinator, you will ensure that healthcare professionals possess the required qualifications and credentials for practice. This includes:
- Verifying professional licenses, educational background, training, and relevant certifications.
- Coordinating with medical boards, insurance providers, and healthcare facilities to accurately complete credentialing applications.
- Maintaining credentialing databases, tracking expiration dates, and facilitating the renewal process to ensure compliance.
- Demonstrating strong attention to detail, knowledge of healthcare regulations, and exceptional organizational skills to uphold quality standards and ensure that providers are credentialed to deliver patient care.

Qualifications:
- Bachelor's degree in Healthcare Administration or a related field, or an Associate's Degree.
- A minimum of 2 to 5 years of experience in medical billing and credentialing.
- Strong attention to detail and organizational skills.
- Excellent communication and interpersonal skills.
- Proficiency in Microsoft Office and eClinical Works software.
- Familiarity with credentialing standards and regulations.

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