<div class="description"><p>Our client, a growing healthcare practice, is seeking an experienced <strong>Medical Billing &amp; Credentialing Specialist</strong> to support its financial and administrative operations. This role is ideal for a detail-oriented healthcare professional with strong experience in <strong>medical billing, Revenue Cycle Management (RCM), Accounts Receivable (AR), and provider credentialing</strong>.</p><p>The ideal candidate is self-motivated, organized, and able to work independently while managing billing processes, resolving claim issues, and maintaining provider credentialing within <strong>Athena</strong>.</p><h3><strong>Key Responsibilities</strong></h3><ul><li>Manage the full medical billing and Revenue Cycle Management (RCM) process.</li><li>Monitor and follow up on aging Accounts Receivable (AR) and outstanding claims.</li><li>Investigate and resolve claim denials, payment discrepancies, and reimbursement issues.</li><li>Verify patient insurance eligibility and benefits.</li><li>Complete provider credentialing and recredentialing processes.</li><li>Maintain accurate billing, credentialing, and provider records within <strong>Athena</strong>.</li><li>Communicate with insurance companies regarding claims, credentialing, enrollments, and payment issues.</li><li>Maintain accurate documentation within the practice management system.</li><li>Support additional healthcare administrative tasks as needed.</li><li>Ensure compliance with HIPAA regulations and medical billing best practices.</li></ul><h3><strong>Required Qualifications</strong></h3><ul><li>Minimum <strong>3 years of experience</strong> in medical billing, Accounts Receivable (AR), and provider credentialing.</li><li>Strong understanding of the complete Revenue Cycle Management (RCM) process.</li><li>Hands-on experience using <strong>Athena</strong>.</li><li>Proven experience resolving denied claims and managing aging AR.</li><li>Excellent verbal and written English communication skills.</li><li>Ability to work independently with minimal supervision.</li><li>Strong organizational, analytical, and time-management skills.</li><li>High level of accuracy and attention to detail.</li></ul><h3><strong>Preferred Qualifications</strong></h3><ul><li>Experience supporting multiple medical specialties.</li><li>Knowledge of Medicare, Medicaid, and commercial insurance plans.</li><li>Experience with provider enrollment and payer credentialing.</li><li>Comfortable working remotely in a fast-paced healthcare environment.</li></ul><h3><strong>We're Looking For Someone Who Is</strong></h3><ul><li>Self-driven, proactive, and highly accountable.</li><li>Organized with excellent problem-solving skills.</li><li>Detail-oriented and committed to accuracy.</li><li>Able to prioritize competing tasks effectively.</li><li>Results-oriented with a strong sense of ownership.</li><li>Comfortable working independently while consistently meeting deadlines.</li></ul><h3><strong>Work Schedule<