Credentialing Specialist (with Medical Billing experience) - Permanent WFH
BizForce, Philippines

#1 PH Workforce Delivering to the US.

MedCore Solutions, is seeking Credentialing Specialists and Medical Billers to join our growing team. BizForce amp; MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

• Process applications for healthcare provider enrollment and privileging with insurance companies and various other organizations
• Coordinate and facilitate the credentialing and re-credentialing processes
• Submit and monitor credentialing applications to ensure timely completion
• Review and verify provider credentials and documents for accuracy and completeness
• Communicate with providers, insurance carriers, and organizations to obtain missing or additional information as necessary
• Maintain accurate and up-to-date provider information and credentialing files
• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Requirements

• Proven work experience as a Credentialing Specialist and/or Medical Biller
• Solid understanding of healthcare provider enrollment and privileging processes
• Experience with billing software and electronic medical records
• Knowledge of medical insurance policies and claim processes
• Must have the ability to multitask and manage time effectively
• Excellent written and verbal communication skills
• Outstanding problem-solving and organizational abilities

Benefits

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

Job Rewards and Benefits