Medical Billing and Credentialing Specialist (Athena Proficiency)

A healthcare practice is seeking an experienced Medical Billing & Credentialing Specialist to support financial and administrative operations, focusing on medical billing, Revenue Cycle Management, Accounts Receivable, and provider credentialing.

Location: Remote (US)

Responsibilities

• Manage the full medical billing and Revenue Cycle Management (RCM) process.
• Monitor and follow up on aging Accounts Receivable (AR) and outstanding claims.
• Investigate and resolve claim denials, payment discrepancies, and reimbursement issues.
• Verify patient insurance eligibility and benefits.
• Complete provider credentialing and recredentialing processes.
• Maintain accurate billing, credentialing, and provider records within Athena.
• Communicate with insurance companies regarding claims, credentialing, enrollments, and payment issues.
• Maintain accurate documentation within the practice management system.
• Support additional healthcare administrative tasks as needed.
• Ensure compliance with HIPAA regulations and medical billing best practices.

Requirements

• Minimum 3 years of experience in medical billing, Accounts Receivable (AR), and provider credentialing.
• Strong understanding of the complete Revenue Cycle Management (RCM) process.
• Hands-on experience using Athena.
• Proven experience resolving denied claims and managing aging AR.
• Excellent verbal and written English communication skills.
• Ability to work independently with minimal supervision.
• Strong organizational, analytical, and time-management skills.
• High level of accuracy and attention to detail.

Benefits

• Opportunity to grow into a full-time role.
• Part-Time initially, with potential to transition into Full-Time.
• Work schedule aligned with U.S. Eastern Time (ET).
• Fully remote position.