Medical Billing and Credentialing Specialist

Pediatricz Now Primary Care PLLC • Corpus Christi, TX

12d • Onsite

About The Position

The Billing/ Credentialing Specialist plays a critical role in ensuring the accuracy and timeliness of the organization's billing processes. This position is responsible for generating submitting claims, ERA'S, processing payments, and maintaining detailed financial records to support revenue collection. A medical biller acts as the crucial link between healthcare providers, patients and insurance companies to ensure healthcare services are properly reimbursed. The role requires close collaboration with internal departments such as, customer service, and reaching out to payors to resolve billing discrepancies and answer client inquiries. The Billing Specialist contributes to the financial health of the company by ensuring that all billing activities comply with company policies and regulatory requirements. Ultimately, this role supports the organization’s billing and customer satisfaction by managing billing operations efficiently and accurately.

Requirements

• Proven experience in billing, claims and accounts receivable roles.
• High school diploma or equivalent.
• Proficiency with billing software and Microsoft Office applications, especially Excel.
• Strong attention to detail and accuracy in handling financial data.
• Excellent communication skills to interact effectively with customers and internal teams.
• 1 to 3 years of medical billing experience.

Nice To Haves

• Knowledge of relevant regulatory requirements and compliance standards related to billing.
• Background in customer service or account management to enhance client interactions.
• Certification in billing or accounting (e.g., Certified Professional Billing Specialist) is a plus.
• Ability to analyze billing trends and contribute to process improvements.
• 1 Year experience preferred in credentialing
• Bilingual and Pediatric Billing experience preferred.

Responsibilities

• Review billing data for accuracy and completeness, identifying and resolving discrepancies promptly.
• Process incoming payments and apply them to accounts in the billing system.
• Communicate with clients and internal teams to address billing questions, disputes, and adjustments.
• Maintain organized billing records and generate regular reports to support financial audits and management review.
• Processing initial and re-credentialing applications packets.
• Maintain Provider Profiles and monitor expiration dates.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED