Medical Billing Associate, Credentialing

THE WARREN CENTER•Richardson, TX

About The Position

The Medical Billing Associate – Credentialing Specialist supports The Warren Center’s mission by ensuring the agency and its therapists are appropriately enrolled and compliant with insurance payers. Reporting directly to the Chief Operating Officer, the specialist manages provider enrollment applications, credentials, licenses, renewals, re-attestations, and related documentation. The role monitors application progress and payer follow-up through confirmation of in-network status, maintains accurate information in credentialing databases, and supports regulatory compliance and reporting. The position requires confidentiality, organization, attention to detail, clear communication, and the ability to work independently and collaboratively. The Warren Center is an equal opportunity employer committed to an inclusive culture.

Requirements

High school diploma or GED.
At least 3 years of experience in medical billing, with a focus on credentialing and recredentialing requirements.
High energy and passion for The Warren Center’s mission.
Ability to maintain confidentiality of personnel information.
Flexible and adaptable work style.
Clear and concise communication skills.
Professional, dependable, and proactive approach.
Ability to work independently without close oversight and collaboratively with people at varying levels of seniority inside and outside the organization.
Strong organizational and time-management skills, with exceptional attention to detail.
Advanced knowledge of Microsoft Office Suite, including Word, Excel, Outlook, SharePoint/OneDrive, and Teams.
Good finger dexterity and vision.

Responsibilities

Compile and maintain records of licenses, credentials, and insurance contracts.
Advise staff on renewal procedures.
Complete and submit provider enrollment applications required by Medicaid and commercial payers.
Conduct primary source verification of licenses, education, and certifications.
Manage re-credentialing and license or certification renewal deadlines.
Ensure compliance with regulatory standards and prepare reports required by regulatory and accrediting agencies.
Communicate with providers, their liaisons, and representatives, and liaise with providers, payers, and internal departments.
Provide respectful, knowledgeable, and welcoming service to internal and external customers.
Enter and maintain provider information in online credentialing databases and systems, including NPPES, CAQH, and TMHP.
Audit applications for accuracy and completeness.
Manage revalidation requests issued by payers.
Monitor application progress and follow up with payers until in-network status is confirmed.
Track required documentation, expiration dates, and insurance re-attestation dates, ensuring information is current and submitted on time.
Research and gather pertinent information regarding providers.
Perform other duties as assigned.