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TYPE OF WORK
Full Time
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SALARY
8.75
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HOURS PER WEEK
TBD
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DATE UPDATED
Aug 15, 2026
Position Summary
We are seeking a highly organized and experienced Medical Billing, Coding, and Credentialing Specialist to oversee all aspects of the revenue cycle. This position is part-time with a transition to full-time in the near future. The ideal candidate will have experience with medical billing, CPT and ICD-10 coding, claim submission and follow-up, insurance verification, provider credentialing, and compliance with payer requirements, that is familiar with New York insurance carriers and payer requirements.
This position is ideal for a self-motivated individual who can work independently, identify opportunities for process improvement, and support the growth of a rapidly expanding healthcare practice.
Responsibilities
-Medical Billing & Revenue Cycle Management
-Submit electronic claims accurately and timely
-Review and correct claim rejections and denials
-Post insurance and patient payments in EMR
-Follow up on unpaid or underpaid claims
-Manage accounts receivable and aging reports
-Verify patient insurance eligibility and benefits. Patient outreach if necessary
-Monitor payer reimbursement trends and identify revenue opportunities
-Collaborate with providers regarding documentation requirements for accurate billing
Medical Coding
-Assign and review appropriate ICD-10, CPT, and HCPCS codes
-Ensure coding accuracy and compliance with payer regulations
-Conduct chart reviews to ensure documentation supports billed services
-Stay current with coding updates and reimbursement policies
Credentialing & Provider Enrollment
-Manage provider credentialing and recredentialing applications
-Enroll providers with commercial insurance plans, Medicare, and Medicaid plans
-Maintain CAQH profiles and provider records
-Track credentialing deadlines and payer requirements
-Liaise with insurance companies regarding enrollment status
Practice Growth & Development
-Assist with establishing billing workflows for future behavioral health and psychiatric services
-Support implementation of revenue cycle best practices
-Recommend process improvements to increase efficiency and reimbursement
Qualifications
Experience in medical billing, coding, and/or credentialing
Strong knowledge of ICD-10, CPT, and HCPCS coding
Experience with Medicare, Medicaid, and commercial insurance plans
Experience managing claim denials and appeals
Familiarity with provider credentialing, CAQH, and payer enrollment processes
Knowledge of primary care and women's health billing
Knowledge of behavorial health billing
Strong attention to detail and organizational skills
Excellent communication and problem-solving abilities
Ability to work independently in a fast-paced environment
Preferred Qualifications
-CPC, CCS, CPB, or similar certification preferred
-Experience working in a private practice setting
-Familiarity with New York insurance carriers and payer requirements
