Billing Specialist (Contractor/Part-Time)

We are seeking a Billing Specialist to join our team on a contractor/part-time basis, with the potential for a full-time role. Initially, this position will focus primarily on credentialing, invoicing/patient statements, and denial management. Over time, as the role transitions to full-time, responsibilities will expand to include claims submission and processing.

Key Responsibilities:

• Credentialing & Provider Enrollment:
  
  
  
  • Credentialing and re-credentialing process for providers.
  
  
  • Ensure all provider enrollment applications and supporting documents are accurately completed and submitted.
  
  
  • Maintain up-to-date credentialing records and track expiration dates.
  
  
  • Attest to keep the provider directory updated.
  
  
  
  


• Invoicing & Patient Statements:
  
  
  
  • Generate and distribute invoices and patient statements in a timely manner.
  
  
  • Ensure invoices are accurate and reflect proper services rendered.
  
  
  • Address patient and insurance inquiries related to billing statements.
  
  
  • Maintain and stay up to date with privacy regulations.
  
  
  
  


• Denial Management & Appeals:
  
  
  
  • Investigate, track, and resolve denied or rejected claims.
  
  
  • Submit corrections and appeal claims as necessary.
  
  
  • Identify trends in denials and work with relevant departments to improve processes.
  
  
  
  

Future Responsibilities (Upon Full-Time Conversion):

• Claims Submission & Processing:

• Prepare and submit insurance claims for private insurance, and Medicaid.


• Monitor claim status and follow up on unpaid or rejected claims.


• Ensure compliance with payer guidelines and billing regulations.

• Reporting & Compliance:
  
  
  
  • Maintain accurate financial records and billing documentation.
  
  
  • Monitor accounts receivable and follow up on outstanding balances.
  
  
  
  

Qualifications:

• Experience in medical billing, generating patient statements, credentialing (CAQH), lllinois Medicaid (Illinois IMPACT system) and denial management.


• Strong knowledge of insurance reimbursement policies and claim appeals.


• Experience with Waystar and Kareo (preferred)


• Strong problem-solving skills and attention to detail.

Position Details:

• Employment Type: Contractor/ Part-Time (6 month contract) (Temp to Perm Full Time)


• Part Time/ Hybrid- 20-25 hours per week ( In Office Monday & Wednesday)


• Pay: $25 per hour