CREDENTIALING SPECIALIST

Overview

Looking for part-time work (4 hours/day)

at $8.00/hour ($704.00/month)

Associates degree

Last Active

March 12th, 2025 (today)

Member Since

July 23rd, 2023

Profile Description

About Me:

I’m a dedicated Credentialing Specialist and Medical Biller in provider enrollment, payer credentialing, medical billing, and revenue cycle management. I specialize in ensuring healthcare providers are accurately credentialed with insurance networks, reducing claim denials, and optimizing reimbursements.
My Expertise Includes:
? Provider Credentialing & Enrollment – Handling applications, CAQH maintenance, NPI registration, Medicare/Medicaid enrollments, and commercial payer credentialing.
? Medical Billing & Claims Management – Submitting clean claims, following up on denials, and ensuring maximum reimbursements.
? Insurance Verifications & Authorizations – Confirming patient benefits, eligibility, and obtaining necessary pre-authorizations.
? Compliance & Documentation – Maintaining provider files and ensuring compliance with HIPAA, CMS, and payer-specific regulations.
Why Work With Me?
???? Accuracy & Attention to Detail – I ensure all applications and claims are error-free to prevent delays.
???? Fast Turnaround & Efficiency – I complete credentialing and billing tasks quickly and correctly.
???? Experienced Across Multiple Specialties – Familiar with credentialing and billing for primary care, physical therapy, and more.
???? Proficiency in Industry Software – Skilled in Availity, Office Ally and other EHR/PM platforms.
If you're looking for a reliable Credentialing Specialist & Medical Biller to streamline your processes and improve cash flow, let’s connect! I’m ready to help you succeed.
???? Let’s discuss your needs—message me today!