Medical Billing, A/R & Credentialing specialist (Solo Provider Practice) Southside Spectrum Pediatrics, PLLC Virginia Beach, VA Job Details Contract From $20 an hour 12 hours ago Benefits Flexible schedule Qualifications Customer communication Provider database maintenance for medical credentialing Medical insurance coverage verification Customer service Medical coding experience in physician offices Electronic health record (EHR) management for billing and coding Attention to detail Medical billing and coding communication with insurance companies Organizational skills Medical claims submission Insurance provider collaboration Productivity software Medical terminology Medical debt collection accounts Documentation review Collections account management Patient collections management DRG Full Job Description Job Summary We are seeking a highly motivated and detail-oriented Medical Billing, Accounts Receivable (A/R), and Credentialing Specialist to join a solo provider practice. This dynamic role offers the opportunity to manage comprehensive billing processes, ensure accurate credentialing, and optimize revenue cycle management. The ideal candidate will possess strong knowledge of medical coding, healthcare claims management, and insurance procedures, all while delivering exceptional customer service. If you thrive in a fast-paced environment and are passionate about healthcare administration, this position provides a rewarding chance to make a meaningful impact on patient care and practice efficiency. Duties Prepare, submit, and follow up on medical insurance claims using billing software and EMR/EHR systems to ensure timely reimbursement. Review and code medical procedures and diagnoses accurately using CPT coding, DRG classifications, ICD-9, ICD-10, and ICD coding standards. Manage accounts receivable by tracking outstanding balances, sending patient statements, and performing collections to maximize revenue. Verify patient insurance coverage, benefits, and eligibility to facilitate smooth billing processes. Handle credentialing tasks such as verifying provider credentials with insurance companies and maintaining up-to-date documentation. Maintain detailed medical records and ensure compliance with healthcare regulations related to medical records management. Provide excellent customer service by addressing patient inquiries regarding billing, insurance claims, or payment options promptly and professionally. Requirements Proven experience in medical billing, coding (including

CPT, ICD-9/10

), and healthcare claims management within a solo provider setting. Strong understanding of health insurance policies, benefits verification, and medical collections processes. Proficiency in Microsoft Office applications along with familiarity with billing software, EMR systems, and EHR platforms. Knowledge of DRG classifications, ICD coding standards, and the nuances of medical terminology is essential. Excellent organizational skills with the ability to manage multiple tasks efficiently while maintaining accuracy. Effective communication skills for interacting with patients, insurance companies, and healthcare providers. Prior experience with credentialing procedures and maintaining compliance documentation is highly desirable. Join us if you're eager to streamline billing operations while supporting the financial health of a dedicated healthcare practice! Your expertise will help ensure seamless revenue cycles and exceptional patient experiences every step of the way.

Pay:

From $20.00 per hour

Benefits:

Flexible schedule

Work Location:

Hybrid remote in Virginia Beach, VA 23464