Find & Apply For Medical Biller Jobs in Winter Park, Florida

Job Overview We are seeking a detail-oriented and proactive Credentialing Specialist/Biller to join our dynamic healthcare administration team. In this vital role, you will be responsible for verifying, maintaining, and managing the credentials of healthcare providers to ensure compliance with regulatory standards and organizational policies. Your expertise will help uphold the integrity of our credentialing processes, supporting the delivery of high-quality patient care. This position offers an exciting opportunity to contribute to a mission-driven organization committed to excellence and continuous improvement. Responsibilities Review and validate provider credentials, licenses, certifications, and education records to ensure accuracy and compliance with industry standards. Maintain up-to-date credentialing files and databases, ensuring all documentation is complete, organized, and easily accessible. Coordinate with healthcare providers to gather necessary documentation and resolve any discrepancies or missing information promptly. Monitor expiration dates of licenses and certifications, initiating renewal processes well in advance to avoid lapses in credentialing status. Stay informed about evolving credentialing requirements, industry regulations, and best practices to ensure ongoing adherence. Submit and follow up on claims. Handle denials, appeals and payment posting. Qualifications Proven experience in healthcare credentialing or provider enrollment is highly preferred. Strong attention to detail with excellent organizational skills to manage multiple records simultaneously. Knowledge of healthcare regulations, accreditation standards, and industry-specific software systems. Ability to communicate effectively with providers, team members, and external agencies. Demonstrated ability to work independently while maintaining a collaborative team approach. Join us as a Credentialing Specialist/Biller and play a crucial role in maintaining the trustworthiness of our healthcare network! We value energetic professionals who thrive on accuracy, efficiency, and continuous learning—help us deliver exceptional care through meticulous credential management!

Pay:

$21.00 - $23.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person