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At LifeLine Medical Mobility, LLC, we provide dependable, dignified, and safe Non-Emergency Medical Transportation (NEMT) services to clients attending crucial medical appointments. We specialized in wheelchair, and ambulatory transit. We are expanding our commercial healthcare insurance billing operations and seeking an experienced NEMT Credentialing & Revenue Cycle Manager to build and manage our end-to-end commercial insurance billing and payor network workflows. Position Overview We are looking for a highly skilled NEMT Credentialing & Revenue Cycle Manager with 5 to 10 years of hands-on experience managing the complete end-to-end lifecycle of commercial medical insurance credentialing, electronic billing, and clearinghouse operations for medical transportation services. In this role, you will be responsible for getting LifeLine Medical Mobility, LLC fully contracted and credentialed with private health insurance carriers (Aetna, Blue Cross Blue Shield, UnitedHealthcare, Humana, etc.), configuring our RoutingBox software and clearinghouse integrations, managing prior authorizations, scrubbing and submitting

ANSI 837P/CMS-1500

claims, and ensuring timely electronic reimbursement (ERA/EFT). Key Responsibilities 1. Payor Credentialing & Provider Enrollment Lead end-to-end credentialing and contracting for LifeLine Medical Mobility, LLC with commercial health insurance carriers, Managed Care Organizations (MCOs), and private payor networks. Maintain and update organizational profiles across platforms including CAQH ProView , NPPES (Type 2 NPI maintenance) , and individual payor credentialing portals. Manage vehicle and driver credentialing documentation required by payors, ensuring all commercial auto policies, liability coverage, driver background checks, and certifications meet carrier requirements. Monitor contract renewal timelines and maintain payor fee schedules. 2. Clearinghouse Setup & EDI Management Configure and manage electronic clearinghouse connections (e.g., Office Ally, Availity, Waystar) and pair them seamlessly with our RoutingBox dispatch and billing platform. Set up Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA / EDI 835) enrollments across all contracted payors for automated claim auto-posting and direct bank deposits. Conduct real-time eligibility and benefit verification (EDI 270/271) prior to trip scheduling to verify patient NEMT coverage and copay/deductible requirements. 3. Revenue Cycle Management (RCM) & Claims Processing Oversee daily/weekly claim scrubbing and submission of

ANSI 837P

electronic claim files and

CMS-1500

paper claims generated in RoutingBox. Verify proper coding on all transportation claims, including HCPCS transportation codes (A0100, A0130, A0425, T2003), correct modifiers (NH, RH, etc.), ICD-10 diagnosis codes, and referring physician NPIs. Establish and execute prior authorization (PA) workflows with client medical providers to ensure valid PA numbers (Box 23) are attached to all required claims prior to transit. Reconcile electronic remittances (835 ERAs), monitor clearinghouse rejection reports, and manage claim re-submissions or appeals for denied claims. Track accounts receivable (A/R) aging, generate financial performance reports, and maintain an industry-standard net collection rate. Qualifications & Requirements Required Experience Associate's degree or Equivalent certification in commercial medical insurance credentialing, electronic billing and clearinghouse for medical transportation services. 5 to 10+ years of direct experience managing healthcare billing and payor credentialing, specifically in Non-Emergency Medical Transportation (NEMT), Ambulance/EMS, or specialized medical transit contracts. Demonstrated track record of successfully enrolling healthcare/transportation providers with major commercial health insurance carriers and MCOs end-to-end. In-depth working knowledge of medical billing software platforms; RoutingBox experience is highly preferred . Direct experience setting up and managing clearinghouses ( Office Ally , Availity , Waystar , or Change Healthcare ). Deep mastery of HCPCS coding , transportation modifiers, CMS-1500 layout, ANSI 837P EDI structures, and 835 ERA auto-posting. Skills & Competencies Comprehensive understanding of HIPAA compliance, medical necessity documentation, ePCR/GPS audit requirements, and prior authorization rules. Proficiency in CAQH management, Optum Pay, and commercial insurance provider portals. Strong analytical, organizational, and problem-solving skills with a high attention to detail. Excellent written and verbal communication skills to interact professionally with insurance representatives, physician office managers, and clients.

Compensation & Benefits Pay Range:

$35,000 - $55,000 / year (Commensurate with experience)

Bonus Potential:

Performance-based incentives tied to clean claim rates and A/R targets.

Benefits Package:

Personal Time Off (PTO) & Paid Holidays Professional Development & Continuing Education Support Flexible Schedule / Hybrid option after onboarding How to Apply To apply, please submit your resume along with a brief cover letter outlining your direct experience with commercial NEMT credentialing, RoutingBox, and clearinghouse setup.

Pay:

$35,000.00 - $55,000.00 per year

Benefits:

Flexible schedule

Work Location:

Hybrid remote in Miramar, FL 33027