Contracting, Credentialing & Billing Specialist (Remote)

 Posted 5 months ago
     
 $20 - $25 per hour
  
2-5 years experience
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AI Summary

The Contracting, Credentialing & Billing Specialist will manage the end-to-end provider contracting and credentialing processes, ensuring timely and accurate reimbursement. This role also involves assisting with billing setup and maintaining compliance with payer and organizational requirements.

Contracting, Credentialing & Billing Specialist (Remote)

Employment Type: Full-Time, W-2
Compensation: $20–$25 per hour (based on experience)

About Understood Care

Understood Care was founded by clinicians, patient advocates, and healthcare leaders to make healthcare simpler, safer, and more supportive for older adults. We provide Medicare-covered patient advocacy services and work only for our clients, not hospitals or insurance companies, pairing each person with a dedicated advocate who helps them navigate care, reduce costs when possible, and make confident healthcare decisions because healthcare should feel human. 

Position Overview

Understood Care is seeking a detail-oriented and highly organized Contracting, Credentialing & Billing Specialist to support our provider operations. This role is critical in ensuring providers are properly contracted, credentialed, and reimbursed in a timely and accurate manner. The ideal candidate is proactive, organized, and comfortable managing multiple workflows simultaneously.

Key Responsibilities

Contracting & Credentialing

  • Manage end-to-end provider contracting and credentialing processes
  • Prepare, submit, and track credentialing applications with payers
  • Maintain accurate and up-to-date provider records and documentation
  • Monitor credentialing timelines and proactively follow up with payers
  • Support re-credentialing and ongoing compliance requirements

Billing Support

  • Assist with billing setup for newly credentialed providers
  • Support claim submission, tracking, and follow-up as needed
  • Identify and help resolve basic billing issues or discrepancies
  • Coordinate with internal teams to ensure accurate provider data

Administrative & Compliance Support

  • Maintain organized documentation in internal systems
  • Ensure compliance with payer, state, and organizational requirements
  • Communicate effectively with internal teams and external partners

Qualifications

  • 2–5 years of experience in healthcare contracting, credentialing, licensing and billing
  • Familiarity with payer portals and credentialing processes
  • Strong attention to detail and organizational skills
  • Ability to manage multiple deadlines in a fast-paced environment
  • Excellent written and verbal communication skills
  • Experience with healthcare administration systems is a plus

What We Offer

  • Full-time W-2 employment
  • Competitive hourly pay ($20–$25/hour)
  • Collaborative and supportive team environment
  • Opportunity to grow within a mission-driven healthcare organization

 

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