Billing and Credentialing Coordinator Job at Glades Talent, Hinsdale, IL

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  • Glades Talent
  • Hinsdale, IL

Job Description

 

Position Summary:

We are working with a specialized oncology clinic committed to compassionate and comprehensive cancer care, who is seeking a detail-oriented Billing and Credentialing Coordinator. This role is crucial in ensuring accurate and timely billing, as well as maintaining up-to-date provider credentialing for all healthcare professionals within the practice.

Key Responsibilities:

Billing Duties:

  • Prepare, review, and submit insurance claims for oncology services (electronic and paper) in a timely and accurate manner.
  • Work daily claim rejections and denials; follow up on outstanding claims with insurance companies and patients.
  • Verify insurance eligibility and benefits prior to services rendered.
  • Assist in managing patient billing inquiries and payment arrangements.
  • Ensure compliance with all federal, state, and payer-specific billing and coding regulations.
  • Collaborate with clinical staff to resolve coding issues and ensure proper documentation.
  • Generate reports on billing performance, accounts receivable, and collection status.

Credentialing Duties:

  • Complete and maintain provider credentialing and re-credentialing with insurance payers, and hospitals.
  • Maintain detailed and organized credentialing files for all providers.
  • Track credentialing and license renewal deadlines; ensure all documentation is up to date.
  • Submit applications for new providers and manage updates for existing provider profiles.
  • Serve as liaison between providers, payers, and regulatory agencies regarding credentialing processes.

Qualifications:

Experience:

o Minimum 2 years of experience in medical billing, preferably in oncology or specialty care.

o At least 1 year of experience in provider credentialing.

Skills & Abilities:

o Strong knowledge of CPT, ICD-10, and HCPCS coding.

o Familiarity with oncology-specific billing and payer requirements is a plus.

o Proficient with billing software and EHR systems.

o Excellent organizational and time management skills.

o Attention to detail with a high degree of accuracy.

o Strong communication and interpersonal skills.

Benefits:

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

Schedule:

  • 8 hour shift
  • Monday to Friday

Work Location: In person

 

Job Tags

Shift work, Monday to Friday,

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