Remote Billing, Credentialing & Insurance Verification Associate
Remote Billing, Credentialing & Insurance Verification Associate Pay $22–$25 per hour Job Type Full-time Schedule Monday–Friday Location Remote (U.S.) About VirtuMedex VirtuMedex is a growing healthcare Management Services Organization (MSO) supporting physician practices nationwide through innovative telehealth and care management programs, including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Transitional Care Management (TCM), Behavioral Health Integration (BHI), and preventive care services. We are seeking a highly organized and detail-oriented Billing, Credentialing & Insurance Verification Associate to support our revenue cycle operations, provider enrollment, credentialing, and insurance verification processes.
Responsibilities
Medical Billing & Revenue Cycle Management
- Submit and follow up on medical claims accurately and timely
- Review and resolve claim denials, rejections, ERAs, and EOBs
- Monitor accounts receivable and assist with collections efforts
- Maintain accurate patient and insurance information within Athenahealth and other systems
- Communicate with payers regarding claim status and reimbursement issues Insurance Verification
- Verify patient eligibility, benefits, copays, deductibles, and authorization requirements
- Document insurance verification findings accurately
- Identify and communicate coverage issues to patients and staff
- Assist with prior authorizations and referral requirements Credentialing & Provider Enrollment
- Coordinate provider credentialing and recredentialing activities
- Maintain CAQH, PECOS, NPPES, state licenses, DEA registrations, and malpractice records
- Complete Medicare, Medicaid, and commercial payer enrollment applications
- Track credentialing and enrollment applications through completion
- Follow up with payers regarding pending enrollments and credentialing requests Administrative & Compliance Support
- Assist with provider onboarding and compliance documentation
- Maintain organized credentialing and payer files
- Generate reports and assist with audits and process improvement initiatives
- Maintain HIPAA compliance and confidentiality standards Qualifications Required
- Minimum 2 years of healthcare billing, credentialing, insurance verification, or payer enrollment experience
- Knowledge of CPT, HCPCS, ICD-10, Medicare, Medicaid, and commercial insurance plans
- Experience with EMR and practice management systems
- Strong organizational, communication, and follow-up skills
- Proficiency with Microsoft Office and Excel
- Ability to work independently in a remote environment
- Athenahealth experience
- Knowledge of New York and Florida insurance payers
- Experience with CCM, RPM, TCM, telehealth, primary care, behavioral health, or value-based care programs
- Familiarity with CAQH, PECOS, NPPES, Availity, and payer portals
- Experience supporting multi-state healthcare organizations Why Join VirtuMedex?
- Work remotely with a growing healthcare organization
- Help improve patient outcomes through innovative care programs
- Gain exposure to billing, credentialing, payer enrollment, and healthcare operations
- Opportunity for professional growth and advancement
- Collaborative and supportive team environment Compensation $22–$25 per hour, based on experience. Pay $22.00 - $25.00 per hour Benefits
- 401(k)
- Flexible schedule Work Location Remote Apply To This Job
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