Insurance Biller
Role & responsibilities
Empathy Primary Care, a U.S.-based medical practice, is hiring an experienced credentialing and billing specialist to manage insurance provider enrollment and billing operations remotely. This role is central to keeping our providers properly credentialed with payers and our billing cycle running smoothly.
- Manage end-to-end provider credentialing and enrollment with commercial insurance payers, Medicare, and Medicaid
- Create and maintain CAQH profiles; keep payer portals current
- Track and complete re-credentialing / revalidation cycles ahead of expiration deadlines
- Prepare and submit provider enrollment applications (NPPES, PECOS, payer-specific portals)
- Handle medical billing functions: charge entry, claims submission, payment posting
- Follow up on denied or rejected claims; manage accounts receivable
- Coordinate with U.S.-based staff on documentation and payer communications
- Maintain HIPAA compliance and confidentiality standards throughout
- Proven experience with U.S. medical insurance credentialing (CAQH, PECOS, NPPES, payer enrollment portals)
- Experience with U.S. medical billing and claims processing (CMS-1500 forms, ICD-10, CPT coding)
- Familiarity with major U.S. insurance payers (Medicare, Medicaid, commercial insurers)
- Strong written and spoken English
- Comfortable working U.S. business hours overlap
- Prior experience with a U.S. medical practice or billing company strongly preferred
