Job Location : Glen Rock,PA, USA
CREDENTIALING / BILLING SPECIALIST
Job Details
Job Location
Glen Rock, PA
Position Type
Full Time
Salary Range
$23.00 - $27.00 Hourly
Travel Percentage
None
Job Shift
Any
Description
At American Endovascular we're committed to delivering exceptional healthcare services with integrity, compassion, and excellence. As part of our growing team, we're seeking a detail-orientedCredentialing/ Billing Specialistto help ensure our providers meet all regulatory and compliance standards.
Key Responsibilities
Verify and maintain provider credentials including licenses, certifications, education, and work history
Process initial and re-credentialing applications for insurance payers and hospital systems
Maintain and update credentialing databases (e.g., CAQH, PECOS)
Monitor expiration dates and ensure timely renewals
Communicate with providers to collect documentation and resolve discrepancies
Ensure compliance with NCQA, JCAHO, CMS, and state regulations
Prepare documentation for audits and regulatory reviews
Key Responsibilities
Generate and issue invoices for services rendered or products sold
Review financial statements to identify billing errors or inconsistencies
Process incoming payments and update customer accounts
Maintain organized billing records and documentation
Communicate with clients to resolve billing inquiries and disputes
Collaborate with internal departments (e.g., finance, customer service)
Prepare reports on billing activity and account status
Ensure compliance with company policies and financial regulations
Qualifications
Qualifications & Skills
Associate or Bachelor's degree in healthcare administration or related field
2+ years of credentialing experience preferred
CPCS certification a plus
Strong attention to detail and organizational skills
Excellent written and verbal communication
Proficiency in Microsoft Office and credentialing software
Competitive salary (starting around $48,000 annually)
Comprehensive benefits package (medical, dental, vision, 401k)
Paid time off and holidays
Opportunities for professional development
Supportive and collaborative work environment