• Credentialing / Billing Specialist

    American Endovascular & Amputation Prevention LLC (Glen Rock, PA)


    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