Heyziel
Medical Biller - AR| Credentialing Specialist
Verified
With Timeproof
Overview
Looking for full-time work (8 hours/day)
at $4.72/hour ($909.09/month)
Bachelors degree
Last Active
June 5th, 2026 (6 days ago)
Member Since
March 1st, 2022
Profile Description
Results-driven Medical Billing and Credentialing Specialist with experience in credentialing providers, resolving claim denials, and managing AR accounts. Committed to accuracy, compliance, and efficient revenue cycle operations.
Top Skills
Professional Services » Medical Services » Revenue Cycle Management
Experience: 2 - 5 years
As Medical Biller: - Preparing and submitting insurance claims accurately using billing software. - Recording payments from insurance companies and patients in the billing system. - Identifying denied claims, investigating the reasons, and correcting errors for resubmission. - Contacting insurance companies to check claim status and ensure timely reimbursement. - Writing and submitting appeal letters for denied or underpaid claims. - Maintaining detailed records of claim status, payment information, and follow-up actions. - Ensuring all billing activities follow HIPAA, insurance policies, and healthcare regulations.
Professional Services » Medical Services » Credentialing
Experience: 6 months - 1 year
As Credentialing Specialist: - Submitting applications to insurance companies and government programs to enroll providers. - Confirming provider credentials such as licenses, certifications, education, and work history. - Ensuring providers meet industry standards, state regulations, and accreditation requirements. - Monitoring expiration dates for licenses, certifications, and insurance enrollments to ensure timely renewals. - Coordinating with healthcare providers, insurance companies, and regulatory agencies. - Staying informed about industry regulations, payer requirements, and credentialing standards. - Resolving delays, discrepancies, or issues during the credentialing process.
Other Skills
Basic Information
- Age
- 28
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Guimba, Nueva Ecija
- Tests Taken
- IQ
- Score: 122
- DISC
- Dominance: 49
- Influence: 11
- Steadiness: 29
- Compliance: 11
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
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