Billing & Credentialing Support Specialist

LWell is hiring a detail-driven, people-first specialist to bridge our credentialing and billing/AR workflows. You’ll be the day-to-day conduit among providers, payers, and our internal teams—keeping applications moving, verifying benefits, resolving denials, and documenting everything clearly so anyone can see status at a glance. Training provided on our EHR and credentialing platforms.

Key Responsibilities

Credentialing Support:

Call insurance plans to check application status and document outcomes.

Liaise between the Credentialing Manager, providers, and payers to collect/submit required info.

Enter application data accurately for each provider (e.g., CAQH/NPI/plan portals).

Maintain and update internal trackers/dashboards to reflect real-time progress and next actions.

Proactively flag blockers, missing items, or payer requests; drive timely follow-ups.

Billing & Revenue Cycle Support:

Perform insurance eligibility & benefits verification for patients.

Call payers to obtain claim status, understand denial/rejection reasons, and complete corrective actions.

Work Accounts Receivable (A/R): prioritize aging, submit/track appeals, escalate when needed.

Coordinate with Credentialing and Billing Managers if issues relate to enrollment/contracting and cannot be overturned.

Record all payer interactions, reference numbers, and outcomes with clear notes.

Communication, Documentation & Reporting

Provide concise, “at-a-glance” status updates on request (Teams/email).

Ensure complete, timely documentation of every task in the EHR/trackers.

Contribute to weekly summaries (wins, risks, aging trends, next steps).

Tools You’ll Use:

Microsoft 365 (Excel/Sheets, Word, Outlook) and Microsoft Teams (required).

EHR and credentialing software (training provided).

Payer portals and clearinghouses.



Qualifications:

Required:

1–2+ years in healthcare admin, medical billing, RCM, or credentialing (or comparable high-detail ops role).

Confident phone presence with payers; skilled at probing for root-cause details.

Strong Outlook and Excel/Google Sheets skills.

Excellent written documentation; organized task and time management.

Integrity with HIPAA compliance and patient/provider confidentiality.

Team-oriented, friendly, and service-minded.

Nice to Have:

Familiarity with CAQH, NPPES/NPI, payer portals, and enrollment timelines.

Working knowledge of CPT/ICD-10, COB, prior auth, EOB/ERA interpretation.

Experience reducing days in A/R or improving denial overturn rates.

Schedule:

Must be available during US Eastern Time business hours to collaborate with office staff and payers.

Performance Metrics (KPIs)

Credentialing application cycle time & on-time milestone completion.

A/R follow-up timeliness; days in A/R and denial resolution rate.

Documentation completeness/accuracy; on-demand status visibility.



We value clear communication and teamwork. Accent is not a concern for this role; we welcome diverse voices.

Compensation & Benefits

Competitive pay commensurate with experience; benefits available.
(Details to be finalized during interview.)