Credentialing

Organization: Medical Tattooing Billing Services (MTBS)

About MTBS

Medical Tattooing Billing Services (MTBS) supports medical tattoo artists and studios across the United States by handling insurance authorizations, claims, and financial navigation for patients undergoing sensitive procedures, including breast cancer reconstruction. We work exclusively with out-of-network providers.

As we grow, we need a tea ---------- mber who understands how insurance companies actually register, store, and pay providers inside their systems.

Position Overview

We are seeking a Credentialing Expert with direct, internal experience at a health insurance company in Credentialing.

Authorizations are not our main challenge. Our issue is claims not paying correctly after authorization, often due to improper out-of-network provider setup. We need someone who understands insurer systems well enough to identify why providers are not registered, linked, or configured correctly—and how to fix it.

This is a full-time, remote role working closely with the owners to build and refine our out-of-network enrollment process.

Key Responsibilities

Out-of-Network Provider Setup
• Register and enroll out-of-network providers with insurers nationwide
• Identify and resolve provider setup issues that prevent correct payment
• Confidently communicate with Provider Support, Credentialing or Enrollment teams
• Ensure provider records align with how claims are billed

Availity & Insurance Portals
• Use Availity for out-of-network registration and provider setup tasks
• Navigate additional payer portals as required
• Maintain clear documentation of actions taken for each provider

Payment Issue Resolution
• Review claims with valid authorizations that are denied or underpaid
• Determine whether issues relate to NPI, TIN, taxonomy, location, or provider file setup
• Work with insurers to correct issues and prevent repeat denials
• Document solutions and repeatable processes

Process Improvement & Documentation
• Help build payer-specific checklists for out-of-network enrollment
• Track payer requirements (Availity, portal, phone, fax)
• Maintain detailed call notes, reference numbers, and status trackers
• Share insights to support future training and scaling

Required Experience
• Prior employment with a major U.S. health insurance company in:
• Credentialing
• Network Management
• Experience resolving provider setup or credentialing issues
• Understanding of how provider records affect claims payment
• Strong English communication skills and attention to detail

Preferred Experience
• Out-of-network enrollment or single-case agreements
• Multi-state or multi-location provider files
• Post-payer experience in billing or medical practices
• Familiarity with provider terminology (rendering, billing, pay-to, taxonomy)
• Advanced Availity experience

Work Details
• Full-time, remote
• U.S. business hours required (Eastern Time availability preferred)
• Pay: $346/week for first 90 days, with an increase up to $400/week after review
• Paid via Wise

Growth Opportunity

As MTBS continues to expand (currently supporting ~100 providers), this role may grow into:
• Managing all out-of-network enrollment operations
• Training and supervising additional staff
• Helping design internal tools, templates, and training materials

How To Apply

Please submit:
• A short video introducing yourself and explaining why you are a strong fit
• Your resume
• A brief written explanation including:
• Insurance company or companies you worked for
• Department(s) you worked in
• If possible, an example of resolving a provider setup or enrollment issue so claims paid correctly

This helps us assess communication style and relevant experience.

Resumes submitted without a video will be archived without review.