Medical Billing And Credentialing Specialist Athena Proficiency

Company Description

SnappyCX is a healthcare-focused BPO and virtual staffing company that supports growing medical practices with HIPAA-trained remote teams. The organization specializes in patient scheduling, intake, care coordination, medical billing, referrals, and back-office support, helping clinical staff concentrate on direct patient care. SnappyCX is trusted by over 100 medical practices that rely on its services to improve efficiency and patient experience. The company emphasizes compliance, reliability, and streamlined workflows for its clients. Prospective team members join a mission-driven environment dedicated to making healthcare operations simpler and more effective.

Role Description

Our client, a growing healthcare practice, is seeking an experienced Medical Billing & Credentialing Specialist to support its financial and administrative operations. This role is ideal for a detail-oriented healthcare professional with strong experience in medical billing, Revenue Cycle Management (RCM), Accounts Receivable (AR), and provider credentialing.

The ideal candidate is self-motivated, organized, and able to work independently while managing billing processes, resolving claim issues, and maintaining provider credentialing within Athena.

• Manage the full medical billing and Revenue Cycle Management (RCM) process.
• Monitor and follow up on aging Accounts Receivable (AR) and outstanding claims.
• Investigate and resolve claim denials, payment discrepancies, and reimbursement issues.
• Verify patient insurance eligibility and benefits.
• Complete provider credentialing and recredentialing processes.
• Maintain accurate billing, credentialing, and provider records within Athena.
• Communicate with insurance companies regarding claims, credentialing, enrollments, and payment issues.
• Maintain accurate documentation within the practice management system.
• Support additional healthcare administrative tasks as needed.
• Ensure compliance with HIPAA regulations and medical billing best practices.

• Minimum 3 years of experience in medical billing, Accounts Receivable (AR), and provider credentialing.
• Strong understanding of the complete Revenue Cycle Management (RCM) process.
• Hands-on experience using Athena.
• Proven experience resolving denied claims and managing aging AR.
• Excellent verbal and written English communication skills.
• Ability to work independently with minimal supervision.
• Strong organizational, analytical, and time-management skills.
• High level of accuracy and attention to detail.

• Experience supporting multiple medical specialties.
• Knowledge of Medicare, Medicaid, and commercial insurance plans.
• Experience with provider enrollment and payer credentialing.
• Comfortable working remotely in a fast-paced healthcare environment.

• Self-driven, proactive, and highly accountable.
• Organized with excellent problem-solving skills.
• Detail-oriented and committed to accuracy.
• Able to prioritize competing tasks effectively.
• Results-oriented with a strong sense of ownership.
• Comfortable working independently while consistently meeting deadlines.

• Part-Time initially, with the opportunity to transition into a Full-Time role based on business needs.
• Schedule aligned with the U.S. Eastern Time (ET) zone.

• Reliable computer or laptop capable of supporting healthcare software.
• Stable high-speed internet connection.
• Professional headset with microphone.
• Quiet, distraction-free home office.
• Fully remote position.
• Opportunity to grow into a full-time role with a growing healthcare practice.