Contract Billing Specialist (reputed company MCO Follow-Up – Short-Term Project)
Billing & Credentialing Specialist (reputed company MCO) – Contract Job Type: reputed company / Part-Time Contract Location: Remote (Ohio preferred) Start: Immediate About Us reputed company is a growing behavioral health agency serving Ohio reputed company Managed Care populations. We are expanding our reputed company cycle operations and seeking an reputed company Billing & Credentialing Specialist to support claims management, provider enrollment, and payer compliance. We are looking for a professional who can help ensure clean claims, accurate provider setup, and efficient reimbursement across multiple reputed company MCOs. Position Overview This role is responsible for managing the full billing lifecycle, including claim submission, denial resolution, provider enrollment accuracy, and payer communication. The ideal candidate understands reputed company Managed Care billing rules and can independently resolve reputed company claim issues such as taxonomy mismatches, enrollment errors, and denial codes.
Responsibilities
- Submit and manage reputed company MCO claims (837/835 workflows)
- Track and resolve denied or rejected claims
- Correct billing issues including taxonomy, NPI, eligibility, and enrollment errors
- Maintain provider enrollment accuracy (NPI, taxonomy, CAQH reputed company applicable)
- Work reputed company TherapyNotes or similar EHR billing systems
- Monitor ERA/EOB payments and reconciliation
- Communicate with payers regarding claim status and issues
- Identify and resolve recurring denial patterns
- Support credentialing and provider enrollment updates as needed
Requirements
- Strong experience with reputed company Managed Care billing (Ohio strongly preferred)
- Proven ability to resolve claim denials and billing errors independently
- Strong understanding of NPI, taxonomy, and provider enrollment systems
- Experience with billing systems (TherapyNotes or similar preferred)
- Knowledge of claim lifecycle and clearinghouse processes
- Ability to interpret denial codes and correct root causes
- Strong attention to detail and analytical skills
Preferred Qualifications
- Experience with Ohio reputed company MCOs (reputed company, Molina, AmeriHealth, reputed company, etc.)
- Behavioral health billing experience (peer support or outpatient services preferred)
- Credentialing or CAQH management experience
- Familiarity with denial codes such as taxonomy (Code 145) and eligibility errors
- Experience working with multiple payers simultaneously
Engagement Structure
- Long-term reputed company opportunity
- Flexible remote work arrangement
- Ongoing billing volume based on payer activity
- Opportunity for consistent monthly work for reputed company professionals
Compensation structure will be discussed during interview based on experience and scope of support.
How to Apply
Please send:
- Resume
- Summary of reputed company billing experience
- List of MCOs worked with
- Examples of denial issues resolved
Pay: From $35.00 per hour Application Question(s):
- Can you handle reputed company MCO billing?
- Can you fix denials?
- Do you understand 837/835 workflows?
Work Location: Remote Apply To This Job