Credentialing & Billing Specialist \- Virtual Assistant jobs in United States
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Virtual Rockstar Careers · 1 day ago

Credentialing & Billing Specialist \- Virtual Assistant

Virtual Rockstar is hiring a full-time Credentialing & Billing Specialist on behalf of their client, an outpatient physical therapy provider in Alaska. This role involves managing credentialing paperwork, tracking deadlines, and supporting billing and accounts receivable tasks.

Staffing & Recruiting

Responsibilities

Gather necessary information and documentation from new and traveling providers to begin credentialing
Prepare, complete, and submit all credentialing applications for new providers across payers and networks
Complete re-credentialing applications as they come due and ensure submissions are completed ahead of deadlines
Track all credentialing submissions and payer responses using Excel-based credentialing trackers
Proactively follow up with payers via phone and email to confirm receipt, check status, and resolve missing items
Manage and complete CAQH profiles and attestations, ensuring provider information stays accurate and current
Perform monthly sanctions checks for all providers and document results consistently
Serve as a key point of contact for credentialing-related questions and documentation requests
Coordinate communication with providers to ensure they submit required information quickly and completely
Manage credentialing correspondence and keep records of communications, submission dates, and approvals
Escalate credentialing issues when timelines are at risk or payer requirements change
Assist the billing team with Accounts Receivable follow-up as time allows
Support claims follow-up by contacting payers regarding unpaid or delayed claims
Document claim follow-up outcomes clearly and escalate issues to billing leadership when needed
Support other billing-related tasks as assigned to help keep revenue cycle workflows moving
Schedule meetings as needed and support internal coordination
Block provider schedules appropriately in the EMR when credentialing or onboarding is in progress
Join weekly meetings with the leadership/admin team and provide updates on credentialing progress and outstanding items

Qualification

Credentialing experienceBilling experienceMicrosoft ExcelCAQH familiarityOrganizational skillsFollow-throughMicrosoft Office SuiteMicrosoft OutlookTime managementAttention to detailCommunication skills

Required

Prior experience in healthcare administration, with strong preference for candidates with credentialing and/or billing experience
Familiarity with provider credentialing workflows, including submitting applications and performing payer follow-up
Strong proficiency in Microsoft Excel, Word, and Outlook (non-negotiable)
Excellent organizational and time management skills; able to manage multiple active credentialing workflows at once
Strong attention to detail—accurate documentation and deadline tracking are essential
Confident communicator who is comfortable making follow-up calls to insurance payers and requesting information from providers
Reliable and consistent follow-through; able to work independently and keep processes moving without constant oversight

Preferred

Experience working with CAQH and/or provider enrollment processes strongly preferred

Benefits

Competitive salary commensurate with experience.
Opportunities for professional development and growth.
Work in a dynamic and supportive team environment.
Make a meaningful impact by helping to build and strengthen families across the globe.

Company

Virtual Rockstar Careers

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Are you a skilled virtual assistant looking for rewarding opportunities to showcase your talent and expertise? Look no further than Virtual Rockstar! Virtual Rockstar is a community of dedicated professionals committed to excellence, integrity, and collaboration.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase