Medical Billing & Credentialing Specialist - Pediatric Therapy

We are looking for a Medical Billing & Credentialing Specialist to support a growing Pediatric Therapy practice remotely. This is a fully remote, full-time role for someone experienced in pediatric therapy billing, insurance workflows, credentialing, and revenue cycle operations within a fast-paced healthcare environment.

Schedule:
- Monday to Friday, aligned with clinic hours.

Compensation:
- $1,000–$1,500 USD per month.

Responsibilities:
- Submit and manage insurance claims for pediatric therapy services.
- Handle denial management, corrected claims, and payer follow-ups.
- Perform insurance eligibility and benefits verification.
- Manage provider credentialing, payer enrollments, CAQH updates, and renewals.
- Maintain accurate credentialing and billing documentation.
- Communicate with insurance providers regarding claims and enrollment status.
- Ensure timely and accurate billing workflows within Fusion.
- Support organized reporting and revenue cycle operations.

Requirements:
- Strong experience in pediatric therapy billing.
- Hands-on credentialing experience (payer enrollments, CAQH, renewals, etc.).
- Experience using Fusion (required).
- Strong understanding of insurance workflows, denials, and claims management.
- Familiarity with pediatric therapy CPT codes and billing workflows.
- Excellent written and spoken English communication.
- Highly detail-oriented, organized, and reliable.
- Comfortable working independently in a remote environment.
- Professional, proactive, and tech-savvy.

Preferred:
- Experience supporting U.S.-based healthcare practices.
- Strong payer communication and follow-up experience.
- Background in pediatric therapy, speech therapy, occupational therapy, or ABA billing.

Location: Remote - Anywhere

Skills required for this job:
• Claims management
• Healthcare regulations
• Insurance credentialing
• Medical billing

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