Medical Billing & Credentialing Specialist

About Refocus Medical LLC Refocus Medical LLC is a growing mobile primary care practice based in Arizona, dedicated to bringing high\-quality, personalized healthcare directly to our patients. We are a small, mission\-driven team that values efficiency, compassion, and compliance. As we expand our operations, we are looking for a skilled Medical Billing \& Credentialing Specialist to join our team and help us build a strong administrative foundation. Position Overview This is a part\-time remote position responsible for managing all aspects of medical billing, insurance claims, and provider credentialing. You will play a critical role in the financial health of our practice and ensure our providers are properly credentialed with insurance payers. This position offers flexible hours and the opportunity to grow with a dynamic mobile healthcare practice. Key Responsibilities Billing \& Claims: Submit accurate medical claims to insurance payers (Medicare, Medicaid, commercial insurers) Follow up on unpaid or denied claims and manage appeals process Post payments and reconcile EOBs (Explanation of Benefits) Review and resolve billing discrepancies and patient account issues Generate and send patient statements and manage collections Monitor accounts receivable and provide regular reporting Credentialing: Manage provider enrollment and credentialing with insurance networks Complete and submit credentialing applications for new payers Maintain up\-to\-date provider credentials, licenses, and certifications Track re\-credentialing deadlines and renewals Liaise with payers to resolve credentialing issues and check enrollment status Compliance \& Administration: Ensure all billing practices comply with HIPAA regulations Maintain accurate records and documentation Assist with prior authorizations as needed Communicate with patients regarding billing questions professionally Required Qualifications Minimum 2 years of experience in medical billing and/or credentialing Strong knowledge of ICD\-10, CPT, and HCPCS coding Experience with Medicare, Medicaid, and commercial insurance billing Familiarity with EOBs, ERA, and denial management Knowledge of HIPAA compliance requirements Proficiency with EHR/billing software (Elation Health experience a plus) Strong attention to detail and organizational skills Ability to work independently and manage time effectively Reliable internet connection and home office setup Preferred Qualifications CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification Experience with mobile or direct primary care practices Experience with Elation Health EHR Experience with Updox or similar eFax platforms Prior authorization experience with Arizona payers What We Offer Competitive pay based on experience Flexible part\-time hours — work on your own schedule Fully remote position Opportunity to grow with a new and expanding practice Supportive, collaborative team environment * Make a real impact in a small but meaningful healthcare practice Pay: From $30\.00 per hour Work Location: Hybrid remote in Glendale, AZ 85306