Medical Billing, Coding and Credentialing Specialist

The role

Neon Link places experienced US healthcare revenue cycle professionals with medical practices, billing companies, behavioral health groups and DME suppliers, and this posting covers four lanes: billing and AR follow-up, medical coding, prior authorization and eligibility, and provider credentialing and payer enrollment. Tell us which lane is yours and we'll match you to the work you're strongest in. Billing and AR own the claim from submission through denial, appeal and payment. Coders assign CPT, ICD-10-CM and HCPCS from the documentation and hold the line when a payer pushes back. Prior authorization and eligibility clear the way before the visit, and credentialing keeps providers enrolled and in network so the claims can be paid at all. Every placement handles PHI under HIPAA rules and a signed BAA, so we look for people who are careful by habit, not only when someone is watching. Selected candidates are interviewed now and matched to a client engagement as it opens.

What you'll do

• Billing and AR: submit clean claims, clear clearinghouse rejections before they reach the payer, work denials and appeals, and follow aging accounts until they're paid or closed with a documented reason
• Billing and AR: post payments and remits, spot underpayments against the fee schedule, and reconcile what the payer paid with what the contract says
• Coding: assign CPT, ICD-10-CM, HCPCS Level II and modifiers from the documentation, query the provider when a note won't support the code, and stay current with annual code set changes
• Prior authorization and eligibility: verify benefits before the visit, confirm coverage, deductibles and copays, submit authorizations through payer portals, and track each one to approval, peer to peer review or appeal
• Credentialing: build and maintain CAQH ProView profiles, file CMS-855 applications through PECOS and NPPES, run commercial payer enrollments and re-credentialing, and track every expirable including licenses, DEA and malpractice coverage
• Work payer portals and clearinghouses daily, for example Availity or Office Ally, and log every call with a reference number, name and date
• Escalate payer problems with the facts already gathered: claim number, call reference, timeline and what you already tried
• Send the provider or practice manager a short weekly summary of what moved, what's stuck and what you need from them

What you bring

• 2 or more years in US medical billing and AR follow-up, medical coding, prior authorization and eligibility, or provider credentialing and payer enrollment; tell us which lane and for how long
• Hands-on with at least one US practice management or EHR system, for example Kareo or Tebra, AdvancedMD, eClinicalWorks, athenahealth, DrChrono, NextGen or Epic
• Working knowledge of the payer landscape: commercial plans, Medicare, Medicare Advantage, Medicaid and workers comp, including how each one handles appeals and timely filing
• Comfortable in payer portals and on the phone with payer reps, with the patience to sit in a queue and still be professional at minute forty
• Careful with PHI: you understand HIPAA minimum necessary, you don't move charts onto personal devices, and you'll sign an NDA and pass a background check
• Clear written and spoken English for payer calls, provider queries and written appeals
• Able to work US business hours, which is the night shift in India, and to hold that schedule long term
• A quiet, private workspace where PHI can't be seen or overheard, wired internet of at least 25 Mbps with a backup connection, a computer that runs the client's tools, and a noise cancelling headset
• Education: any bachelor's degree preferred, not required; relevant experience matters more

You'll do well here if

Why Neon Link

At Neon Link, we take care of the people who do the work, and we build the structure good people deserve. We uphold our core values:

• DO THE WORKWe show up prepared and finish what we start.
• GET THE CREDITYour work is visible, and it is yours.
• SAY IT STRAIGHTClear updates, honest answers, no surprises.
• OWN ITWe fix problems before anyone has to ask.
• KEEP LEARNINGWe get a little better every week.