What are the responsibilities and job description for the Revenue Cycle & Credentialing Specialist position at Remedy Management Group LLC?
Independent Contractor Opportunity | Remedy Management Group
Compensation: $20-$24 per hour
Estimated Workload: 6–10 hours weekly
Location: Remote/ Hybrid
Contract Term: Initial 90-day engagement, with potential renewal
About Remedy Management Group
Remedy Management Group provides professional administrative, billing, credentialing, and practice management services to healthcare organizations.
We are seeking an experienced, dependable Revenue Cycle & Credentialing Specialist to provide contracted support for our healthcare clients.
Scope of Services
The contractor will independently provide the following services:
Insurance Claims & Denials
- Investigate denied and rejected insurance claims.
- Contact insurance carriers to resolve outstanding claims.
- Prepare corrections, reconsiderations, and appeals.
- Identify recurring billing problems and recommend solutions.
Billing Holds
- Review and resolve assigned claims on hold.
- Research missing information and insurance discrepancies.
- Coordinate with authorized clinic contacts when additional documentation is required.
Patient & Insurance Billing Support
- Research and respond to assigned patient billing inquiries.
- Explain insurance payments, patient balances, and billing discrepancies.
- Contact insurance carriers regarding payment status and reimbursement issues.
- Escalate disputes requiring management approval.
Provider Credentialing
- Maintain CAQH and provider enrollment information.
- Prepare and follow up on credentialing applications.
- Track insurance enrollment and recredentialing deadlines.
- Maintain accurate credentialing records.
Contractor Qualifications
- Minimum 2 years of healthcare revenue cycle or medical billing experience.
- Demonstrated ability to independently resolve insurance denials.
- EMR experience strongly preferred.
- Provider credentialing experience preferred.
- Familiarity with mental health and medical billing.
- Strong communication, documentation, and organizational skills.
- Ability to maintain HIPAA-compliant systems and procedures.
Independent Contractor Arrangement
The contractor will determine their own working methods and schedule, subject to agreed service deadlines, security requirements, and necessary insurance carrier availability.
The contractor will submit itemized invoices for approved services, generally not exceeding 10 hours per week without prior written authorization.
The contractor is responsible for their own applicable taxes, business expenses, and insurance as specified in the agreement.
The contractor may provide services to other clients, subject to confidentiality, conflict-of-interest, and contractual obligations.
This opportunity is contingent upon satisfactory completion of an independent contractor classification review, execution of a services agreement, and applicable HIPAA documentation.
Deliverables
The contractor will provide a weekly report summarizing:
- Number of claims and holds worked and resolved.
- Outstanding claims requiring additional action.
- Payments recovered or corrected, when verifiable.
- Patient billing inquiries addressed.
- Credentialing applications and deadlines.
- Recommendations for improving revenue cycle performance.
Our Goal
To improve collections, reduce outstanding insurance balances, maintain accurate credentialing, and support the financial sustainability of the healthcare organizations we serve.
Pay: $20.00 - $24.00 per hour
Expected hours: 6.0 – 10.0 per week
Benefits:
- Flexible schedule
Work Location: In person
Salary : $20 - $24