Lead Biller and Credentialing Coordinator (In-Person)

Position Overview

Rite Med Group is seeking an experienced and detail-oriented Lead Biller & Credentialing Coordinator to join our growing team in an in-person capacity. This dual-role position is critical to the financial and operational success of the organization, combining full-cycle medical billing expertise with oversight of provider credentialing processes.

The ideal candidate will have a strong background in medical billing and coding, proven experience disputing and recovering funds from insurance companies, and several years of hands-on credentialing experience. This individual will serve as a key liaison between providers, payers, and internal teams to ensure optimal revenue performance, compliance, and provider onboarding efficiency.

Key ResponsibilitiesBilling & Revenue Cycle Management

• Manage the full medical billing lifecycle, including charge capture, claim submission, payment posting, adjustments, and accounts receivable follow-up
• Submit accurate and timely claims to Medicare, Medicaid, and commercial payers in compliance with all billing guidelines and deadlines
• Analyze, track, and resolve claim denials, rejections, and underpayments; implement strategies to reduce future denials
• Actively dispute denied or underpaid claims with insurance companies, ensuring maximum reimbursement and timely resolution
• Perform consistent follow-up on outstanding accounts receivable to maintain strong cash flow and minimize aging
• Post and reconcile payments, contractual adjustments, and refunds; investigate and resolve discrepancies
• Ensure proper use and application of CPT, ICD-10, and HCPCS coding standards in all billing practices
• Collaborate with providers and clinical staff to resolve documentation and coding issues

Credentialing Oversight

• Oversee the full credentialing and recredentialing process for providers, ensuring accuracy, completeness, and timeliness
• Maintain and manage provider credentialing files, databases, and documentation
• Verify provider licenses, certifications, education, and work history in accordance with payer and regulatory requirements
• Communicate with providers to collect and update necessary credentialing documentation
• Work with payers and networks to ensure successful provider enrollment and participation
• Monitor credentialing timelines to prevent lapses in provider eligibility and reimbursement
• Stay current on industry regulations, payer requirements, and credentialing best practices
• Support audits and ensure compliance with all credentialing standards

Qualifications & Requirements

• This is an in-person position (remote work is not available)
• Minimum of 3 years of credentialing experience in a healthcare setting
• Strong background in medical billing, coding, and revenue cycle management
• Required: Billing and coding certification (CPC, CCS, or equivalent)
• Proven experience working with insurance companies to dispute and recover payments
• In-depth knowledge of Medicare, Medicaid, and commercial payer guidelines
• Strong understanding of managed care and provider enrollment processes
• High attention to detail with excellent organizational and analytical skills
• Ability to multitask, prioritize, and work both independently and collaboratively
• Strong communication and problem-solving abilities
• Bachelor’s degree in Healthcare Administration or related field preferred

About Rite Med Group

Rite Med Group is a fast-growing healthcare organization dedicated to improving post-acute care management within skilled nursing facilities, adult communities, and assisted living settings. By prioritizing provider wellbeing and operational excellence, we foster a “Cycle of Healthcare Happiness” that enhances patient outcomes, reduces hospitalizations, and strengthens facility partnerships.

Why Join Us

“We see you, not just your credentials.”
At Rite Med Group, we value our team members as individuals and partners in success. Your work directly impacts patient care, provider satisfaction, and the continued growth of our organization. We are committed to creating an environment where your expertise is respected, your voice is heard, and your career can grow.

Pay: $65,000.00 - $95,000.00 per year

Benefits:

• Health insurance
• Paid time off

Experience:

• Medical billing: 2 years (Required)
• Insurance verification: 2 years (Required)
• credentialing: 3 years (Required)
• Medical coding: 2 years (Required)

Ability to Commute:

• Bayside, NY 11359 (Required)

Work Location: In person

Salary : $65,000 - $95,000