Credentialing Specialist

Job Description

Job Description

Description :

Billing & Credentialing Specialist

Location : on-site in Akron, OH with an opportunity for remote work after probationary period.

Employment Type : Full-time

About the Role

Red Oak is seeking a detail-oriented Billing & Credentialing Specialist to join our growing team. In this role, you will ensure providers are properly enrolled with multiple payers, process commercial claims, and support timely billing for services. This is an excellent opportunity for someone with strong medical billing skills who enjoys problem-solving and helping a mission-driven organization succeed.

Key Responsibilities

• Manage provider credentialing, enrollment, and updates to prevent billing delays
• Verify insurance benefits and obtain prior authorizations for clients
• Post daily insurance payments, ERAs (835), EOBs, and EOPs; manage denials and resubmissions
• Prepare, compile, and transmit claims weekly, including CMS submissions
• Maintain accurate client insurance records and upload documentation into systems (e.g., eBridge)
• Research unpaid claims, resolve errors, and support A / R projects
• Assist clients with our online Payment Hub and troubleshoot payment issues on portals (e.g., Ohio MITS)
• Provide cross-department support and complete other administrative duties as assigned

Qualifications

What We Offer

Physical & Work Environment

Red Oak is proud to be an equal opportunity employer.

Requirements :