Join Our Team as a Medical Billing & Credentialing Specialist!

Are you ready to take your medical billing expertise to the next level? Docsby & Vitaminise, doing business as Vitaminise Wellnest Clinic, a bilingual primary care practice in South Orlando, is looking for a Medical Billing & Credentialing Specialist to help us build our in-house billing department from the ground up. If you're an organized self-starter with a passion for clean claims, accurate payments, and efficient revenue cycles, we'd love to meet you!

About Docsby & Vitaminise

At Docsby & Vitaminise, we're more than just a healthcare practice. Located in Orlando, Florida, we focus on providing accessible, patient-centered primary care and wellness services. Our team is committed to delivering professional, personalized care while creating a welcoming and respectful experience for every patient. We combine clinical care, preventive health services, patient education, care coordination, and administrative support to help patients effectively manage their healthcare needs.

Position Summary

As a Medical Billing & Credentialing Specialist, you'll play a key role in transitioning our billing operations from an external company to an in-house model. This is a unique opportunity to shape the department's workflows and processes as our practice grows. From reviewing claims for accuracy to managing accounts receivable (A/R) and payer credentialing, you'll ensure that our revenue cycle runs smoothly and efficiently. This is not a coding position; our in-house medical coder codes every visit.

What You'll Do

* Review coded claims for completeness and billing accuracy before submission.

* Submit clean claims through the clearinghouse and correct/resubmit rejections.

* Appeal recoverable denials and underpayments before filing deadlines.

* Post ERAs/EOBs and patient payments, keeping contractual adjustments separate from patient responsibility.

* Reconcile daily copays, patient payments, and deposits.

* Send patient statements and follow up on patient balances.

* Manage A/R by payer and aging, following up with commercial, Medicare, and Medicaid payers.

* Identify credit balances and overpayments; prepare and process approved refunds.

* Submit CCM claims monthly and HEDIS quality data to payers on time.

* Maintain payer credentialing, including enrollments, CAQH, revalidations, and recredentialing deadlines.

* Collaborate with the coder, provider, and Patient Access to prevent repeat errors.

What You Bring

* 1+ year of medical billing experience, including payment posting, denials, and A/R follow-up.

* Primary care or outpatient experience (preferred).

* Knowledge of EOBs/ERAs, CARC/RARC codes, CPT, and ICD-10.

* Experience with practice management systems and clearinghouses (Tebra/Kareo a plus).

* Credentialing and CAQH experience (strongly preferred).

* Bilingual English/Spanish (strongly preferred).

* A proactive, organized mindset to set up and refine processes.

Why Join Us?

We offer more than just a job—we offer the chance to make a meaningful impact. Here's what you can expect when you join our team:

* A new in-house billing department with clear responsibilities and direct access to practice leadership.

* Paid time off (PTO) to recharge and maintain work-life balance.

* Dental, vision, and life insurance to support your well-being.

* Performance bonuses every four months based on billing quality metrics.

Our Culture and Values

At Docsby & Vitaminise, we believe in fostering a collaborative and supportive work environment where every team member feels valued. We're dedicated to providing professional, personalized care to our patients and creating a workplace that's just as welcoming and respectful for our staff. If you're looking for a role where your contributions truly matter, you'll find it here.

Ready to Apply?

If you're ready to help us build something great, we'd love to hear from you! Applications are reviewed daily, so don't wait—apply now and take the first step toward joining the Docsby & Vitaminise team.

Let's build the future of healthcare together!

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