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Careers at CredSpun

Remote medical billing, coding and credentialing jobs

We run billing, coding and credentialing for outpatient practices across the US. If you know payer rules and like closing out a clean claim, we'd like to hear from you.

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Open roles

15 open positions · all remote across the US

Own the claim from charge to payment for a small set of outpatient practices — scrubbing, submitting, posting and following up — fully remote, in each practice's own software.

What you'll do

  • Review charges for completeness and match CPT, HCPCS, ICD-10-CM codes and modifiers to the visit
  • Scrub and submit professional claims (CMS-1500 / 837P) electronically through the practice's clearinghouse
  • Work clearinghouse and payer rejections the same day so claims are accepted on first pass
  • Post ERA and paper EOB payments line by line and flag underpayments against the contracted rate

What you bring

  • Two or more years of medical billing experience for U.S. physician or outpatient practices
  • Working knowledge of CPT, ICD-10-CM, HCPCS and common modifiers (25, 59, 95, GT and the like)
  • Experience with Medicare, Medicaid and commercial payers, including payer portals
  • Comfort reading an EOB/ERA and recognising CARC and RARC codes
Full Remote Medical Billing Specialist job description

Code outpatient encounters from the documentation, query providers when the note doesn't support the code, and help practices stop coding denials before they start.

What you'll do

  • Assign CPT, HCPCS Level II and ICD-10-CM codes from provider documentation
  • Select E/M levels using the 2021+ office visit guidelines (medical decision making or total time)
  • Apply modifiers correctly and check claims against NCCI procedure-to-procedure edits and MUEs
  • Code psychiatric and psychotherapy services, including interactive complexity and psychotherapy add-on codes

What you bring

  • An active coding credential: CPC, COC, CCS or CCS-P
  • Two or more years of outpatient or professional-fee coding
  • Strong E/M coding under the current guidelines
  • Working knowledge of NCCI edits, LCDs/NCDs and medical necessity
Full Certified Medical Coder (CPC) job description

Get providers credentialed and in-network — CAQH, PECOS, Medicaid and commercial panels — and track every application until there is a confirmed effective date.

What you'll do

  • Collect and verify provider documents: licences, DEA, board certification, malpractice, CV, W-9
  • Build, audit and re-attest CAQH ProView profiles and grant payer access
  • Prepare and submit commercial, Medicare and Medicaid applications and track each by payer
  • Follow up with payers on a set schedule and log reference numbers, contacts and outcomes

What you bring

  • Two or more years of provider credentialing or payer enrollment experience
  • Hands-on CAQH ProView, NPPES and payer portal experience
  • Familiarity with Medicare enrollment (PECOS, CMS-855I/855B/855R) and state Medicaid enrollment
  • Strong organisation — you will run dozens of applications at different stages
Full Credentialing Specialist job description

Enroll practices and providers with Medicare, Medicaid, managed care and commercial payers — then set up the EDI, ERA and EFT connections that let them get paid.

What you'll do

  • Submit and track Medicare group and individual enrollment and reassignment in PECOS
  • Complete state Medicaid and Medicaid managed care plan enrollment
  • Add providers and locations to existing commercial contracts and confirm linkage
  • Set up EDI claim submission, ERA (835) and EFT enrollment with each payer and the clearinghouse

What you bring

  • One or more years of payer enrollment, credentialing or billing setup experience
  • Experience with PECOS and at least one state Medicaid enrollment portal
  • Understanding of type 1 and type 2 NPIs, tax IDs, taxonomy codes and group linkage
  • Careful attention to detail on forms where one wrong digit stalls an application
Full Payer Enrollment Specialist job description

Work aged insurance claims to resolution — ranked by recovery odds and timely filing deadline — so practices collect what they are owed instead of writing it off.

What you'll do

  • Work aging reports by payer and bucket (30, 60, 90, 120+ days) to an agreed daily target
  • Check claim status through payer portals and by phone, and record reference numbers
  • Correct and resubmit claims, send records requests and file reconsiderations
  • Escalate claims near timely filing limits, with proof of timely filing where needed

What you bring

  • One or more years of medical AR follow-up or insurance collections
  • Experience calling Medicare, Medicaid and commercial payers and using their portals
  • Understanding of timely filing, corrected claims, reconsiderations and appeals
  • Ability to read an EOB and explain why a claim paid the way it did
Full AR Follow-Up Specialist job description

Work denials every day, write appeals that win, and trace each denial back to the step that caused it so it doesn't come back next month.

What you'll do

  • Triage new denials daily by CARC/RARC code, payer, dollar value and appeal deadline
  • Correct and resubmit claims for front-end and coding errors
  • Write first- and second-level appeals with supporting records and payer policy citations
  • Request peer-to-peer reviews or retro-authorizations where the payer allows them

What you bring

  • Two or more years working medical claim denials and appeals
  • Fluency with CARC and RARC codes and how payers apply them
  • Experience with medical necessity, authorization, eligibility, bundling and timely filing denials
  • Strong written English — appeals are persuasive documents
Full Denial Management Specialist job description

Post insurance and patient payments line by line, reconcile every deposit, and catch the underpayments and denials that a lump-sum post would hide.

What you'll do

  • Post ERA (835) files and manual EOBs, including adjustments, patient responsibility and transfers
  • Post patient payments, refunds and recoupments correctly
  • Reconcile posted payments to bank deposits and clearinghouse reports every day
  • Compare allowed amounts to the contracted fee schedule and flag underpayments

What you bring

  • One or more years of medical payment posting
  • Ability to read ERAs and paper EOBs and interpret CARC/RARC and group codes (CO, PR, OA)
  • Experience reconciling deposits and resolving variances
  • Accuracy and patience with detailed, repetitive work
Full Payment Posting Specialist job description

Check every patient's coverage and benefits before the visit, so the practice knows what to collect and claims don't deny for eligibility after the fact.

What you'll do

  • Verify active coverage for scheduled patients ahead of their appointments
  • Confirm benefits for the service type: copay, coinsurance, deductible met, visit limits
  • Check whether the service needs prior authorization or a referral and hand it off
  • Identify coordination-of-benefits issues and the correct primary payer

What you bring

  • One or more years of insurance verification, patient access or front-end billing
  • Experience with payer portals, Availity and real-time eligibility (270/271) tools
  • Understanding of HMO, PPO, EPO, Medicare Advantage and Medicaid managed care plans
  • Speed with accuracy — schedules are long and visits are close
Full Eligibility & Benefits Verification Specialist job description

File prior authorizations, chase each one to a decision, and track visit counts and expiry dates so care isn't delivered without approval.

What you'll do

  • Identify services that need prior authorization by payer and plan
  • Submit authorization requests with the clinical documentation the payer asks for
  • Follow up until each request is approved, pended or denied, and record the outcome
  • Track authorized units, visits used and expiry dates, and request extensions in time

What you bring

  • One or more years of prior authorization or referral coordination
  • Experience with payer portals and fax-based authorization workflows
  • Basic medical terminology and comfort reading clinical notes
  • Persistence, organisation and clear communication with payers and providers
Full Prior Authorization Specialist job description

Turn each visit into an accurate, complete charge — CPT, ICD-10, modifiers, provider and place of service — and get it out the door on time.

What you'll do

  • Enter charges from encounters, superbills and EHR charge queues
  • Check provider, location, place of service, date of service and referring provider
  • Match diagnosis pointers to procedures and apply modifiers as documented
  • Hold charges with missing information and resolve them with the practice

What you bring

  • Six months or more of charge entry, medical billing or medical data entry
  • Basic knowledge of CPT, ICD-10-CM and common modifiers
  • Fast, accurate keyboarding and a careful eye
  • Willingness to ask when something on the encounter doesn't add up
Full Charge Entry Specialist job description

Turn billing data into findings practices can act on — clean claim rate, denials by payer, days in AR, underpayments — and track whether the fixes worked.

What you'll do

  • Pull and clean data from practice management systems and clearinghouse reports
  • Calculate core RCM metrics: clean claim rate, denial rate, days in AR, net collection rate
  • Break denials down by payer, reason, provider and location, and estimate their value
  • Compare paid amounts to contracted fee schedules to find underpayments

What you bring

  • Three or more years in medical billing or revenue cycle, including reporting
  • Strong Excel or Google Sheets (pivot tables, lookups) skills
  • Solid understanding of the full revenue cycle, from eligibility to AR
  • Clear, concise business writing
Full Revenue Cycle Analyst job description

Bill for therapists, psychiatrists and behavioral health groups — psychotherapy codes, session authorizations, telehealth rules and carve-out payers.

What you'll do

  • Bill psychotherapy (90832, 90834, 90837), family therapy and group therapy codes correctly
  • Bill psychiatric diagnostic evaluations and E/M visits with psychotherapy add-on codes
  • Apply telehealth place-of-service codes and modifiers by payer
  • Route claims to behavioral health carve-out administrators where plans require it

What you bring

  • Two or more years of mental health or behavioral health billing
  • Working knowledge of psychotherapy and psychiatric CPT codes and their time rules
  • Experience with telehealth billing rules and carve-out payers
  • Respect for the particular sensitivity of mental health records
Full Mental & Behavioral Health Biller job description

Run dental insurance billing for dental offices — CDT claims with narratives and attachments, pre-authorizations, posting and AR — plus medical cross-coding where it applies.

What you'll do

  • Verify dental benefits, frequencies and limitations before treatment
  • Submit dental claims with CDT codes, attachments, x-rays and narratives
  • File pre-authorizations and pre-determinations for major treatment
  • Post insurance payments and work downgrades and denials

What you bring

  • Two or more years of dental insurance billing
  • Strong CDT coding knowledge and familiarity with ADA claim forms
  • Experience with Open Dental, Dentrix, Eaglesoft or similar dental software
  • Understanding of dental plan structures: PPO, DHMO, indemnity
Full Dental Billing Specialist job description

Help patients understand their bills — explaining statements and EOBs, fixing insurance problems, and resolving balances with clarity and courtesy.

What you'll do

  • Answer patient billing calls, voicemails and portal messages promptly
  • Explain statements, EOBs, deductibles, copays and coinsurance in plain language
  • Update insurance information and resubmit claims when coverage was wrong
  • Take payments and set up payment plans according to practice policy

What you bring

  • One or more years in patient billing, patient accounts or healthcare customer service
  • A calm, clear, friendly phone manner
  • Understanding of how insurance determines patient responsibility
  • Strict care with patient privacy and identity verification
Full Patient Account Representative job description

Lead a team of billers and be the named account lead for a portfolio of practices — owning their numbers, their status calls and the fixes that move them.

What you'll do

  • Lead, train and review the work of a remote billing and AR team
  • Serve as named account lead for a portfolio of client practices
  • Run fortnightly status calls and present monthly reports by provider, location and payer
  • Set daily priorities across charge lag, rejections, denials and aging

What you bring

  • Four or more years of medical billing, including at least one leading people or accounts
  • Deep knowledge of the full revenue cycle and payer rules
  • Confident, client-facing communication with practice owners and managers
  • Experience running reports and explaining them to non-billers
Full Medical Billing Team Lead / Account Manager job description

Don't see your role? Send a general application and we'll keep it on file.

Why work in medical billing at CredSpun

Most billing jobs are one step on a production line: post payments all day, or call payers all day, without ever seeing what happened to the claim before or after. We organise differently. Each practice has a named account lead and a small team that knows its payers, its fee schedule and its denial patterns, and fixes problems at the stage that caused them.

That means the work is more varied and the results are visible. You will see a practice's clean claim rate go up and its days in AR come down because of something you changed.

What every role has in common

  • Fully remote, work from home, for applicants living in the United States
  • U.S. business hours, working alongside a named account team
  • Work inside each client's own EHR and practice management system — athenahealth, eClinicalWorks, Tebra / Kareo, AdvancedMD, SimplePractice, DrChrono, TherapyNotes, Open Dental and others
  • HIPAA training at onboarding, and every login tied to you by name
  • Outpatient specialties: primary care, behavioral health, psychiatry, nurse practitioners, pediatrics and dental

Questions

What candidates ask before applying.

Are all roles remote?

Yes. Every open role is fully remote, work from home, within the United States. You need a reliable internet connection and a quiet, private workspace, since you will handle patient health information.

What does the hiring process look like?

A short screening call, a skills conversation with the team lead for the role, and a practical exercise based on real, de-identified claims or files — for example reading an EOB, coding a sample note or prioritising an aging report. Most candidates hear back at each step within 5 business days.

Do I need a certification to apply?

Coding roles require a CPC, CCS or equivalent. For billing, AR and credentialing roles, certifications such as CPB, CRCR or CPCS help, but hands-on experience matters more.

What hours will I work?

Roles follow a set schedule during U.S. business hours, so you can reach payers and practices while they are open.

What equipment do I need to work from home?

A computer that runs a current browser well, a second monitor, a reliable broadband connection, a headset for payer and patient calls, and a private space where nobody else can see patient information on your screen.

Is there training for new hires?

Yes. You start with onboarding on our workflows, HIPAA and security practices, and the client systems you will work in, alongside a teammate before taking your own book. Every login is tied to you by name and access is limited to the work you do.

Can I apply for more than one role?

Yes. Submit a separate application for each role, or send a general application and we will match you to the best fit. We keep strong applications on file and contact you when a matching role opens.

Tell us where the money is stuck.

Send your aging summary and denial reasons. You get the findings in writing, including what you can fix without us.

Request the review