Billing & Credentialing SpecialistRed Oak Behavioral Health • Akron, OH, US

Billing & Credentialing Specialist

Red Oak Behavioral Health • Akron, OH, US

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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

Associate degree (Medical Billing / Coding or A / R focus) or equivalent experience

3–5 years of medical billing experience (commercial, Medicaid, Medicare)

Proficiency with billing software, ERAs, EOBs, and claim management tools

Strong math skills, accuracy, and attention to detail

Collaborative, service-oriented mindset

What We Offer

Competitive pay, commensurate with experience

Comprehensive benefits package (health, dental, vision, 401(k) match, PTO)

Opportunities for training and career growth

Supportive team culture and meaningful work that impacts our community

Physical & Work Environment

Primarily office-based with standard equipment (computer, phone, copier)

Occasional travel to nearby sites; ability to lift up to 20 lbs

Reasonable accommodations available for qualified individuals

Red Oak is proud to be an equal opportunity employer.

Requirements :

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Credentialing Specialist • Akron, OH, US