Reimbursement & Credentialing Specialist

Reimbursement & Credentialing Specialist
Location: Terrell, TX | Schedule: Full-time, Monday–Friday, 8am–5pm
(Must be a Texas resident for consideration)

Help keep Texas first responders funded
When a fire department or EMS agency answers a call, we make sure they get paid for it. Founded in 2006, Emergicon is the largest emergency medical billing company in Texas. We serve agencies of every size, from small rural services to major Texas cities.

Our culture is “service-first,” built on hard work, accountability, and kindness. We work as “One Team. One Sound.” and there’s real room to grow if you want to make an impact in the EMS industry.

What you’ll do
As a Reimbursement & Credentialing Specialist, reporting to the Credentialing & Reimbursement Lead, you’ll make sure our clients are enrolled with every insurance payer, from Medicare and Medicaid to commercial plans.

You’ll handle enrollment, re-enrollment, and electronic payment setup on time and by the rules, so claims can be filed and payments land in the right place:

• Prepare enrollment and re-enrollment applications for all health plans, including Medicare and Medicaid
• Set up payer portals for eligibility, claim filing, claim status, ERA, EFT, and appeals
• Set up and maintain group accounts for multiple providers
• Keep provider licenses and insurance addresses up to date
• Complete and send W-9 forms
• Read and interpret complex payer documents
• Solve problems and give great service to clients and payers
• Meet all deadlines in a fast-paced environment
• Live out Emergicon’s core values every day
• Other duties as assigned

How you’ll work. You’ll get hands-on training when you start for your first 90 days and work remote.

What you’ll need

• High school diploma
• 2+ years of provider enrollment experience
• Ability to explain the difference between an EFT, ERA, EOB, COB, and “pay to” address
• Ability to read payer applications and understand how payers work
• Knowledge of federal and state insurance laws
• Knowledge of insurance claim processing and third-party reimbursement
• Ability to prioritize work and meet tight deadlines
• Clear, respectful communication

What we offer

• Pay of $23-26 per hour
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Life insurance, short-term disability, and critical illness coverage
• Paid training and room to grow in the EMS industry

Offers are contingent on passing a pre-employment background check and drug screening.

Emergicon LLC is an Equal Opportunity Employer - M/F/Protected Veteran Status

We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.