Tides Family Services is a nonprofit organization committed to providing comprehensive support and resources to children, adolescents, and families facing various challenges. The organization delivers services in homes, communities, schools, and other community-based settings.
The Billing & Credentialing Specialist supports the financial health and continued growth of the organization by managing key components of the revenue cycle, including claims submission, insurance follow-up, denial resolution, and provider credentialing. This role is essential to timely reimbursement, payer compliance, and sustainable operations.
The position requires strong organizational skills, attention to detail, and the ability to work independently while managing multiple deadlines and payer requirements. The ideal candidate is solution-oriented, comfortable navigating payer systems, and committed to accuracy, accountability, and confidentiality.
- 2+ years of medical billing experience
- Experience with provider credentialing and payer enrollment
- Knowledge of CPT, ICD-10, and HCPCS coding
- Familiarity with commercial insurance and Medicaid processes
- Strong organizational and time management skills with attention to detail
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
- Comfort with data entry systems
- Excellent written and verbal communication skills
- Ability to multitask and work independently and as part of a team
- Experience with Echo Vantage preferred
- CPC certification or similar is a plus
- Full-time employment
- Opportunity to support a mission-driven nonprofit organization
- Work that contributes directly to revenue integrity and clinical team support
- Equal opportunity employer
- Recovery Friendly Employer
- BCBS Safe Zone Certified worksite
- Veteran Friendly workplace
- Recognized as a multiple-year recipient of RI Monthly’s Best Places to Work
Location
Rhode Island, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago