Medical Billing & Credentialing Specialist — Independent Contractor (1099)

About the role

Zeeva Behavioral Health is a woman-owned, therapist-founded and therapist-led group psychotherapy practice serving clients throughout California. We work with Medicare, Medi-Cal, and most major commercial insurance plans, guided by five core values: Heart-Centered, Dedicated to Excellence, Inspired Learning, Brave Reflection, and The Power of We. Zeeva is seeking an experienced, self‑directed Medical Billing & Credentialing Specialist to provide comprehensive revenue cycle management and clinician credentialing services on an independent contractor basis. The engagement is remote, within the United States.

Responsibilities

• Manage Medicare, Medi‑Cal, and commercial insurance claims from submission through payment or documented final resolution.
• Investigate and resolve rejections, denials, underpayments, appeals, and outstanding insurance AR.
• Handle secondary billing, coordination of benefits, and payer discrepancies.
• Independently manage client balances, statements, payment follow‑ups, payment arrangements, and account resolution.
• Reconcile payments, EOBs, ERAs, and deposits, identifying discrepancies and unapplied payments.
• Review aging accounts, pursue recoverable revenue, and prevent avoidable timely‑filing losses.
• Identify recurring billing issues and implement corrective processes.
• Manage clinician enrollment and recredentialing with Medicare, Medi‑Cal, and commercial insurance plans.
• Maintain CAQH, PECOS, payer portals, provider records, and directory information.
• Track applications, approvals, effective dates, renewals, and required follow‑ups.
• Verify payer enrollment and billing eligibility, resolving discrepancies and preventing lapses.
• Conduct an initial review of existing billing, AR, and credentialing workflows.
• Develop a prioritized plan for addressing outstanding claims and operational gaps.
• Maintain accurate claims, AR, and credentialing records.
• Deliver weekly status reports outlining collections, outstanding AR, denials, client balances, credentialing progress, and unresolved issues.
• Document workflows and recommend process improvements that strengthen accuracy and efficiency.
• Review insurance eligibility and verification discrepancies, addressing issues that could affect reimbursement.

Requirements

• 5+ years of hands‑on medical billing experience.
• 3+ years of provider credentialing and payer enrollment experience.
• Strong knowledge of Medicare, Medi‑Cal, and commercial insurance.
• Demonstrated success recovering aged AR and resolving difficult denials.
• Experience managing client balances and insurance‑related account issues.
• Proficiency with CAQH, PECOS, and payer enrollment systems.
• Ability to independently manage multiple priorities and maintain accurate documentation.
• Strong HIPAA‑compliant practices and secure handling of confidential healthcare information.

Qualifications

• Behavioral health and psychotherapy billing experience (preferred).
• Familiarity with IntakeQ/PracticeQ and TriZetto (preferred).
• Medical billing or coding certifications (preferred).
• Experience independently managing revenue cycle services for group practices (preferred).

Pay

Compensation: $25–$30 per hour, based on experience and qualifications.

Schedule

Contractor manages their own work schedule and methods, while meeting agreed service deadlines and coordinating with payer business hours as necessary.