Contracting, Credentialing & Billing Specialist (Remote)

About Understood Care

Understood Care was founded by clinicians, patient advocates, and healthcare leaders to make healthcare simpler, safer, and more supportive for older adults. The company provides Medicare-covered patient advocacy services and works exclusively for clients, not hospitals or insurance companies. Each person is paired with a dedicated advocate who helps them navigate care, reduce costs when possible, and make confident healthcare decisions—because healthcare should feel human.

Position Overview

Understood Care is seeking a detail-oriented and highly organized Contracting, Credentialing & Billing Specialist to support provider operations. This role is critical in ensuring providers are properly contracted, credentialed, and reimbursed in a timely and accurate manner. The ideal candidate is proactive, organized, and comfortable managing multiple workflows simultaneously in a fast-paced healthcare environment.

Key Responsibilities

Contracting & Credentialing

• Manage end-to-end provider contracting and credentialing processes from initiation to completion
• Prepare, submit, and track credentialing applications with payers using various portals and systems
• Maintain accurate and up-to-date provider records and comprehensive documentation
• Monitor credentialing timelines and proactively follow up with payers to expedite approvals
• Support re-credentialing cycles and ensure ongoing compliance with all regulatory requirements
• Coordinate with providers to gather required documentation and resolve credentialing obstacles

Billing Support

• Assist with billing setup and configuration for newly credentialed providers
• Support claim submission, tracking, and follow-up activities as needed
• Identify and help resolve basic billing issues, discrepancies, and payment problems
• Coordinate with internal teams to ensure accurate provider data across all systems
• Monitor billing timelines and flag issues that require escalation

Administrative & Compliance Support

• Maintain organized and compliant documentation in internal systems and databases
• Ensure full compliance with payer requirements, state regulations, and organizational policies
• Communicate effectively and professionally with internal teams and external partners
• Generate reports and track metrics related to contracting and credentialing activities
• Assist with audits and compliance reviews as needed

Required Qualifications

• 2–5 years of professional experience in healthcare contracting, credentialing, licensing, or billing
• Demonstrated familiarity with payer portals and credentialing processes
• Strong attention to detail with excellent organizational and time-management skills
• Proven ability to manage multiple deadlines and priorities in a fast-paced environment
• Excellent written and verbal communication skills
• Proficiency with Microsoft Office Suite and ability to learn new systems quickly
• Knowledge of healthcare compliance requirements and regulatory standards

Preferred Qualifications

• Experience with healthcare administration systems and electronic credentialing platforms
• Familiarity with Medicare and health insurance processes
• Previous experience in a patient advocacy or healthcare operations role
• Certification or training in healthcare credentialing or billing

What We Offer

• Full-time W-2 employment with stable, permanent position
• Competitive hourly compensation with paid time off
• Remote work flexibility to support work-life balance
• Opportunity to work with a mission-driven healthcare organization
• Supportive team environment focused on quality patient advocacy
• Exposure to innovative healthcare delivery models serving older adults

Employment Type: Full-Time, W-2

💰 Compensation: $20–$25 per hour based on experience. Annual estimate ranges from $41,600 to $52,000 USD for full-time employment (2,080 hours annually). Market estimate for similar specialized healthcare credentialing roles: from $80K, varying by experience, location, and employer.