Billing and Credentialing Specialist

Position: Billing and Credentialing Specialist Supervisor: Director of Healthcare Finance Location: LVD Health Center, Watersmeet, MI Employment: Full – Non-Exempt Salary/Pay Rate: $17.00 - $24.00 per hour Description POSTING EXPIRATION DATE: January 5, 2026

UPON HIRE:

PTO Vision Health Insurance Primary Responsibilities: DESCRIPTION: The Lac Vieux Desert Band of Lake Superior Chippewa Indians ("LVD") is seeking a Billingand Credentialing Specialist who will be responsible for maintaining active status for allproviders, posting electronic and "paper" payments from third-party payers, government agencypayers, and patients in a timely and accurate manner, including following up on billing tasks,inquiries, and documentation. Skills & Qualifications: DUTIES AND RESPONSIBILITIES Including, but not limitedto:

1. Maintain individual provider files to include up todate information needed to complete the required governmental and commercialpayer credentialing applications.
2. Maintain internal provider grid to ensure allinformation is accurate and logins are available.
3. Maintain accurate and up to date provider profiles onCAQH, PECOS, NPPES, and CMS databases.
4. Complete revalidation requests issued by governmentpayers.
5. Complete credentialing, re-credentialing, andprivileging applications to add providers to commercial payers, Medicare, andMedicaid.
6. Work closely with the Director of Revenue Cycle andbilling staff to identify and resolve any denials or authorization issues.
7. Assist patients with billing inquiries, payments, andaccount discrepancies.
8. Process all incoming and outgoing billing mail,following up as needed.
9. Post payments, adjustments, and zero-pay EOBs in anaccurate and timely manner.
10. Posts patient payments in an accurate and timely mannerto the appropriate line-item charge.
11. Research and resolve "unapplied and/orunidentified" payments to ensure monies are properly distributed.
12. Enter and balance payments assigned by category (Check,Credit Card and/or Electronic Payments) by batch to internal deposit recordsfor the day.
13. Process end-of-day reports (internal deposit slips andclearing of financial queue).
14. Identify collection issues with insurance or patientaccounts and communicate to A/R Team.
15. Process and post all insurance recoupments.
16. Employee Safety: Safely performs all duties; followsrequired protective protocols to ensure personal safety as well the safety ofothers.
17. Must maintain compliance with ergonomic safetystandards; be mindful of posture and regularly practice ergonomic stretches.
18. Employee Safety: Safely performs all duties; followsrequired protective protocols to ensure personal safety as well the safety ofothers.
19. Safety: Responsible for ensuring that all duties,responsibilities, and operations are performed with the utmost regard for thesafety and health of all personnel involved, including themselves.
20. Other duties as assigned by Supervisor.

MINIMUM QUALIFICATIONS 1.Must have a High School Diploma or GED. 2.Must possess a valid Driver’s License. 3.Ability to communicate professionally. 4.Ability to handle multiple tasks simultaneously. 5.Ability to work autonomously, using discretion asappropriate. 6.Ability to manage and maintain confidentialinformation. 7.Highly proficient in MS Office. 8.General knowledge of finance and accounting functions,policies, practices and terminology. 9.Strong interpersonal skills, including excellentwritten and verbal communication skills. 12.Strongorganizational skills. 13.Demonstrateclear knowledge of LVD Health Center structure, standards, procedures, andprotocols. 14.Musthave ability to relate and communicate effectively with community interestgroups, agencies, and medical facilities that serve the American IndianCommunity. PREFERRED QUALIFICATIONS 2.2 years of credentialing experience in an FQHC medicaland dental practice. 3.Fluent in Medical terminology. BACKGROUND CHECK REQUIREMENTS ADepartment of Justice Fingerprinting clearance through Federal and State is acontingency for an offer of employment. VACCINATION REQUIREMENTS A pre-employment Physical exam is required upon hire. Youwill be required to provide vaccination records to show proof of immunity forTB or PPD, Measles, Mumps, Rubella, Varicella, TDAP & Hep B. If the recordsare more than 10 years old, titers are required to confirm immunity. PHYSICAL DEMANDS The physical demands described here are representative ofthose that must be met by an employee to successfully perform the essentialfunctions of this job. While performing the duties of this job, the employee isregularly required to talk and hear. The employee frequently is required tostand, walk, sit, use hands to finger, handle, or feel; and reach with handsand arms.. The employee must occasionally lift and/or move up to 25 pounds.Position may require exertion up to 20 pounds of force occasionally and/or upto 10 pounds of force frequently or constantly lift, carry, push, pull orotherwise move objects. Specific vision abilities required by this job includeclose vision, distance vision, color vision, peripheral vision, depthperception and ability to adjust focus. WORK ENVIRONMENT Work is performed in a healthclinic setting. The noise level in the work environment is usually low tomoderate. May not work with blood-borne pathogens, but will require training.This job routinely uses standard office equipment such as computers, telephones,photocopiers, and fax machines. The work environment characteristics describedhere are representative of those an employee encounters while performing theessential functions of this job. Reasonable accommodation may be made to enableindividuals with disabilities to perform the essential functions of thisjob. Preference will be given to qualified individuals of American Indiandescent. The above statements are intended todescribe the general nature and level of work performed by people assigned tothis classification. They are notintended to be construed, as an exhaustive list of all responsibilities, dutiesand skills required of personnel so classified.Management retains the right to add or to change the duties of theposition at any time. Must be able topass a pre-employment drug screen and applicable background checks related tothe position. Lac Vieux Desert Health Center Mission Statement: The Lac VieuxDesert Health Center strives to provide excellence in health care and toinspire a culture of wellness. Date Approved byCouncil: 12/15/2025 Application: LVD HealthCenter Human ResourcesDepartment P.O. Box 9, N5241 US45 Watersmeet, MI 49969 Email: View email address on click.appcast.io Website: Phone:View phone number on click.appcast.io A fun, safe, fast paced work environment Employee Meal Discounts Gas Discount at Citgo C-Store Golf Discounts Paid Lunch Paid Holidays Access to training programs Great Benefits for Full Time Employees offered after 90 days of employment: LVD Pays 80% of the cost of these benefits with only a 20% responsibility from the employee. Health – Offering 14 different medical coverages. #J-18808-Ljbffr Northern Waters Casino Resort