Revenue Cycle & Credentialing Specialist

(Medical Billing, Contracts & Compliance)

Full-Time | Greater Houston Area

**-------------------------------------------------------- **

About XRMT

X-Ray Mobile Texas (XRMT) provides mobile X-ray, ultrasound, EKG, and laboratory services directly to homes, facilities, and corporate partners across Greater Houston. We are trusted for our speed, diagnostic accuracy, compassionate patient care, and rigorous compliance standards.

XRMT operates across hospice networks, senior living facilities, hospitals, industrial partners, and private-pay patients — requiring a billing and credentialing function that is both technically excellent and operationally reliable.

--------------------------------------------------------

Role Overview

The Revenue Cycle & Credentialing Specialist owns the end-to-end financial, payer, and facility enablement lifecycle at XRMT.

This role goes beyond traditional medical billing. In addition to managing coding, claims, payments, and AR, this position is responsible for:

• Facility, hospice, and corporate billing relationships
• Provider and payer credentialing maintenance
• Contract support and documentation
• Compliance documentation, surveys, and insurance certifications

This role ensures XRMT can legally, credibly, and efficiently bill and operate across all payers, facilities, and partners — without revenue leakage or compliance risk.

The position works daily within eTactics, Emergent Connect, QuickBooks, Square, and Rapid Rad, and collaborates closely with dispatch, operations, and leadership.

--------------------------------------------------------

Core Responsibilities

Medical Coding & Documentation Review

• Review imaging and diagnostic documentation to ensure accurate, compliant coding.
• Assign ICD-10, CPT, and radiology-appropriate procedure codes with precision.
• Validate documentation completeness prior to claim submission.
• Stay current on coding changes, CMS updates, and payer-specific billing rules.

Claims Submission, Follow-Up & Denials Management

• Submit clean claims through eTactics and payer portals.
• Monitor claim status, resolve rejections and denials, and submit corrections promptly.
• Manage Medicare, Medicaid, commercial insurance, hospice, and facility claims.
• Escalate unresolved or systemic payer issues with documentation and recommendations.

Revenue Cycle & Payment Reconciliation

• Post EOBs and payments accurately in QuickBooks.
• Reconcile insurance payments, patient payments, and facility payments.
• Maintain accurate AR tracking and aging reports.
• Identify underpayments, discrepancies, or missing remittances and resolve them with payers.

Cash-Pay, Facility & Corporate Billing

• Generate Square invoices for private-pay patients, facilities, and corporate clients.
• Manage recurring and multi-patient facility billing cycles.
• Apply approved pricing structures, discounts, and contractual terms.
• Maintain clear billing histories for audits, disputes, and leadership review.

Facility, Hospice & Corporate Contract Support

• Create, organize, and maintain billing-related documentation for:
  • Hospice contracts
  • Facility service agreements
  • Corporate and industrial partners
• Track contract terms that impact billing, pricing, or payer submission.
• Support leadership with renewals, updates, and documentation requests.

(Legal negotiation is not required, but operational contract ownership is.)

_
_

Credentialing & Payer Enrollment

• Maintain active credentialing for XRMT with all required:
  • Medicare and Medicaid programs
  • Commercial payers
  • Facility and hospice networks
• Track credentialing expirations, renewals, and revalidations.
• Maintain credentialing records for XRMT medical staff and providers.
• Ensure XRMT remains eligible to bill and operate without interruption.

Compliance, Surveys & Insurance Documentation

• Respond to billing-, credentialing-, and compliance-related inquiries from:
  • Facilities
  • Hospices
  • Payers
  • Regulatory bodies
• Support annual surveys, audits, and payer reviews.
• Issue Certificates of Insurance (COIs) to facilities and ordering partners as required.
• Maintain organized, audit-ready records related to billing, insurance, and compliance.

Billing Inquiries & Cross-Functional Support

• Serve as the primary point of contact for billing and insurance inquiries.
• Communicate clearly with patients, facilities, payers, and internal teams.
• Partner with dispatch and admin staff to resolve documentation or order issues.
• Provide leadership with reporting and insights on AR, denials, payer trends, and risks.

--------------------------------------------------------

Required Qualifications

Experience & Knowledge

• 5+ years of medical billing experience (radiology strongly preferred).
• Formal education is less important than demonstrated experience owning revenue cycle, credentialing, and payer relationships.
• Deep understanding of ICD-10, CPT, and diagnostic imaging workflows.
• Hands-on experience with Medicare, Medicaid, and commercial insurance billing.
• Experience managing medical collections, denials, and payer disputes.
• Familiarity with credentialing and payer enrollment processes.
• Knowledge of managing direct care contracts and working with corporate procurement cycles is a plus (not required).

Technical Proficiency

Experience with:

• eTactics or similar clearinghouse
• QuickBooks (required)
• Square or comparable invoicing platforms
• EMR / imaging systems (Rapid Rad or Emergent Connect preferred)
• Google Workspace for document management and tracking

Skills & Attributes

• Exceptional attention to detail and organizational discipline.
• Strong analytical and follow-up skills — nothing falls through the cracks.
• Clear, professional communication with payers, facilities, and patients.
• Ability to work independently and manage recurring, deadline-driven tasks.
• High integrity and discretion handling sensitive financial and patient data.
• Positive attitude and ability to contribute constructively to the future of XRMT

--------------------------------------------------------

Why Work at XRMT

• Mission-driven healthcare organization serving patients where they live and work.
• High-trust role with real ownership and operational impact.
• Growing company where billing, credentialing, and compliance excellence directly enables growth.
• Culture grounded in compassion, accuracy, speed, and accountability.