Revenue Cycle, Credentialing Specialist

HomeWell Care Services

Revenue cycle specialist managing Florida Medicaid credentialing, claims, billing, and reimbursement. Supporting HomeWell’s in-home senior care operations through compliant revenue-cycle oversight.

Posted 8/5/2026full-timeFlorida • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and provider credentialing processes, with a strong focus on Florida Medicaid regulations and Managed Care Organizations. Proven ability to manage claims submissions, maintain HIPAA compliance, and deliver accurate financial reporting.

Highest-signal resume keywords

Medical Billing ExperienceProvider Credentialing ExperienceFlorida Medicaid RegulationsElectronic Claims SubmissionWellSky Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingProvider CredentialingClaims SubmissionClaims CorrectionAccounts Receivable ManagementFinancial ReportingHIPAA CompliancePayer Contract ManagementCredentialing Application ProcessingClaim Acceptance Rate Management

Soft Skills

Excellent Communication SkillsHighly OrganizedDetail-OrientedIndependent Work Management

Tools & Technologies

WellSkyAvailityFL MMIS PortalElectronic Claims Submission Platforms

Industry Keywords

Managed Care OrganizationsHome CareHome HealthMedicare Billing Protocols

About the role

Key responsibilities & impact

Prepare and submit provider enrollment and credentialing applications to Florida Medicaid and Managed Care Organizations
Monitor and track application statuses through final approval
Organize and maintain credentialing files, payer contracts, and official documentation
Coordinate re-credentialing processes before expiration deadlines
Oversee daily electronic claims submissions and verify accuracy
Research, correct, and resubmit rejected claims and draft appeals
Monitor unpaid claims and communicate with insurance representatives
Post payments and process claim corrections in the billing system
Track accounts receivable to reduce outstanding balances and improve collection rates
Prepare monthly billing and financial reports for management
Maintain HIPAA compliance and follow payer and state guidelines
Assist management and external auditors during administrative or financial reviews
Complete onboarding, learn HomeWell workflows, and audit current Medicaid/payer enrollments
Clear pending credentialing applications and independently manage the billing cycle
Own billing and credentialing processes while reducing claim denials

Requirements

What you’ll need

Minimum 3 years of medical billing experience
Minimum 2 years of provider credentialing experience
Deep familiarity with Florida Medicaid regulations and Managed Care Organizations
Hands-on experience with electronic claims submission platforms
Excellent written and verbal communication skills
Highly organized and detail-oriented
Ability to manage workloads independently
Prior home care or home health experience preferred
Experience using WellSky, Availity, and the FL MMIS portal preferred
Familiarity with Medicare billing protocols preferred
Ability to submit credentialing applications within 5 business days of receipt
Ability to transmit electronic claims within 48 hours of service completion
Ability to maintain a claim acceptance rate of at least 95% and denial rate below 5%
Ability to keep accounts receivable under 45 days
Ability to deliver monthly financial reporting by the fifth business day of each month
Maintain strict HIPAA compliance and follow regulatory payer and state guidelines

Benefits

Comp & perks

Productive hybrid or fully remote work options
Collaborative management team focused on professional success
Company-wide philosophy of treating employees with honor and respect
Fulfillment from meaningful work and being valued by clients and HomeWell Care Services