If you're detail-oriented and mission-driven, this is your chance to make an impact. By managing the credentialing process, you'll help ensure our clients have uninterrupted access to the care they depend on.

The Insurance Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining the timely enrollment of licensed staff with private and government insurers (e.g., Medicare and Medicaid) to enable billing and reimbursement for services. This role includes completing and submitting initial credentialing applications, revalidations, and terminations with third-party payers.

Key Responsibilities:

• Maintain staff credentials and provider numbers within the billing module of the Electronic Health Record (EHR), including expiration/renewal dates of licenses and certifications, and effective participation dates with third-party payers.
• Collaborate with the Revenue Cycle and CQI/EHR Administration Teams to resolve billing issues related to staff credentials.
• Manage staff access to third-party payer portals used to verify insurance coverage.
• Complete other revenue recovery activities and projects as assigned.

Qualifications:

• Education: Associate's degree, vocational technical degree or specialized training and experience equivalent to satisfactory completion of two (2) years of college in a related field.
• Experience: Minimum of two (2) years' experience in a healthcare setting. Experience in credentialing duties preferred.
• Background Check: Candidates who are offered a position are required to undergo a background check and drug screen.

Why work at BRBH?

• Team atmosphere: Our small team works hard to change lives.
• Work/Life Balance: We have a great Paid Time Off policy - 21 days annually, which starts accruing on your first day, plus 10 paid holidays.
• We offer great benefits, including VRS (Virginia Retirement System)! Click here for more information: http://www.brbh.org/employee-benefits/
• Want to know more? Check out our page on Glassdoor to see employee reviews and more information about BRBH: http://www.glassdoor.com/Overview/Working-at-Blue-Ridge-Behavioral-Healthcare-EI_IE464369.11,43.htm
• Stable Employer: Blue Ridge Behavioral Healthcare (BRBH) is one of forty Community Services Boards established under the Code of Virginia to provide comprehensive services for individuals who have mental health disorders, developmental disability, or substance use disorders. BRBH provides multiple programs and services throughout the Roanoke Valley with over 350 employees working to provide quality care to our clients. We are proud to have served our community for over 50 years. BRBH maintains a drug-free workplace and is an equal opportunity employer. This position is located in Roanoke, VA.

Categories: Human Services/ Social Work/ Sociology/ Psychology/ Non-Profit/ Healthcare/ Social Services/ Counseling/ MSW/ BSW