Billing & Credentialing Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

LEWIS & CLARK BEHAVIORAL HEALTH SERVICES, INC. ยท 13 hours ago

Billing & Credentialing Specialist

LEWIS & CLARK BEHAVIORAL HEALTH SERVICES, INC. is seeking a Billing & Credentialing Specialist who plays a critical role in supporting the financial and operational integrity of behavioral health services. The role involves preparing and submitting insurance claims, managing provider credentialing processes, and overseeing self-pay collections to ensure compliance and timely revenue.

AdviceHealth CareMental HealthNursing and Residential CareTherapeutics

Responsibilities

Prepare, review, and submit insurance claims for behavioral health services in accordance with payer guidelines
Verify client insurance coverage and obtain necessary authorizations prior to service delivery
Monitor and reconcile claims to ensure timely payment; follow up on denials or discrepancies
Maintain accurate billing records and documentation for audits and compliance purposes
Assist with provider credentialing, including completing applications, tracking renewals, and updating payer portals
Communicate with insurance companies, clients, and internal staff to resolve billing or credentialing issues
Manage self-pay collections, including sending statements, following up on outstanding balances, and arranging payment plans when appropriate
Perform general bookkeeping and data entry tasks related to billing and credentialing
Complete additional duties as assigned to support the revenue cycle and compliance processes

Qualification

Insurance billing proceduresCredentialing processesMicrosoft Office SuiteElectronic health record (EHR)Organizational skillsTime managementAttention to detailWritten communicationVerbal communicationProblem-solving

Required

Knowledge of insurance billing procedures and payer requirements for behavioral health services
Familiarity with credentialing processes and compliance standards
Strong organizational and time management skills with attention to detail
Excellent written and verbal communication skills
Ability to analyze and resolve billing and credentialing issues effectively
Proficiency in Microsoft Office Suite and electronic health record (EHR) systems
High school diploma or equivalent required

Preferred

Associate degree or vocational training in healthcare administration, billing, or related field preferred
Prior experience in medical or behavioral health billing, credentialing, and collections strongly preferred

Benefits

Three weeks paid vacation per year
10 paid holidays
Paid sick leave
Paid individual employee health insurance
Life insurance
Available vision and dental insurance
Dependent care savings
Health care savings
401K with up to 6 percent employer match - 100% vested upon enrollment
Potential student loan repayment

Company

LEWIS & CLARK BEHAVIORAL HEALTH SERVICES, INC.

twittertwitter
company-logo
LEWIS & CLARK BEHAVIORAL HEALTH SERVICES, INC. is a mental health care company based out of 1028 WALNUT STREET, YANKTON, South Dakota, United States.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase