Billing & Credentialing Specialist

Job Description

The Billing & Credentialing Specialist plays a critical role in supporting the financial and operational integrity of behavioral health services. This position is responsible for preparing and submitting insurance claims, ensuring accurate billing, managing provider credentialing processes, overseeing self-pay collections to maintain compliance and ensure timely revenue.

Key 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.

Required Skills and Competencies:

• 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.

Education and Experience:

• High school diploma or equivalent required.
• 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.

LCBHS offers an excellent benefits package!

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 and more!

Lewis & Clark Behavioral Health Services has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.