Job Description

Job Title: Billing and Credentialing Specialist (Local to the Maryland, Virginia, or D.C area)

Job Type: Part-Time, 20 hours/week

Pay Type: Hourly

Work Schedule: M-F

Aligned Vision Behavior is growing! We are looking to add a part-time Credentialing and Billing Specialist to our fully remote team who is comfortable owning the process for our small, but growing organization.

Who We Are:

Aligned Vision Behavior (AVB) is on a mission to provide quality in-home ABA services to clients aged 1 to 21 years old in order to increase skills and reduce behaviors that have been negatively impacting success. We focus on nurturing a collaborative approach between family members, teachers, parents, and providers to ensure sustainability outside of therapy sessions.

Responsibilities:

• Learn existing billing processes in Rethink Behavioral Health
• Manage initial credentialing processes with new providers.
• Maintenance of credentialing requirements
• Support out-of-network and out-of-pocket/private pay clients
• Track status of payments, reconcile payments, and follow up on billing errors and issues
• Research and resolve denied claims
• Assist with patient collection, send patient statements, and follow up
• Assist in preparing weekly reports to management summarizing billing activity (claims submitted, claims denied, remittance received, etc.)
• Manage re-credentialing for all providers
• Assist in preparing weekly reports to management summarizing billing activity (claims submitted, claims denied, remittance received, etc.)

Qualifications: 

• Local to the DMV metro area
• Currently possess a CPCS, CCA, CPC, and/or CPB or a strong interest in obtaining such certifications during employment 
• Familiar with G-Suite products 
• Experience managing contracts
• Experience with medical billing and coding in the behavioral health industry is preferred
• Proven track record of maintaining confidentiality and adhering to all HIPAA guidelines/regulations
• Basic knowledge or interest in the behavioral health industry is preferred
• Experience in managing record-keeping and tracking systems.
• Experience with medical claims processing
• Experience with medical credentialing
• Experience working with insurance companies

Benefits:

• Competitive hourly rates ranging from $22 - $28/hour, commensurate with experience 
• Paid time off (PTO) and paid sick leave
• Continued professional development opportunities
• We Invest in Our People and Their Futures: We provide reimbursement for courses, exams, and certifications
• Opportunities for career advancement at a growing company!

In addition to the tangible benefits listed above, AVB also provides:

• A fully remote work environment
• Trust in you and your work from Day 1
• Supportive supervisors & mentors
• An environment that values diverse perspectives and encourages open communication
• A team culture that prioritizes employee wellbeing and fosters a healthy work-life balance

Job Tags

Similar Jobs