Are you looking for a New Job or Looking for better opportunities?
We got a New Job Opening for
Full Details :
Company Name : Victoria Transcultural Clinical Center (VTCC), LLC
Location : Fairfax, VA 22030
Position : Billing and Credentialing Specialist
Job Description : Job Title: Billing, Reimbursement and Credentialing SpecialistFull Job Description:Victoria Transcultural Clinical Center (VTCC), LLC is a leading provider of ABA and Mental Health Services in Virginia, with a vision of providing high-quality care to better the children, youth, and families we serve.We have a team of passionate professionals who dedicate themselves to achieving the best outcomes for the children and families we serve. We are looking for a proactive full-time Billing and Credentialing Specialist who will join our team and support our mission.The Billing and Credentialing Specialist is responsible for insurance billing and credentialing. Daily assignments could include tracking claim status, resolving claim denials billing errors, and working with insurance companies to resolve claims and billing discrepancies. The VTCC Billing and Credentialing Specialist will complete initial and subsequent credentialing applications for VTCC and its providers, as various government and commercial payers require.Essential Functions:Insurance Billing and Reimbursement:Track status of payments, reconcile payments and follow up on billing errors and issues.Research and resolve denied claims within specific death lines.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.). Perform administrative and other tasks as needed.Learn existing billing systems and processes.Produce weekly, bi-weekly, and monthly reports on claim statuses’.Insurance Credentialing:Submit and track credentialing requests to various commercial and government payers.Manage re-credentialing for all providers.Conduct research regarding out-of-state credentialing proceduresCreate policies pertaining to billing and credentialingPerforms other duties as assigned.Knowledge, Skills, ExperienceMaintain confidentiality; adhere to all HIPAA guidelines/regulations.Knowledge of the behavioral health industry and terms.Experience in managing record keeping and tracking systems.Experience with medical billing and claims processing.Experience with medical credentialingExperience working with insurance companies.Knowledge of regulations related to Medicaid and commercial insurance.Knowledge of industry regulations.Excellent attention to detail and accuracy in entering financial data.Excellent organizational skills, deadline-driven with excellent time management ability.Outstanding math and research skills.Proficiency in Microsoft Office Suite.Working knowledge of Kareo and Rethink Behavioral Health systems.College degree preferredWork Environment, Physical ConditionsAbility to work in a fast-paced environment.Ability to work 40 hours per week.Ability to work cooperatively with others.Must comply with practice policies and procedures.Requires daily in-office work. Does not meet the requirements of regular telecommuting.Physical activities include sitting for long periods of time, walking, bending, kneeling.Must be able to reach, pull, and push.Requires manual dexterity, auditory and visual skills.Ability to lift up to 15 lbs.Job Type: Full-timeSalary: Based on ExperienceSchedule:Monday to Friday: 8:00 am to 5:30 pmQualified Candidates are encouraged to submit resumeJob Types: Full-time, ContractPay: From $24.00 per hourBenefits:Dental insurancePaid time offVision insuranceSchedule:8 hour shiftMonday to FridayExperience:Microsoft Office: 2 years (Preferred)Microsoft Word: 2 years (Preferred)Billing and credentialing: 2 years (Preferred)Billing credential: 1 year (Preferred)Work Location: One location
This post is listed Under  Virginia jobs
Disclaimer : Localpublic.in works to publish latest job info only and is no where responsible for any errors. Users must Research on their own before joining any company