Billing and Credentialing Specialist

Job Description

Job Description

Description :

The Billing and Credentialing Specialist is responsible for managing the billing and reimbursement processes for Applied Behavior Analysis therapy services and overseeing the credentialing process for all Adapt for Life billable staff members. This role involves working closely with insurance companies, clients, and internal staff to ensure accurate and timely submission of claims, verification of insurance coverage, resolution of billing issues, and submission of required credentialing forms. The ideal candidate will have a strong understanding of insurance billing procedures, excellent communication skills, and the ability to navigate complex insurance systems.

This is a full-time, salaried position with competitive pay, PTO, and full health insurance benefits.

Requirements :

Must have clean criminal background checks.

• Must be available to work Monday-Friday, between the hours of 8am and 5pm.
• This position may require work outside of normal business hours.
• This position may periodically or primarily work from home.
• Knowledge of insurance procedures, coding systems, and billing regulations.
• Must demonstrate excellent time-management, punctuality, and reliability.
• Must have excellent organizational skills.
• Must be able to work and complete tasks under little supervision.
• Must be fluent with various funding sources (i.e. private insurance companies, Medicaid) in order to properly bill for rendered services.
• Must be dedicated to and supportive of the growth and success of Adapt for Life.

Responsibilities :