Credentialing Specialist

Credentialing Specialist

Annual compensation up to $41,000 based on education and experience.

Intercept Health is a family-owned agency serving various mental and behavioral health, substance use, and foster care needs in Virginia. In 1996, what started as a single group home for boys has evolved year after year to fill gaps and meet the service needs of families and communities throughout the Commonwealth of Virginia.

"We help people grow and live their healthiest lives."

Our team members exhibit our VALUES - STOP & ASK:

• Service Excellence - "WOW" clients, customers, and coworkers.
• Team Loyalty - help others succeed.
• Ownership - "see it, own it, solve it, do it."
• Passion - inspire with positive energy and effort.

&

• Authenticity - be genuine and trustworthy.
• Solution Focused - overcome challenges with creativity.
• Kindness - smile, encourage, and respect everyone.

We are currently seeking a Credentialing Specialist to be responsible for administering the Credentialing process for Intercept Health. They will work independently to coordinate, develop, monitor and maintain the credentialing process. The Credentialing Specialist coordinates provider relationships with Medicaid HMOs and other private insurance companies to increase third party revenue. They will also perform necessary tracking results and reconciliation for provider credentialing.

This position is responsible for implementation and oversight of all activities related to clinician credentialing and re-credentialing. As well as, accurately builds, updates, and maintains provider information electronically in all appropriate databases to ensure data integrity. Other duties included as assigned.

Education and Experience Required: Bachelor's Degree is preferred, or at least three to five years of relevant experience.

At least three years of experience with the EMR or other FQHC system required. Working knowledge of Credible or other patient management systems preferred. Experience with database reporting and proficiency with word processing and spreadsheet software required. Minimum of 3 years of healthcare insurance experience, including billing and collection procedures, to include Medicaid, HMOs, and private insurance. At least 3 years of experience working in the process of credentialing of providers or clinicians.

We offer a competitive benefits package for all full-time employees: * Comprehensive Health Insurance options * Dental & Vision Insurance * Health and Child Care Flexible Spending Accounts * Comprehensive Employee Assistance Program * Employer Group Life Insurance, optional buy-up insurances * Voluntary Long Term & Short-Term Disability * 401(k) Retirement Plan * Optional Pet Insurance * Paid Time Off * 8 observed holidays

Intercept Health is proud to be an Equal Opportunity Employer and embraces diversity in the workplace. We are also committed to providing a drug-free, safe workplace for our employees and the clients we serve. For more information about Intercept Health, please visit our website www.intercepthealth.com.