Accounts Receivable & Credentialing Specialist
About The Position
Accounts Receivable and Credentialing Specialist – OLV Human Services As OLV Human Services continues to grow, so does our commitment to excellence—and that includes expanding our talented finance team. We are currently seeking an Accounts Receivable and Credentialing Specialist who is not only a strategic thinker and experienced financial professional but also shares our passion for fostering the highest possible quality of life for individuals throughout our community. At OLV Human Services, we believe that finance plays a vital role in supporting our mission. The right candidate will align departmental strategies with our agency’s values, ensure fiscal accountability, and inspire their team to drive success across the organization.
Requirements
- Proficiency in billing claims and using billing software
- Proficiency with Microsoft 365 (Excel, Word, Outlook, Teams)
- Attention to detail, high accuracy with data entry and review
- Strong, oral, written, and communication skills.
- Ability to work effectively with payors and their representatives
- Problem solving
- Confidentiality
- Associate’s degree in related field plus 5 years’ experience with billing and credentialing OR Bachelor's degree in related field plus 2 years’ experience with billing and credentialing
Nice To Haves
- Certified Professional Coder (CPC) preferred
Responsibilities
- Follow up on aged denials, working with payer representatives as needed for resolution.
- File any necessary appeals with insurance payers to ensure payment of claims
- Assist the team with resolving complex billing issues.
- Resolve any billing discrepancies and maintain accurate financial records.
- Perform periodic audits of claims, especially with new providers, communicate findings and educate staff to improve.
- Ensure adherence to federal/state regulations
- Maintain patient confidentiality
- Run and reconcile monthly reports
- Identify and communicate trends and patterns in billing, adjustments, and payments
- Manage the enrollment process for healthcare providers with insurance carriers
- Verify, maintain, and update provider licenses/certifications and CAQH profiles
- Ensures all new providers are credentialed with payers timely, with regular follow-up
- Any other duty as assigned by your supervisor
Benefits
- Generous Paid Time Off (PTO), including paid holidays
- Qualifying Non-For-Profit for Federal Student Loan Forgiveness Program
- Casual dress code
- Health, dental & vision insurance options
- Free dental insurance
- Paid Employer sponsored life insurance.
- Supplemental insurance programs for additional life insurance, short-term disability, accident & cancer insurance
- Up to $600 every year for completing biometric health screenings on a single health insurance plan & up to $1,200 if a spouse also completes
- Up to $180 annual gym reimbursement
- Take advantage of our Dental & Outpatient Mental Health services while working
- Employee referral program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
