Behavioral Health - Financial Counselor & Credentialing Specialist

Renfrew Center of Pennsylvania LLC•Philadelphia, PA

1d•Onsite

About The Position

The Renfrew Center of Philadelphia (Roxborough area) offers an unmatched opportunity, in the field of eating disorders, for a Behavioral Health – Financial Counselor & Credentialing/Contracting Specialist to work in an environment that changes lives. The Renfrew Center provides opportunities for individuals of all backgrounds, that have the desire and passion to foster a positive outcome and impact on our patients’ lives. The Renfrew Center’s research-based treatment model, for eating disorders, is focused on treating the whole person and helping them lead a rich and fulfilling life. As a patient and family facing role, candidate should bring: · Strong customer service skills and ability to communicate empathetically and professionally. · Excellent attention to details, organization, time management, and follow-through. · Strong verbal and written communication skills with patients, providers, payors, and internal teams. · Ability to Manage multiple priorities, deadlines, and follow-up tasks in a fast-paced environment. · Problem solving skills and ability to escalate barriers appropriately. The Renfrew Center provides cisgender adolescent girls and adult women, transgender, and non-binary individuals with the tools they need to succeed — in recovery and in life. Offering a warm, nurturing environment, Renfrew’s treatment philosophy emphasizes the importance of a collaborative therapeutic relationship, a feminist-relational approach, and the belief that every person needs to actively participate in their own recovery

Requirements

High school diploma or equivalent required; undergraduate degree preferred.
Minimum of 2 years of experience in healthcare revenue cycle, patient financial counseling, credentialing, payor enrollment, medical billing, behavioral health administration, or a related healthcare setting preferred and to include:
Knowledge of insurance eligibility, benefits verification, patient responsibility, claims workflow, and payor requirements.
Familiarity with provider credentialing, NPI, payor enrollment, re-credentialing, and provider data maintenance.
Experience working with behavioral health payors, Medicaid, managed care organizations, and Single Case Agreements.
Strong proficiency with Microsoft Office applications and ability to learn electronic health record platforms, billing, and credentialing systems.

Responsibilities

Verify patient insurance eligibility, benefits, coverage limitations, authorizations, deductibles, co-pays, coinsurance, and out-of-pocket responsibilities for behavioral health services.
Communicate clearly and compassionately with patients regarding estimated costs, payment expectations, financial assistance options, and available payment arrangements.
Assist patients with financial applications, self-pay arrangements, and required documentation.
Coordinate with admissions, authorization team, clinical, and administrative teams to support timely access to care and facilitate communication.
Manage provider credentialing and re-credentialing processes with commercial, Medicaid, Government Programs, managed care, EAPs, and behavioral health payors as applicable.
Collect, verify, and maintain provider documentation, including licenses, certifications, malpractice insurance, CAQH profiles, NPI information, board certifications, and required payor forms to complete credentialing and recredentialing as well as new contracts.
Track credentialing deadlines, enrollment status, revalidation dates, license expirations, payor approvals, and follow-up requirements to prevent enrollment gaps.
Prepare and submit payor enrollment applications, demographic updates, roster updates, contract requests (including Single Case Agreements), and re-credentialing packets accurately and on time.
Serve as a liaison between Renfrew, payors, billing partners, and internal leadership to resolve credentialing, enrollment, claims setup, or reimbursement-related issues.
Monitor payor requirements and communicate updates that may affect provider participation, billing readiness, or patient financial clearance.
Prepare reports on credentialing status, outstanding enrollment items, and upcoming projects.