Credentialing & Billing Specialist

Job Description Insight Carolinas, a mental health practice, located in Charlotte, NC has an immediate opening for a full-time, Credentialing & Billing Specialist, to join our growing team. The position will be mostly remote with the possibility of going into the office occasionally. This position is full-time hourly (37-40 hours per week) with the potential to change to a full time, salaried position in the future, if desired. Full-time hourly rate offered for this position is between $19-$21 depending on relevant experience. Full-time salaried staff qualify for 401k, 2 weeks paid vacation, 1 week of sick time, paid holidays and insurance coverage. You will play a key role in expanding our reach to help even more individuals and families across the Carolinas. We are based in Charlotte but plan to expand to other parts of North Carolina soon. Since 2022 we have specialized in psychological testing, but through that testing we have realized a need for therapy services for individuals wanting to pay using their private insurance and / or Medicaid. Our mission is to help bridge the service gap in the Carolinas. We know that exclusive private pay often leaves clients without services or having to terminate services early due to finances. If you also have a heart for providing access to services to people who would otherwise not have access, we invite you to apply.  This is a unique opportunity to join an incredible team that currently consists of five licensed psychologists, five Therapists, four psychometrists, a doctoral-level practicum student, and several administrative support staff. We treat our employees well and value their input as essential members of the team. What You Will Do :  As mentioned above, you will help expand Insights reach to help even more families gain access to needed services. This will be done through a flexible, hybrid schedule that allows you to work mainly from home. Working with our leadership team to negotiate new insurance contracts and updated rates. As we are expanding our reach for services, we are also interested in credentialing with SC Medicaid and Medicare. Experience working with NC and SC Medicaid are a must.Remain up to date on all changes to insurance regulations to ensure the practice remains in compliance.Assist the Billing lead to troubleshoot claims that deny to an issue with credentialing.Maintain provider CAQH's and ensure all provider information remains up to date with all contracted insurance payers.Working closely with our Billing Lead to complete timely verification of benefits both online and over the phone, submitting prior authorizations, drafting good faith estimates, assisting in the initial referral process to ensure information is accurate and up to date, as well as other tasks related to billing and insurance for a mental health practice.What You Will Bring :  Bachelor's degree preferred, but not required.NC credentialing and billing experience in the field of mental health is essential.Bilingual would be a plus.Proficiency in Microsoft Office Suite.Perseverance to see a task through from start to finish. A claim denial is just the first answer; we do everything we can to collect payment for services rendered.Attention to detail and demonstrated strengths in managing priorities and meeting deadlines. Excellent interpersonal skills; ability to be firm with insurance companies while remaining llaborative nature and the ability to work independently. Why Youll Love Insight :  We offer a competitive salary plus additional benefits including :  Full time salaried staff received 2 weeks PTO, 1 week sick time and 10 paid holidays.Safe Harbor 401(k), with dollar-for-dollar employer match for the first 3% of employee contribution and 50% match for 4th and 5th percent.  Remote schedule with occasional in office dayCollegial work environment As the team grows, it is our hope to eventually offer additional benefits and professional development opportunities. Insight Carolinas is an equal opportunity employer. We bring unique talents together to build something special. If you would like to become part of our team, please send your resume to skerns@. If you are a good fit, a team member will contact you with more information.

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