Behavioral Health - Financial Counselor & Credentialing Specialist
16 days ago
Philadelphia
Job DescriptionDescription: 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. Our commitment to you – We are committed to providing every employee the opportunity for personal and professional development through: • 401(k) with company match, • Healthcare benefits, • Vacation and sick days, • Employee referral program, • Employee discounts to various stores, amusement parks, events, etc., • Continuing education (CE) programs and training, • Advancement opportunities within the organization Position 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.Requirements: Education, Competencies and Credentials: • 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. Hours: 40 hours per week Monday - Friday 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
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