Medical Staff Credentialing Manager jobs in South Carolina

iTrust Wellness Group is looking for a Credentialing and Billing specialist to work on-site in an outpatient mental health office setting. 

An ideal candidate has both a strong desire to learn and a passion for providing excellent patient care in a collaborative, team-focused environment. Join the award-winning team at iTrust Wellness Group, named the "Best Mental Health Provider" in the Upstate for 2023 and recognized among Greenville Business Magazine’s “Top Workplaces” in South Carolina for 2023.

Benefits of Working With iTrust Wellness Group: 

We believe that our practice environment, compensation model (including benefits), and location in the Upstate of SC are highly desirable for those seeking new employment. Some examples of our company benefits include: 

• $1,000 Sign-On Bonus
• Competitive Pay: $17-$20 per hour, depending on background and experience
• 2 weeks of PTO
• Paid Holidays
• Health, Dental, and Vision Insurance   
• 401(K) with Company Match   
• Short Term Disability
• Long Term Disability
• Work Schedule: M-Th: 8:00am-5:00pm; F 8:00am-1:00pm        

What Makes Working at iTrust Wellness Group Different? 

As a practice, our business model has received positive feedback from our practitioners, referral sources, and our valued clients. We believe that our office prioritizes elements that differentiate us from other outpatient mental health clinics, including the foundational structure of a teaching-based, collaborative environment. 

Support staff members are both viewed and trained as an extension of the provider. We believe that our non-prescribing professionals in the office are as equally important as our providers to our client outcomes – our staff members are dedicated to providing accommodations and solutions to clients both in-person and at a distance.  

We are looking for a Credentialing and Billing specialist who will both coordinate with their team members and operate independently to ensure successful client outcomes.  

What does the Credentialing and Billing Specialist role involve? 

Our practice is passionate about mental health, and we are excited to grow our administrative support staff team. The Credentialing and Billing Specialist role encompasses a broad array of tasks and goals to prioritize excellent care for all patients of iTrust Wellness. 

• Completing the credentialing process with insurance companies for healthcare providers
• Communicating with existing patients through phone calls, texts, and emails
• Connecting with existing patients to answer billing questions and concerns
• Ensuring all patient accounts stay up to date and claims are properly processed
• Providing training and support to the billing team and providers

What are key characteristics of the Credentialing and Billing Specialist role? 

• Complete the credentialing process for healthcare providers with insurance companies
• Maintain accurate records of provider credentials, certifications, and fee schedules
• Communicate effectively with insurance companies to resolve credentialing issues
• Monitor and track the status of credentialing applications
• Collaborate with billing and coding team to ensure accurate reimbursement
• Maintain accurate records of credentialing activities and documentation
• Monitor expiration dates and proactively initiate recertification applications
• Answering phone calls professionally and kindly 
• Responding to text messages promptly and professionally 
• Placing billing calls to collect payments and other patient information as applicable
• Gaining proficiency with the EMR system to improve patient experience 
• Generating daily billing reports
• Maintaining proper billing procedures
• Scanning EOBs into the system
• Providing training and support to the billing team and providers
• Handle inquiries and disputes related to billing and payments with RCM services
• Collaborate with internal teams to address recurring problems and improve processes
• Collaborate with the Clinical Director to clarify provider procedures that affect billing efficiency
• Identify any new procedures or services that need to be added to the fee schedule
• Research and stay updated on changes to CPT codes and billing regulations
• Providing coding and billing support during audits or compliance reviews
• Monitor the progress of credentialing applications to facilitate care coordination and ensure effective communication across the entire team
• Performing administrative duties as applicable
• Writing emails, letters, and more in a clear and concise manner 
• Interacting with patients in a positive, compassionate manner 
• Furthering critical thinking skills
• Working with support staff and providers as a team 
• Maintaining company culture and upholding company values 

Preferred Qualifications:  

• Experience with or interest in working with the mental health community  
• Experience with credentialing and empaneling healthcare providers with insurance companies
• Experience with an EMR system 
• Experience with Microsoft products, including Word, Excel, and Teams   
• Prior experience operating within a private practice/outpatient setting 
• Certifications: Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Outpatient Coder (COC)

If you are interested in a position that will challenge you and further your career, please apply at your convenience.

We look forward to talking with you!

Note: This job description is intended to convey essential duties and responsibilities and is not an exhaustive list of all functions and tasks required. The company reserves the right to modify the duties and responsibilities of the position as necessary. Please submit your resume, to be considered for this position. Current or previous patients of iTrust Wellness Group are ineligible to apply.