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Reimbursement Credentialing Specialist

New River Valley Community Services
Blacksburg, VA Full-time
Posted on September 8, 2019

  • Reimbursement Credentialing Specialist
    Job Location US-VA-Blacksburg
    Job ID 2019-2301
    # of Openings 1
    Salary Details $31,372 – $37,131- annually
    Location
    US-VA-Blacksburg

  • OVERVIEW

    The Reimbursement Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining the credentialing, re-credentialing process and Payer Contracts. Facilitates all aspects of NRVCS credentialing, including initial participation status, revalidation and participation termination process.

    The Reimbursement Credentialing Specialist works directly with the Reimbursement and EHR Admin Team to determine changes needed to billing configuration. Analyzes current EHR billing configuration to determine efficiencies and works with staff to determine ways to streamline and simplify the clinical and billing staff user experience. Demonstrates familiarity with CPT codes, Medicaid manuals, and fee schedules to manage changes to billing configuration. Conducts and documents testing of billing matrix changes. Assists in new system service creation, payer configuration, and other system functionality.


    QUALIFICATIONS

    Bachelor's Degree in Business Administration or Accounting or three (3) or more years direct reimbursement experience or the equivalent combination of education and experience. Hands-on knowledge and thorough understanding of Revenue Cycle process, EHR implementation and maintenance.
    Experience with Microsoft Office applications and EHR software applications.


    SALARY & BENEFITS

    NRVCS offers an excellent benefits package including:
    • Generous Paid Time Off
    • Health, Vision, and Dental Insurance
    • Life Insurance
    • VRS Retirement