What are the responsibilities and job description for the Credentialing Specialist position at Lighthouse Behavioral Health Solutions?
Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs. We are a treatment facility that prides itself in a welcoming and compassionate approach to substance use and mental health treatment. We believe our clients can achieve recovery and be valued community members through positive engagement and meaningful participation in treatment.
Our Goal:
Our comprehensive approach to addictions treatment provides a continuum of care that begins with asking for help and continues through to ongoing peer support. In addition to our state-of-the-art treatment facilities and peer support centers across Central Ohio, we work to remove barriers and promote access to care through our integrative approach and evidence-based clinical treatment.
Join our exciting and fast-growing company in which you will have an impact on improving people's lives! Lighthouse Behavioral Health Solutions (LBHS) is looking for quality candidates who are pursuing professional growth in a supportive environment and can thrive in a collaborative team-focused culture.
Job Summary: Credentialing Specialist will ensure that all credentialed staff members meet the necessary qualifications and maintain compliance with regulatory and organizational standards. This role is responsible for verifying education and employment history, confirming certifications and licenses, tracking expirations and renewals, and supporting both internal and outsourced credentialing processes. Experience in behavioral health and a working knowledge of the revenue cycle are highly valued. This position reports to the Director of Revenue Cycle Management.
Duties and Responsibilities:
Duties include, but are not limited to:
Schedule: Monday - Friday 8:30a-5pm
Location: 140 E Town St Columbus, OH 43215
LBHS offers benefits such as competitive compensation based on industry standards, health insurance benefits which include medical/dental/vision/life/disability, paid time off, paid holidays, 401k plan, Employee Assistance Program (EAP), education reimbursement program, and paid parental leave.
Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law.
LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer.
Our Goal:
Our comprehensive approach to addictions treatment provides a continuum of care that begins with asking for help and continues through to ongoing peer support. In addition to our state-of-the-art treatment facilities and peer support centers across Central Ohio, we work to remove barriers and promote access to care through our integrative approach and evidence-based clinical treatment.
Join our exciting and fast-growing company in which you will have an impact on improving people's lives! Lighthouse Behavioral Health Solutions (LBHS) is looking for quality candidates who are pursuing professional growth in a supportive environment and can thrive in a collaborative team-focused culture.
- 9 Paid Holidays
- Paid Time Off
- Sick Time Off
- Paid continuing education opportunities
- Paid parental leave
- Medical/Dental/Vision
- 401(k)
- Life Insurance
- STAR/HRSA/Ohio student loan forgiveness programs (for applicable roles and locations)
Job Summary: Credentialing Specialist will ensure that all credentialed staff members meet the necessary qualifications and maintain compliance with regulatory and organizational standards. This role is responsible for verifying education and employment history, confirming certifications and licenses, tracking expirations and renewals, and supporting both internal and outsourced credentialing processes. Experience in behavioral health and a working knowledge of the revenue cycle are highly valued. This position reports to the Director of Revenue Cycle Management.
Duties and Responsibilities:
Duties include, but are not limited to:
- Maintain compliance with all regulatory, licensing, and accrediting requirements.
- Ensure accuracy of all provider credentialing information.
- Guide staff through the license and credential renewal process.
- Maintain organized and up-to-date records of licenses, credentials, and insurance contracts.
- Collaborate with the Revenue Cycle Manager to resolve issues related to denials or authorizations tied to credentialing.
- Partner with the Accounts Receivable (A/R) team to address and resolve credentialing-related concerns.
- Accurately complete and review provider applications and documents.
- Communicate and follow up with all new hires to ensure they have submitted all required credentialing documents prior to their start date.
- Track and notify currently credentialed staff of upcoming expirations and take necessary actions to ensure they remain in full compliance.
- Other duties as assigned.
- High School Diploma or GED equivalent required.
- Minimum of two (2) years of provider credentialing experience with payors.
- Proficiency in completing and reviewing credentialing applications and documents with attention to detail
- Must pass BCI check, all Corporate Compliance checks, and employment drug screen.
- Working knowledge of the revenue cycle and its connection to provider credentialing.
- Experience with Medicaid credentialing processes.
- Experience in behavioral health credentialing
Schedule: Monday - Friday 8:30a-5pm
Location: 140 E Town St Columbus, OH 43215
LBHS offers benefits such as competitive compensation based on industry standards, health insurance benefits which include medical/dental/vision/life/disability, paid time off, paid holidays, 401k plan, Employee Assistance Program (EAP), education reimbursement program, and paid parental leave.
Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law.
LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer.
Salary : $21 - $27
