Credentialing Specialist/Support (Hybrid)

Therapeutic Alliance LLC is a leading private mental health agency dedicated to providing culturally sensitive counseling services to diverse communities throughout Virginia. For over 13 years, we've been committed to addressing mental health, substance abuse, and behavioral issues using evidence-based methods and a supportive approach. We are a licensed provider of Intensive-In-Home (IIH), Mental Health Skill Building (MHSS), and Applied Behavioral Analysis (ABA) services.

Join our team and enjoy a rewarding career with excellent benefits:

• Health, Dental, and Vision Insurance
• Health Savings Account
• Life Insurance
• Performance Bonuses
• Unpaid Extended Leave
• Paid Time Off and Training
• Mileage and Travel Time Reimbursement
• Phone Reimbursement
• Flexible Schedule
• Liability Insurance
• Tuition Reimbursement
• RBT and QMHP Certification Support
• Staff Recognition Program
• Competitive Salary Structure
• Staff Referral Bonus Program
  
  

The Credentialing and Support Specialist plays a vital role in ensuring smooth operations related to provider credentialing, contract management, insurance verification, and client cost-share management.

Key Responsibilities:

• Credentialing: Manage the credentialing process for providers with governmental agencies and commercial payers, ensuring timely enrollment and active status. Oversee RBT and QMHP credentialing and registration
• Contracting: Maintain contract files, manage the contract process, and act as a liaison with contracted agencies. Assist with audits and keep leadership informed of any changes impacting operations
• Eligibility and Insurance Verification: Verify client insurance coverage and educate them on their benefits. Complete necessary documentation and communicate any changes or issues to relevant teams
• Client Cost-Share Management: Determine and communicate cost-share estimates to clients, obtain consent, and manage payment arrangements. Work with the Billing Manager for collections and maintain all records
  
  

Qualifications:

• Minimum 3 years of relevant experience
• Comprehensive knowledge of behavioral health and managed care, particularly credentialing, contracting, and insurance verification
• Strong understanding of managed care contracting and payer processes
• Excellent communication skills (verbal and written)
• Proficiency in Microsoft Office and Google Suite
• Customer service orientation
• Motivated, independent, and detail-oriented
  
  

Ready to make a positive impact? Apply today and join our dedicated team at Therapeutic Alliance LLC!

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