Billing and Credentialing Specialist

The Villa Health; Vancouver (WA); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Wellness resources

Competitive salary

Job summary

The Villa Health is seeking a Billing and Credentialing Specialist based in Vancouver, WA, to oversee the full revenue cycle operations. This role involves handling claim submissions, payment postings, and credentialing while ensuring compliance with all billing regulations.

The successful candidate will possess strong medical billing knowledge, attention to detail, and excellent communication skills. The position follows a hybrid work model, supporting an inclusive workplace aligned with The Villa Health's values.

Qualifications

• Proficient knowledge of medical billing and insurance workflows.
• Experience with electronic health records and billing software.
• Strong organizational skills and attention to detail.

Responsibilities

• Manage patient registration and verify insurance eligibility.
• Submit insurance claims and post payments accurately.
• Resolve denied claims and reconcile discrepancies.
• Maintain provider credentialing files and track progress.
• Ensure compliance with HIPAA and billing regulations.

Skills

Medical billing knowledge

CPT/ICD-10 coding

Attention to detail

Communication skills

Organizational skills

Tools

Electronic health records software

Billing software

Job description

Billing and Credentialing Specialist

Location: Vancouver, WA
Employment Type: Full-time, Non-exempt

Benefits

• Health insurance
• Paid time off
• Competitive salary
• Wellness resources

Position Summary

As a Billing and Credentialing Specialist, you will play a vital role in managing the full revenue cycle for The Villa Health and The Villa Medical Group. This includes claim submission, payment posting, denial resolution, and provider credentialing. You will collaborate with administrative and clinical teams to ensure smooth operations and excellent patient experience.

Essential Functions

• Manage patient registration and verify insurance eligibility and benefits prior to service
• Submit insurance claims and post payments accurately
• Resolve denied or unpaid claims and reconcile account discrepancies
• Maintain and update provider credentialing files for all payer types
• Complete credentialing and re-credentialing applications, track progress, and resolve issues to prevent lapses
• Verify accuracy of provider directory listings when received from payers and update as needed
• Communicate with payers, clearinghouses, and regulatory bodies regarding billing and credentialing matters
• Support billing inquiries from patients and payers with professionalism and clarity
• Ensure compliance with HIPAA, payer guidelines, billing regulations, and industry standards
• Collaborate with leadership on billing and documentation policy updates
• Support an inclusive, trauma-informed culture aligned with The Villa Health’s mission and values

Knowledge, Skills and Abilities

• Proficient knowledge of medical billing, CPT/ICD‑10 coding, and insurance workflows
• Experience with electronic health records and credentialing/billing software
• Strong organizational skills with high attention to detail
• Excellent communication skills for working with patients, providers, and payers
• Commitment to confidentiality and regulatory compliance
• Comfortable working independently and collaboratively in a hybrid environment

Working Conditions

This position follows a hybrid work model, with services delivered in‑office, virtually, or remotely, based on organizational needs. On‑camera participation is required for virtual meetings. When working remotely, team members are expected to maintain a professional, private workspace that supports confidentiality and engagement.

Virtual workspaces must be:

• Free of visual clutter and personal items
• Neutral and calming in appearance
• Designed to foster trust, focus, and a sense of ease for others

Requirements: reliable high‑speed internet, secure access to clinical systems, functioning video/audio technology, frequent computer use, occasional lifting up to 15 pounds, reasonable accommodations available.

Equal Opportunity Employer

At The Villa Health, we are committed to fostering an inclusive, respectful, and supportive workplace where all team members feel valued and empowered to succeed. We celebrate diversity and are proud to be an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, military or veteran status, or any other legal protected characteristic.