Medicaid Credentialing & Billing Specialist

Integrated Services for Behavioral Health; Columbus (OH); On-site; USD 33,000 - 39,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K with employer match

Employee Assistance Program (EAP)

Job summary

Integrated Services for Behavioral Health seeks a Credentialing Specialist to manage provider credentialing focused on Medicaid, with potential work with Medicare and private payers. The role maintains CAQH/NPPES profiles and coordinates enrollments with insurers, ensuring timely credentialing and re-credentialing.

The position is based in Southeast, OH, offering a competitive hourly rate and benefits consistent with the organization’s Billing Department.

Qualifications

• 1 year of credentialing experience in Ohio Behavioral Health Medicaid is required.
• Experience using electronic health record systems to process claims is preferred.

Responsibilities

• Maintain provider credentialing files and required payer credentials.
• Track CAQH, PECOS, NPPES, CMS portals to ensure logins are active.
• Update CAQH provider profiles and NPI applications.
• Coordinate credentialing, re-credentialing, and enrollment with insurers.

Skills

Excellent communication

Excellent organizational skills

Attention to detail

Ability to manage deadlines

Customer service mindset

Education

High school Diploma or GED

Bachelor’s degree preferred

Tools

CAQH

PECOS

NPPES

CMS databases

Job description

Integrated Services for Behavioral Health seeks a Credentialing Specialist to manage provider credentialing focused on Medicaid, with potential work with Medicare and private payers. The role maintains CAQH/NPPES profiles and coordinates enrollments with insurers, ensuring timely credentialing and re-credentialing.

The position is based in Southeast, OH, offering a competitive hourly rate and benefits consistent with the organization’s Billing Department.