Mental Health Credentialing & Billing Specialist

Paycom; Springdale (AL); On-site; USD 45,000 - 70,000; Full time

Job summary

Paycom in Birmingham, AL seeks a Credentialing/Billing Specialist to support insurance credentialing and claim processing for outpatient mental health services. You will ensure compliance with regulatory standards and payer requirements while maintaining accurate provider records.

The role involves collaboration with HR, program directors, and insurance payers to manage enrollments, handle denied claims, and support audits and reporting activities.

Qualifications

• 2–3 years in medical billing with mental health focus.
• 1 year in insurance credentialing and payer enrollment.
• High School diploma; degree preferred in healthcare administration.

Responsibilities

• Lead initial provider enrollment with Medicare, Medicaid, and commercial payers.
• Manage credentialing and recredentialing processes.
• Ensure licenses, registrations, board certifications are current.
• Coordinate enrollment with payers and respond to requests.
• Perform electronic billing and manage non-Medicaid claims.
• Prepare compliance and enrollment reports.
• Maintain HIPAA confidentiality.

Skills

Credentialing

Billing

HIPAA

Medicare enrollment

Payer communications

ICD-10/CPT coding

Recredentialing

Audits

Reporting

Education

Associate's or Bachelor's degree in Healthcare Administration

High School Diploma or GED

Job description

Paycom in Birmingham, AL seeks a Credentialing/Billing Specialist to support insurance credentialing and claim processing for outpatient mental health services. You will ensure compliance with regulatory standards and payer requirements while maintaining accurate provider records.

The role involves collaboration with HR, program directors, and insurance payers to manage enrollments, handle denied claims, and support audits and reporting activities.