Revenue Eligibility & Credentialing Leader

Prince-William-County-Government; Virginia (MN); On-site; USD 76,000 - 105,000; Full time

Benefits offered by this job

Retirement benefits

Paid time off

Paid holidays

Medical/Dental/Vision

Life insurance

Job summary

Prince William County Community Services is seeking an experienced Eligibility, Credentialing, and Recovery Supervisor to lead revenue-related administrative functions and ensure compliant, efficient processes. The role focuses on eligibility assessment, credentialing, and revenue recovery for individuals served.

The position involves day-to-day supervision, staff development, and coordination with Medicaid, managed care organizations, and other partners to maximize reimbursement while

Qualifications

• High school diploma or GED required.
• 6+ years of analytical, paraprofessional, healthcare, behavioral health, eligibility, credentialing, financial, revenue recovery, or related administrative experience.

Responsibilities

• Supervise revenue eligibility, credentialing, Medicaid/benefit eligibility, fee agreements, self-pay, debt recovery with compliance oversight.
• Lead staff workload management, training, and professional development to ensure continuity of operations.
• Oversee credentialing and enrollment to minimize disruptions and maximize reimbursement.
• Analyze operational and financial data; implement process improvements and ensure regulatory compliance.
• Coordinate with internal and external stakeholders to resolve complex eligibility and revenue-related issues.

Skills

Analytical skills

Leadership

Communication

Regulatory compliance

Staff supervision

Education

High school diploma or GED

Tools

EHR systems

Job description

Prince William County Community Services is seeking an experienced Eligibility, Credentialing, and Recovery Supervisor to lead revenue-related administrative functions and ensure compliant, efficient processes. The role focuses on eligibility assessment, credentialing, and revenue recovery for individuals served.

The position involves day-to-day supervision, staff development, and coordination with Medicaid, managed care organizations, and other partners to maximize reimbursement while