Billing and Credentialing Specialist

Job Description

Job Description

Billing and Credentialing Specialist
Location: Vancouver, WA (with licensure in WA & OR)
Employment Type: Full-time, Exempt

Organizational Overview

The Villa Health is an integrative care practice dedicated to helping individuals restore balance in mind, body, and spirit. We believe true health begins from within, and our mission is to support each person’s path to wellness through compassionate, personalized care.

Our practice offers a welcoming, inclusive environment for all. With a team of skilled professionals, we combine evidence-based practices with holistic approaches to address the whole person, not just their symptoms. 

At The Villa Health, we’re committed to helping people reconnect with themselves and feel their best, physically, mentally, and emotionally. 

Position Summary

As a Billing and Credentialing Specialist, you will play a vital role in managing the full revenue cycle for both 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—candidates should have strong working knowledge and relevant experience in regulatory requirements
• 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, and
• Designed to foster trust, focus, and a sense of ease for others.
• Reliable high-speed internet, secure access to clinical systems, and functioning video/audio technology are required. Technology support may be available.
  Frequent use of a computer is required.
  Occasional lifting of up to 15 pounds (e.g., supplies or materials).
  Reasonable accommodations are available to enable individuals with disabilities to perform essential job functions.

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. All employment decisions are based on qualifications, merit, performance, and organizational needs. 

We believe that diverse perspectives strengthen our ability to provide the highest quality care and enhance the experience of both our patients and our team. We are dedicated to creating a work environment where everyone is treated with dignity and respect.

If you need assistance or an accommodation due to a disability during the application process, please contact a member of The Villa Health Leadership Team.   

Mission Statement

The Villa Health is reimagining healthcare in the Pacific Northwest by bringing together behavioral health, addiction medicine, aesthetic services, and integrative wellness. We create personalized healing journeys for children, adolescents, and adults that honor the connection between mental health, physical wellbeing, and personal empowerment. Serving communities across Oregon and Washington, we are especially dedicated to supporting QTBIPOC, LGBTQ2S+, Latinx individuals, families, and all people seeking compassionate, whole-person care. Our multidisciplinary team integrates psychiatric care, therapy, case management, addiction treatment, and holistic practices such as acupuncture, fostering an inclusive environment where every aspect of wellness is nurtured with dignity and respect.

Additional Information for Applicants

• This position is for an individual applicant , not a company or contractor.
• We kindly ask that no phone calls be made regarding the job posting.