Credentialing and Billing Specialist
Company: CFGC
Location: Dallas
Posted on: February 16, 2026
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Job Description:
Job Description Job Description Salary: DOE Child and Family
Guidance is hiring a skilling Credentialing and Billing Specialist
for the Dallas office. The Credentialing & Billing Specialist plays
a vital role in supporting the financial operations and provider
network integrity of our mental and behavioral health organization.
This position manages provider credentialing/enrollment and billing
functions to ensure seamless payer participation, accurate claims
submission, and timely reimbursement. The ideal candidate is
detail-oriented, experienced in healthcare revenue cycle processes,
and comfortable working with clinical and administrative teams.
Reports to: Billing Manager Duties & Responsibilities: Managing
full provider credentialing and recredentialing for licensed
behavioral health clinicians. Handling enrollments with commercial
payers, Medicaid, Medicare, and managed care plans. Maintaining and
updating provider information in CAQH, PECOS, and payer portals.
Tracking expiration and renewal deadlines to avoid lapses in
credentialing. Communicating with payers and internal stakeholders
regarding credentialing status and requirements. Preparing and
submitting claims for behavioral health services accurately and on
time. Monitoring claim statuses, research denials, and follow up to
secure payment. Completing daily pre-billing report and review
errors & corrections. Review explanation of benefits and reconcile
payment postings. Posting payments for non-835 claims to Netsmart.
Verifying posting accuracy of self-pay and sliding scale
guarantors. Identifying billing errors and work with
clinical/documentation teams to resolve. Assisting with appeals and
resubmissions as needed. Managing inbound and outbound client
billing calls within same business day. Providing assistance with
billing questions by responding to client calls and emails.
Accepting or processing client payments. Ensuring compliance with
payer rules, state, and federal billing regulations. Assisting with
audit preparation and responding to payer requests. Tracking trends
in credentialing and billing to support quality improvement
initiatives. Generating reports on billing metrics, payer
participation, and credentialing status. Skills & Abilities:
Knowledge of local, state, and federal laws related to healthcare
billing. Ability to communicate and interact professionally with
others. Ability to maintain spreadsheet sensitive data with
credentialing and billing requirements. Ability to gather,
assemble, and correlate information. Ability to solve problems
under pressure and analyze data. Excellent verbal, written and
organizational Ability to provide exceptional internal and external
customer service. Self-motivated, detail-oriented individual with a
collaborative team player Meticulous attention to detail. Knowledge
of regulatory compliance and privacy standard. Ability to multitask
and accept Billing Manager prioritization of job duties.
Understanding of and commitment to appropriate protection of
confidential patient information. Must be able to have a HIPAA
secure environment when telecommuting. Education & Experience:
Required: High school diploma or GED equivalent. Experience Managed
Care Organization (MCO) and Medicaid. Experience in CPT, ICD-10
coding, and medical terminology. Minimum of two or more years of
experience in healthcare billing & collection practices, working
with Medicaid/Medicare and commercial insurance billing. Minimum of
two or more years of healthcare credentialing for providers
Understanding of Medicaid, Medicare, and commercial healthcare
billing. Experience with credentialing systems (CAQH, PECOS, PEMS)
and payer portals. Strong organization and follow-up skills.
Preferred: Prior experience in mental and/or behavioral health
environment. Certification in medical billing or credentialing
(e.g., CPB, CPC). Familiarity with telehealth billing and
behavioral health modifiers. Experience with EHR and billing
platforms. Skilled in operating various medical record software and
hardware, word-processing, and database software programs; minimum
of 50 WPM preferred. Physical Requirements: Expected Hours of work
Full Time. Monday through Friday in the office. Ability to view
computer monitors with close vision, color vision, depth
perception, and ability to adjust your focus with good hand-eye
coordination. Ability to operate a computer and/or laptop through
proficient typing, clicking, and viewing a monitor for extended
periods. Must be able to sit up to 90% of the time. Must be able to
stand, walk, and climb stairs (up to 10% of the time). Must be able
to frequently (up to 20% of the time) listen and speak clearly in
person, through the telephone and email system. Benefits:
Comprehensive benefits offered: Medical, Dental, Vision, Basic
Life, Short term disability, Long term disability, Voluntary life,
Accidental death & dismemberment, Voluntary Accident, Critical
Illness, Legal & 401K Paid time off (vacation and sick time) About
Us: A community leader since 1896, Child & Family Guidance Center
takes a comprehensive approach to treating individuals with complex
mental and behavioral health challenges throughout seven North
Texas counties - Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and
Rockwall. Since our establishment, we have been committed to
providing quality, compassionate care to those in need. Today, we
take immense pride in providing a wide range of comprehensive
mental health services tailored to meet the unique needs of every
North Texan. At Child & Family Guidance Center, we believe everyone
deserves access to quality care, sono oneis ever turned
away-regardless of their ability to pay. From initial assessment to
ongoing care, our doctors and counselors are committed to helping
tens of thousands of North Texans each year recover from trauma
caused by abuse, severe neglect, and poverty-empowering them to
thrive in their communities.
Keywords: CFGC, Garland , Credentialing and Billing Specialist, Healthcare , Dallas, Texas
