Billing & Credentialing Specialist
About The Position
At A Healing Place, Complete Counseling Care, our work is guided by a shared commitment to high-quality, trauma-informed care and to creating a workplace where people feel respected, supported, and valued. We believe that doing good work starts with taking care of the people who do the work. Our team is collaborative, thoughtful, and values clear communication and mutual accountability. We take pride in building systems that support both excellent client care and a healthy work environment. Leadership at A Healing Place is accessible, transparent, and grounded in the belief that people do their best work when expectations are clear and support is consistent. A role at A Healing Place is about more than completing tasks — it’s about being part of a team that values integrity, kindness, professionalism, and balance. We are intentional about creating roles that are well-defined, sustainable, and aligned with real life, recognizing that strong work/life balance is essential to long-term success and well-being. If you’re looking to contribute your skills in a setting that values collaboration, steady leadership, and meaningful work — while also respecting your time and expertise — we invite you to consider joining our team. The Billing & Credentialing Specialist is responsible for managing insurance billing, payer credentialing, and reimbursement processes. Duties include processing insurance claims, managing credentialing and re-credentialing for providers, resolving billing issues, and maintaining accurate billing and credentialing records in compliance with applicable laws and payer requirements.
Requirements
- Proven work experience in medical billing and credentialing
- Familiarity with Wisconsin insurance payers
- Experience with EMR systems
- Strong organizational and communication skills
- Ability to work independently and collaboratively
- Commitment to the mission of A Healing Place
- Professional conduct demonstrating respect, honesty, warmth, and dignity
- Clear and respectful communication
- Timely and accurate completion of duties
- Maintenance of confidentiality
- Ongoing professional development
Nice To Haves
- Behavioral health billing experience preferred
- Certifications such as Certified Professional Biller (CPB), Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Billing and Coding Specialist (CBCS), and Certified Coding Specialist (CCS) are a plus.
Responsibilities
- Process and submit insurance claims accurately and in a timely manner
- Review and resolve claim denials, rejections, and payment discrepancies
- Manage provider credentialing and re-credentialing with insurance payers
- Track credentialing and enrollment status for all providers
- Communicate with insurance companies regarding claims, credentialing, enrollment, and reimbursement issues
- Maintain accurate billing and credentialing records and documentation
- Ensure billing workflows within the EMR system are set up and maintained correctly
- Coordinate with administrative and HR staff to collect and submit required credentialing information
- Support onboarding of new providers from a billing and credentialing perspective
- Monitor billing and credentialing activity for delays, errors, or non-routine issues
- Escalate unresolved or non-routine billing or credentialing issues appropriately
- Stay up to date with changes in insurance policies, billing requirements, and credentialing standards
- Ensure compliance with HIPAA and confidentiality regulations
- Participate in agency and executive meetings as needed
Benefits
- Pro-rated PTO
- 12 paid holidays
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
No Education Listed
