A Healing Place, Complete Counseling Care ยท 20 hours ago
Billing & Credentialing Specialist
Neenah, WI
Part-time
Hybrid
New Grad, Entry Level
$18/hr - $26/hrA Healing Place, Complete Counseling Care is committed to high-quality, trauma-informed care and creating a supportive workplace. The Billing & Credentialing Specialist is responsible for managing insurance billing, payer credentialing, and reimbursement processes.
Mental Health Care
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
Qualification
Required
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
Preferred
Behavioral health billing experience
Certifications such as Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Billing and Coding Specialist (CBCS), and Certified Coding Specialist (CCS) are a plus
Benefits
Pro-rated PTO
12 paid holidays
Company
A Healing Place, Complete Counseling Care
We provide mental health services for children, teens, adults, couples and families. We listen and find solutions to help improve your quality of life.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase