Billing & Credentialing Specialist

A Healing Place, Complete Counseling Care; Neenah (WI); Hybrid; USD 24,796 - 35,817; Part time

Benefits offered by this job

Pro-rated PTO

Simple IRA with company match

Company-paid life insurance

Disability insurance

Job summary

A mental health counseling center in Neenah, WI, is seeking a Billing & Credentialing Specialist to manage insurance billing and credentialing processes. This part-time role requires approximately 15-20 hours per week and offers a pay range of $18–26 per hour, depending on experience. The position allows for remote work and requires familiarity with Wisconsin insurance payers. Join a collaborative team that values professional development and work/life balance.

Qualifications

• Proven work experience in medical billing and credentialing.
• Behavioral health billing experience preferred.
• Familiarity with Wisconsin insurance payers.

Responsibilities

• Process and submit insurance claims accurately.
• Manage provider credentialing and re-credentialing.
• Track credentialing and enrollment status for providers.
• Stay up to date with changes in insurance policies.

Skills

Medical billing

Credentialing

Insurance knowledge

Organizational skills

Communication skills

Tools

EMR systems

Job description

Overview

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.

Position Summary

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.

Primary 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

Qualifications

• Proven work experience in medical billing and credentialing
• Behavioral health billing experience preferred
• Familiarity with Wisconsin insurance payers
• Experience with EMR systems
• Strong organizational and communication skills
• Ability to work independently and collaboratively
• Certifications such as CPB, CPC, CBCS, and CCS are a plus

General Expectations

• 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

Schedule, Compensation, and Benefits

• Part-time: approximately 15-20 hours per week
• Remote-first / hybrid position
• Applicants must be located in Wisconsin and within a reasonable traveling distance of our main office in Neenah, WI, as occasional in-person meetings or training may be required
• Pay range: $18–26 per hour, depending on experience
• Pro-rated PTO
• Simple IRA with up to a 3% company match
• Company-paid life insurance
• Company-paid short-term and long-term disability

Additional Context

We are committed to offering meaningful, supportive benefits that reflect the value of our team and promote long-term well-being. This position is currently part-time, with the potential to grow into a full-time role as the practice expands and based on mutual fit.

Reporting Structure

Reports to the Practice Owner / Clinical Director