Winding Path Psychotherapy is a mental health clinic that emphasizes body-centered mental health treatment, including somatic psychotherapy and ketamine assisted psychotherapy. We provide cutting-edge treatment with an emphasis on quality vs. quantity. We are a boutique clinic in that we offer personalized, focused, customized attention. We don’t use protocols so we can attend to the mind, body and psychospiritual as dictated by each person’s need. We work as a team to create a customized healing plan for each client.

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Winding Path Psychotherapy is looking for a Billing and Credentialing Specialist. This position plays a critical role in supporting the financial and operational health of the practice by managing insurance billing, collections, and provider credentialing activities. This position is responsible for full-cycle revenue management, including claim submission, payment posting, and denial resolution, as well as overseeing provider enrollment and ongoing credentialing with insurance payers. This role requires a high level of accuracy, accountability, and the ability to independently manage processes while collaborating with clinicians, colleagues and the administrative team.

 

This is an evolving role with significant opportunities for growth. The position is initially part-time and may begin with as few as 5 hours per week, with the expectation that both hours and responsibilities will increase as the clinic grows and the successful candidate develops expertise in the role. This position is ideal for someone who enjoys identifying opportunities, creating solutions, and taking ownership of their work. Rather than stepping into a narrowly defined role, the successful candidate will have the opportunity to help shape and expand the position, develop new processes and services, and contribute to the growth of both the clinic and the role itself. Ideal candidates are individuals who are energized by building, innovating, and making a meaningful impact within a growing organization.

 

Fundamental Responsibilities

 

• Independently manage the full-cycle billing process, including claim submission, payment posting, and accounts receivable follow-up, ensuring accuracy and timeliness

• Analyze and resolve complex claim denials, underpayments, and payer discrepancies; identify root causes and implement corrective actions

• Serve as a subject matter expert on behavioral health billing, including EM codes, payer requirements, and documentation standards

• Lead provider credentialing and recredentialing processes with commercial and government payers, ensuring timely enrollment and continued network participation

• Track and manage credentialing timelines, proactively addressing risks to prevent lapses in provider eligibility or reimbursement

• Act as the primary point of contact with payers for both billing and credentialing escalations, resolving complex issues and maintaining strong working relationships

• Serve as a billing and accounts point of contact for clients

• Ensure compliance with all applicable regulations, payer contracts, and HIPAA requirements; stay current on changes impacting billing and credentialing practices

• Partner with Clinic Director to identify process improvements, streamline workflows, and enhance overall revenue cycle efficiency

• Support onboarding of new providers by coordinating credentialing, payer enrollment, and billing setup

• Assist with internal audits, reporting, and training of staff on billing and credentialing best practices

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Other duties and responsibilities may be assigned or removed at any time.

 

Experience

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• 5+ years of experience in medical billing and credentialing required, preferably in behavioral health or a related healthcare setting

• Demonstrated experience managing full-cycle revenue cycle processes, including claims submission, denial management, and accounts receivable follow-up

• Proven experience with provider credentialing and payer enrollment (commercial and government payers such as Wisconsin Medicaid)

• Experience working with Quartz, Dean and CCS

• Strong working knowledge of CPT, ICD-10, and behavioral health billing guidelines

• Experience using electronic health records (EHR) and practice management/billing systems, such as Simple Practice (SP)

• Proficiency in Microsoft Office Suite, particularly Excel, for reporting and data tracking

• Familiarity with payer contracts, reimbursement structures, and compliance requirements

• Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) credentials are preferred

 

Knowledge, Skills, and Abilities

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• Ability to identify and resolve problems timely and accurately

• Effective time management to include establishing priorities and meeting deadlines

• Continuous improvement skills to make processes more efficient

• Excellent organizational skills and attention to detail

• Tactful, clear and concise oral and written communication skills

• Excellent knowledge of software systems and Microsoft Office products

• Ability to handle sensitive and confidential information

• Ability to independently manage processes

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Why you should consider joining our team

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If you are interested in joining a team that prides themselves on creating personalized, focused, and customized plans for individual mental health needs, consider Winding Path Psychotherapy. We offer flexible scheduling, remote work within WI, and a competitive wage.

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Winding Path Psychotherapy is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.