Billing and Credentialing Specialist

Billing and Credentialing Specialist Mesa Vista Wellness - Santa Fe, NM Position Summary Mesa Vista Wellness is seeking a detail-oriented and highly organized Billing and Credentialing Specialist to join our behavioral health team. This role ensures financial and operational stability by overseeing provider credentialing, managing insurance and client billing, and following up on outstanding account balances. The ideal candidate will be experienced in healthcare billing—especially behavioral health—and skilled at navigating insurance requirements while maintaining compassion and professionalism with clients. Key Responsibilities Credentialing & Contracting Complete and maintain credentialing and re-credentialing applications for providers with insurance companies, Medicaid, and Medicare. Track credentialing status, maintain up-to-date provider records, and follow up with payers to resolve delays. Ensure compliance with all payer requirements, deadlines, and regulations. Maintain and update CAQH, NPPES, and other credentialing databases. Billing & Claims Management Prepare, submit, and track insurance claims accurately and timely. Monitor claim rejections and denials; research and resolve issues promptly. Post insurance and client payments into the billing system. Generate and distribute client statements. Reconcile accounts and prepare billing/financial reports for leadership. Collections & Accounts Receivable Follow up on unpaid client balances with professionalism, empathy, and respect for client relationships. Contact clients by phone, email, or mail to arrange payment or resolve billing questions. Set up and manage payment plans as needed. Monitor aging accounts and escalate issues appropriately. Maintain documentation of all collection activities. Compliance & Administration Ensure billing practices follow state, federal, and payer regulations. Protect confidentiality and ensure HIPAA compliance at all times. Collaborate with clinical staff, administrative staff, and leadership to resolve billing or credentialing issues. Provide regular updates on credentialing status, billing performance, and outstanding claims. Qualifications Previous experience in medical billing, accounts receivable, and/or credentialing, ideally in behavioral health or mental health. Strong knowledge of insurance requirements, CPT/ICD-10 coding, and payer processes. Familiarity with EHR and billing software (experience with [insert your system if applicable]). Exceptional attention to detail, organizational skills, and problem-solving abilities. Professional communication skills for working with providers, payers, and clients regarding sensitive billing matters. Ability to balance persistence in collections with compassion for clients. Ability to work independently and manage multiple deadlines. Preferred 2+ years of experience in billing and credentialing. Knowledge of Medicaid/Medicare billing and collections processes. Experience with CAQH, NPPES, and other credentialing platforms. Prior work in behavioral health or community mental health.

Position Details Status:

Full Time Compensation:

Hourly:

$22-$26 Annual (approx.): $46,000-$54,000, commensurate with experience and qualifications

Location:

Santa Fe, NM Reports to: CEO About Mesa Vista Wellness Mesa Vista Wellness provides compassionate, client-centered behavioral health services across Northern New Mexico. We are a collaborative team dedicated to improving community well-being through accessible, high-quality mental health and substance abuse treatment.

To Apply:

Please submit your resume and a brief cover letter to info@mesavistawellness.com .

Job Type:

Full-time Pay:

$22.00 - $26.00 per hour

Benefits:

Health insurance Paid time off Vision insurance

Work Location:

In person