Billing Insurance Follow-up

1 month ago

Milwaukee, United States Sixteenth Street Community Health Centers Full time

Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (i.e., CPT, ICD-10 and HCPCS, NDC, revenue codes and medical terminology).
- Will obtain necessary documentation from various resources.
Ability to timely and accurately communicate with internal teams and external customers (i.e., third party payors, auditors, other entity) and acts as a liaison with external third-party representatives to validate and correct information.
Comprehends incoming insurance correspondence and responds appropriately.
- Identifies and brings patterns/trends to leadership’s attention re: coding and compliance, contracting, claim form edits/errors and credentialing for any potential delay/denial of reimbursement.
- Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.
Accurately enters and/or updates patient/insurance information into patient accounting system.
- Appeals claims to assure contracted amount is received from third party payors.
Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.
Compile information for referral of accounts to internal/external partners as needed.
- Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.
Responsible to read and understand all Sixteenth Street Community Health Center policies and departmental collections policies and procedures.
- Demonstrate proficiency in proper use of the software systems employed by SSCHC.
This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate account information.
- Approval is needed to write off balances according to corporate policy. Issues outside normal scope of activity and responsibility.

**QUALIFICATIONS**:

- High School Diploma or General Education Degree (GED)
- Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.
- Experience in EPIC preferred.
- Must perform within the scope of departmental guidelines for productivity and quality standards.
- Works independently with limited supervision.
- Accountable and evaluated to organization behaviors of excellence.
- Basic keyboarding proficiency.
- Must be able to operate computer and software systems in use at Sixteenth Street Community Health Center.
- Ability to read, write, speak and understand English proficiently.
- Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
- Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
- Ability to communicate well with people to obtain basic information (via telephone or in person).

XJ6

  • Billing Follow Up Rep I

    3 weeks ago

    Milwaukee, Wisconsin, United States Advocate Health Full time

    MAJOR RESPONSIBILITIESIndependently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge...

  • Insurance Sales Representative

    4 weeks ago

    Milwaukee, United States Minnesota Insurance Careers Full time

    Our Culture Customer and employee success and satisfaction are our top two priorities. The two go hand-in-hand, and as they build each other up, they create an external and internal army of brand ambassadors. Compensation: We believe in paying exceptionally well for outstanding performance. Our compensation plan is unmatched in the marketplace and truly...

  • Personal Insurance Account Manager

    1 week ago

    Milwaukee, United States Budzisz Agency, a part of BWO Insurance Full time

    Job DescriptionJob DescriptionWe’re looking for a personable, enthusiastic Personal Insurance Account Manager to help take our agency to the next level. Our ideal candidate is a motivated team player who has the ability to stay focused in a fast-paced work environment. You will manage client communications, nurture important relationships, and keep track...

  • Billing Specialist

    11 hours ago

    Milwaukee, United States Reinhart Boerner Van Deuren SC Full time

    Job DescriptionJob DescriptionReinhart Boerner Van Deuren s.c. is a full-service, international business-oriented law firm headquartered in Milwaukee, WI. In addition to our Milwaukee office, we have 8 regional offices throughout Wisconsin and various states. We offer a wide range of services to small and large businesses, individuals, nonprofit...

  • Medicaid Specialist

    1 day ago

    Milwaukee, United States Brookdale Senior Living Full time

    Medicaid Specialist - Billing Overview Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA) Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us!...

  • Medical Billing/Accounts Receivable Specialist

    11 hours ago

    Milwaukee, United States Independence First Full time

    Job DescriptionJob DescriptionWhy a career with Independence First?When you join Independence First you will be part of a collaborative and passionate team. You will also enjoy lucrative benefits! Independence First was selected as one of Milwaukee Business Journal's Best Places to Work in 2022 and 2023.Independence First is looking for awesome people to...

  • Billing Specialist

    1 week ago

    Milwaukee, United States United Community Center Full time

    Job DetailsLevel Entry Job Location Human Services - Milwaukee, WI Position Type Full Time Education Level High School Job Category Professional Services DescriptionPOSITION SUMMARY: The Billing Specialist is responsible for tasks related to preparing and entering billing of Milwaukee County contracted services and insurances and obtaining prior...

  • Lead Home Health

    1 day ago

    Milwaukee, United States North Shore Healthcare Support Center Full time

    #LI-AS1 Position: Lead Home Health & Hospice Billing Specialist Location: Milwaukee, WI (This is not a remote role) Salary: Up to $55k, based on experience/qualifications * HOME HEALTH & HOSPICE BILLING EXPERIENCE REQUIRED* Position Summary: Performs billing related services for Home Health & Hospice programs, including the collection of Accounts...

  • Construction Billing/Collections Analysts

    7 days ago

    Milwaukee, United States Jefferson Wells International Full time

    Jefferson Wells is partnering with our Construction Client to find Contract Construction Billing and Collections Accountants. The ideal candidate will be responsible for managing the billing and collections processes within our construction company, ensuring accuracy, timeliness, and efficiency in all financial transactions. This role requires a keen eye for...

  • Construction Billing/Collections Analysts

    1 month ago

    Milwaukee, United States Jefferson Wells International Full time

    Jefferson Wells is partnering with our Construction Client to find Contract Construction Billing and Collections Accountants. The ideal candidate will be responsible for managing the billing and collections processes within our construction company, ensuring accuracy, timeliness, and efficiency in all financial transactions. This role requires a keen eye for...

  • Construction Billing/Collections Analysts

    2 weeks ago

    Milwaukee, United States Jefferson Wells International Full time

    Jefferson Wells is partnering with our Construction Client to find Contract Construction Billing and Collections Accountants. The ideal candidate will be responsible for managing the billing and collections processes within our construction company, ensuring accuracy, timeliness, and efficiency in all financial transactions. This role requires a keen eye for...

  • Medicaid Specialist

    1 day ago

    Milwaukee, United States Brookdale Senior Living Full time

    Voted by Newsweek in 2024 as one of America's Greatest Workplaces for DiversityEarly Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA) Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us!  You’ll earn more than a paycheck; you can...

  • Health Center Billing Specialist

    11 hours ago

    Milwaukee, United States Lifespace Full time

    Job DescriptionJob DescriptionCommunity: Newcastle Place Address:  12600 N Port Mequon, Wisconsin 53092 Pay Range Live your purpose.   Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment...

  • Billing Clerk/Accounting Clerk

    3 weeks ago

    Milwaukee, United States Extension, Inc Full time

    Extension is seeking a Billing Clerk/Accounting Clerk for a Direct Hire opportunity with one of our clients located in Pewaukee, WI. What You’ll Impact at Our Client As the Billing Assistant, you will be responsible for supporting in the warehousing and fulfillment area. Handling shipments from UPS, determining freight costs, inventory, shipping of...

  • Accounts Receivable Billing Specialist

    1 week ago

    Milwaukee, United States Truity Partners Full time

    Location: Milwaukee, Wisconsin Sector: Accounting & Finance Employment Type: Temporary Job ID: 39531 Date Added: 05/12/2024 APPLY NOW View All Jobs Our client is a leading organization north of Milwaukee seeking a temp to permanent Billing/Accounts Receivable Specialist to start immediately. The ideal candidate will have at least three years of billing...

  • Accounts Receivable Billing Specialist

    5 days ago

    Milwaukee, United States Truity Partners Full time

    Location: Milwaukee, Wisconsin Sector: Accounting & Finance Employment Type: Temporary Job ID: 39531 Date Added: 05/17/2024 APPLY NOW View All Jobs Our client is a leading organization north of Milwaukee seeking a temp to permanent Billing/Accounts Receivable Specialist to start immediately. The ideal candidate will have at least three years of billing...

  • Accounts Receivable Billing Specialist

    6 days ago

    Milwaukee, United States Truity Partners Full time

    Location: Milwaukee, Wisconsin Sector: Accounting & Finance Employment Type: Temporary Job ID: 39531 Date Added: 05/15/2024 APPLY NOW View All Jobs Our client is a leading organization north of Milwaukee seeking a temp to permanent Billing/Accounts Receivable Specialist to start immediately. The ideal candidate will have at least three years of billing...

  • Accounts Receivable Billing Specialist

    2 days ago

    Milwaukee, United States Truity Partners Full time

    Location: Milwaukee, Wisconsin Sector: Accounting & Finance Employment Type: Temporary Job ID: 39531 Date Added: 05/18/2024 APPLY NOW View All Jobs Our client is a leading organization north of Milwaukee seeking a temp to permanent Billing/Accounts Receivable Specialist to start immediately. The ideal candidate will have at least three years of billing...

  • Accounts Receivable Billing Specialist

    42 minutes ago

    Milwaukee, United States Truity Partners Full time

    Location: Milwaukee, Wisconsin Sector: Accounting & Finance Employment Type: Temporary Job ID: 39531 Date Added: 05/19/2024 APPLY NOW View All Jobs Our client is a leading organization north of Milwaukee seeking a temp to permanent Billing/Accounts Receivable Specialist to start immediately. The ideal candidate will have at least three years of billing...

  • Senior Financial Billing Analyst

    5 days ago

    Milwaukee, United States Fiserv Full time

    Senior Financial Billing Analyst page is loaded Senior Financial Billing Analyst Apply remote type Onsite locations Milwaukee, Wisconsin time type Full time posted on Posted Yesterday job requisition id R-10335220 Calling all innovators – find your future at Fiserv. We’re Fiserv, a global leader in Fintech and payments, and we move money and information...