Billing Insurance Follow-up

4 weeks 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

  • Insurance Follow Up Supervisor

    2 weeks ago

    Milwaukee, United States TEKsystems Full time

    We are currently looking to add an experienced Revenue Cycle leader to our growing healthcare team! This is a great opportunity to work alongside supportive leaders, grow your leadership skills and gain exposure to various technologies and special projects. Job Description: Under the direction of the Patient Financial Services Manager and Director and...

  • Account Rep Lead Follow-up

    2 weeks ago

    Milwaukee, Wisconsin, United States Children's Wisconsin Full time

    Hospital Billing Supervisor at Children's WisconsinAt Children's Wisconsin, we are all about providing the best care for kids. We believe in focusing solely on the health and well-being of children across the nation. Our reputation precedes us, drawing patients and families from all corners of the country to seek our services.If you are someone dedicated to...

  • Billing Specialist

    4 weeks ago

    Milwaukee, United States Caretruly Healthcare Full time

    **Benefits**: - Paid time off The Billing Specialist is responsible for calculating and collecting payments for services. **JOB DESCRIPTION** - Submits medical claims to insurance companies and payers such as Medicare and Medicaid, Community Care, Molina Healthcare, etc. - Update patient data, develop payment plans, and prepares invoices. - Ensure that...

  • Billing Specialist

    2 weeks ago

    Milwaukee, Wisconsin, United States Caretruly Healthcare Full time

    Benefits: Paid time offThe Billing Specialist is responsible for calculating and collecting payments for services.JOB DESCRIPTION Submits medical claims to insurance companies and payers such as Medicare and Medicaid, Community Care, Molina Healthcare, etc. Update patient data, develop payment plans, and prepares invoices. Ensure that patients and insurance...

  • Medical Billing Specialist

    2 weeks ago

    Milwaukee, United States Retina & Vitreous Consultants of WI, Ltd Full time

    **Urgently Hiring** **Medical Billing Specialist** Our busy sub-Specialty practice located near Mayfair Mall in Wauwatosa is looking for a medical billing specialist with a **minimum** of 2 years experience performing medical Accounts Receivable follow-up to join our billing department. This is a full time position, Monday through Friday, 8:30am to 5:00pm...

  • Billing and Claims Specialist

    2 weeks ago

    Milwaukee, United States Healing Harmonies, LLC Full time

    The billing & claims specialist is a part time position and will handle accounts receivables, audit and track authorizations, maintain and run frequent accounting, cash flow and financial reports. This position will also prepare and submit claims and invoices to various types of payer sources such as WI Medicaid, schools,hospice agencies as well as private...

  • Insurance Customer Service Representative

    1 month ago

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

    We’re looking for a personable, enthusiastic 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 of policy details and documentation in a...

  • Medical Billing Specialist

    2 weeks ago

    Milwaukee, Wisconsin, United States Retina & Vitreous Consultants of WI, Ltd Full time

    Urgently HiringMedical Billing SpecialistOur busy sub-Specialty practice located near Mayfair Mall in Wauwatosa is looking for a medical billing specialist with a minimum of 2 years experience performing medical Accounts Receivable follow-up to join our billing department.This is a full time position, Monday through Friday, 8:30am to 5:00pm with a half hour...

  • Billing Specialist

    1 week ago

    Milwaukee, United States Connect Search Full time

    I am hiring a Legal Billing Specialist for a law firm I work with in Milwaukee. The hours are 8-5 Monday-Friday, with one day working remotely. Compensation is up to 70K depending on experience. This opportunity is temp to hire. JOB DUTIES Generating, editing, and finalizing client invoices via Aderant software. Accurately onboarding new clients into...

  • Billing Specialist

    1 week ago

    Milwaukee, United States Connect Search, LLC Full time

    I am hiring a Legal Billing Specialist for a law firm I work with in Milwaukee. The hours are 8-5 Monday-Friday, with one day working remotely. Compensation is up to 70K depending on experience. This opportunity is temp to hire.JOB DUTIESGenerating, editing, and finalizing client invoices via Aderant software.Accurately onboarding new clients into e-billing...

  • Billing Specialist

    1 week ago

    Milwaukee, United States Connect Search, LLC Full time

    I am hiring a Legal Billing Specialist for a law firm I work with in Milwaukee. The hours are 8-5 Monday-Friday, with one day working remotely. Compensation is up to 70K depending on experience. This opportunity is temp to hire.JOB DUTIESGenerating, editing, and finalizing client invoices via Aderant software.Accurately onboarding new clients into e-billing...

  • Medical Billing/accounts Receivable Specialist

    1 week ago

    Milwaukee, United States Independence First Full time

    Why 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 join our team! You are just...

  • Billing Specialist

    4 weeks 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...

  • Personal Insurance Account Manager

    1 month 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

    3 weeks ago

    Milwaukee, United States Reinhart Boerner Van Deuren SC Full time

    Reinhart 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 organizations and other entities. We are...

  • Billing Specialist

    1 week ago

    Milwaukee, United States Truity Partners, LLC Full time

    **RESPONSIBILITIES** - Generate and issue accurate and timely invoices for services rendered to clients. - Compare original to actual billing proposal related to time and expenses in Concur. - Maintain up-to-date billing documentation, including contracts and purchase orders. - Work closely with project managers and techs to resolve any billing discrepancies...

  • 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...

  • Medicaid Specialist

    4 weeks 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!...

  • Billing Specialist

    4 weeks 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...

  • Medical Billing/Accounts Receivable Specialist

    4 weeks 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...