Billing & Insurance Follow-Up Specialist

Sixteenth Street Community Health Centers; Milwaukee (WI); On-site; USD 42,000 - 54,000; Full time

Job summary

Sixteenth Street Community Health Centers in Milwaukee seeks a Billing Specialist to manage prebilling, billing and follow-up on insurance claims, applying revenue cycle knowledge and medical terminology.

You will obtain documentation from various resources, communicate with payers and external customers, validate information, enter data into the patient accounting system, and support claims appeals to ensure contracted amounts are received.

Qualifications

• High School Diploma or GED required.
• Typically 1 year of related medical billing experience.
• Experience with EPIC is preferred.
• Ability to read and interpret EOBs and insurance documents.
• Strong communication and accuracy in data entry.

Responsibilities

• Prebilling, billing and follow-up on open claims with revenue cycle knowledge.
• Obtain necessary documentation and communicate with internal teams and payers.
• Identify patterns related to coding, denials, and contract requirements for delays.
• Stay updated on payer changes and enter data into billing systems.
• Appeal claims to secure contracted reimbursement and monitor KPI targets.
• Maintain clear online documentation of all billing activity per guidelines.
• Read and follow Sixteenth Street policies; obtain supervisor approval as needed.

Skills

Effective communication

Attention to detail

Independent worker

Education

High School Diploma or GED

Tools

EPIC

Patient accounting system

Billing software

Job description

Sixteenth Street Community Health Centers in Milwaukee seeks a Billing Specialist to manage prebilling, billing and follow-up on insurance claims, applying revenue cycle knowledge and medical terminology.

You will obtain documentation from various resources, communicate with payers and external customers, validate information, enter data into the patient accounting system, and support claims appeals to ensure contracted amounts are received.