Billing Specialist

Outreach Community Health Centers; Milwaukee (WI); On-site; USD 44,000 - 60,000; Full time

Job summary

Outreach Community Health Centers is seeking an experienced Billing Specialist to join our Finance team in Milwaukee. The role focuses on processing claims accurately, posting payments, and resolving denials in a high-volume environment.

Ideal candidates have 2+ years of healthcare billing experience, strong Excel skills (VLOOKUP, pivots), and familiarity with EMR/Practice Management systems. Join a team dedicated to accurate revenue cycle operations and continuous improvement.

Qualifications

• High school diploma required.
• 2+ years of healthcare billing experience.
• Knowledge of insurance, managed care, PPO, FQHC billing.
• Medical terminology and coding experience preferred.
• Advanced Excel skills required (VLOOKUP, Pivot Tables, advanced formulas).

Responsibilities

• Submit accurate insurance claims with a goal of zero errors.
• Post insurance payments and adjustments by line item.
• Research and appeal denied and unpaid claims.
• Review A/R aging and prioritize >30 days.
• Coordinate medical records requests and documentation.
• Interpret insurance EOBs for payment accuracy.
• Identify denial trends and recommend corrective actions.
• Collaborate with Revenue Cycle Supervisor on reimbursements and improvements.
• Participate in staff meetings and continuing education.
• Perform additional duties for Finance department.

Skills

Advanced Excel

Analytical

Communication

Problem-solving

Organizational

Education

High school diploma

Tools

EMR systems

Practice Management systems

Job description

Outreach Community Health Centers is growing! Our continued growth and internal promotions have created an opportunity for an experienced Billing Specialist to join our Finance team.

If you’re detail-oriented, analytical, and passionate about healthcare revenue cycle operations, this could be the opportunity for you!

As a Billing Specialist, you will work closely with insurance companies, healthcare providers, and patients to ensure claims are accurately processed and reimbursed. This is a high-volume, fast-paced environment where attention to detail, problem-solving, and follow-through are essential.

• Submit accurate and complete insurance claims with a goal of zero errors.
• Post insurance payments and adjustments accurately by line item.
• Research, manage, and appeal denied and unpaid claims.
• Review A/R aging reports and prioritize claims aged over 30 days.
• Coordinate medical records and additional documentation requests.
• Review and interpret insurance EOBs to determine payment accuracy and patient responsibility.
• Identify denial trends and recommend corrective actions.
• Collaborate with the Revenue Cycle Supervisor on reimbursement challenges and process improvements.
• Participate in staff meetings and continuing education opportunities.
• Perform additional duties supporting the Finance department.

What We’re Looking For

• High school diploma or equivalent required.
• 2+ years of healthcare billing and alternate payor reimbursement claims processing experience.
• Knowledge of insurance, managed care, PPO, FQHC billing, and Milwaukee County systems preferred.
• Medical terminology and coding experience preferred.
• Advanced Microsoft Excel skills required, including VLOOKUP, Pivot Tables, and advanced formulas.
• Experience with EMR and Practice Management systems is a plus.
• Strong analytical, communication, organization, and problem-solving skills.
• Ability to effectively communicate complex billing information to patients, providers, medical staff, and insurance payors.

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer