Healthcare Billing Specialist | Denials & Reimbursements

Outreach Community Health Centers, Inc; Milwaukee (WI); On-site; USD 42,000 - 64,000; Full time

Job summary

Outreach Community Health Centers is hiring for a healthcare billing specialist in Milwaukee, WI. The role collaborates with insurance companies, providers, and patients to process and pay claims, review denials, and manage aging accounts.

Qualified candidates have at least two years of healthcare billing experience, strong Excel skills, and familiarity with EMR/PM software. A detail-oriented, fast-paced professional mindset is essential for success in this role.

Qualifications

• High school diploma or equivalent required.
• At least two years’ experience in healthcare billing and alternate payor reimbursement processing.
• Knowledge of insurance, managed care, PPO, FQHC billing and Milwaukee County systems preferred.
• Prior medical terminology and coding experience.

Responsibilities

• Submit claims with a goal of zero errors by verifying accuracy before transmission.
• Post insurance payments and adjustments by line item.
• Follow up on claim denials, identify root causes and implement corrective actions.
• Utilize aging reports and work queues to prioritize unpaid claims over 30 days.
• Coordinate medical records requests and information from providers/insurers.
• Read and interpret EOBs to determine payment accuracy and patient liability.
• Regularly meet with the Revenue Cycle Supervisor to discuss reimbursement issues and process improvements.
• Attend monthly staff meetings and required continuing education sessions.
• Perform other duties to support the Finance department.
• Handle reimbursement processes.

Skills

Advanced Excel

Excellent communication

Analytical skills

Multi-tasking

Education

High School diploma or equivalent

2+ years healthcare billing experience

Knowledge of insurance billing & Milwaukee County systems

Medical terminology experience

Tools

EMR software

Practice Management software

Job description

Outreach Community Health Centers is hiring for a healthcare billing specialist in Milwaukee, WI. The role collaborates with insurance companies, providers, and patients to process and pay claims, review denials, and manage aging accounts.

Qualified candidates have at least two years of healthcare billing experience, strong Excel skills, and familiarity with EMR/PM software. A detail-oriented, fast-paced professional mindset is essential for success in this role.