AR Follow Up and Billing Specialist

JOB REQUIREMENTS: In order to be considered for this position,candidates must meet the following qualifications: Education and/orExperience - Required Qualifications High school diploma required, witha minimum of two years of experience in healthcare, billing, andalternate payor reimbursement claims processing. Previous experiencewith medical terminology and coding is required. Strong professionalcommunication skills, including oral, written, and presentationabilities. Experience with Medicare and Medicaid claims is preferred.Familiarity with insurance processes, managed care, PPOs, FQHC billing,and Milwaukee County systems is highly desirable. Ability to workeffectively under pressure and manage multiple priorities. Demonstratedability to establish and maintain positive working relationships withpatients, medical staff, coworkers, and the general public. Proficientin reading, writing, and communicating clearly and effectively in bothverbal and written forms. Job Purpose and Reporting Structure Theprimary responsibility of this position is to work directly withinsurance companies, healthcare providers, and patients to ensure claimsare processed and paid. You will be required to review and appeal allunpaid and denied claims. This position demands an extraordinary levelof attention to detail and the ability to multi-task in a high-volume,fast-paced, and exciting environment. This position will report directlyto the Revenue Cycle Supervisor. Essential Duties and ResponsibilitiesEnsure all claims are submitted with a goal of zero errors. Verify thecompleteness and accuracy of all claims prior to submission. Accuratelypost all insurance payments by line item. Follow up timely on insuranceclaim denials, exceptions, or exclusions. Meet deadlines. Read andinterpret insurance explanation of benefits. Utilize monthly agingaccount receivable reports and/or work queues to follow up on unpaidclaims aged over 30 days. Make necessary arrangements for medicalrecords requests and completion of additional information requests fromproviders and/or insurance companies. Regularly meet with the RevenueCycle Supervisor to discuss and resolve reimbursement issues or billingobstacles. Regularly attend monthly staff meetings and continuingeducational sessions as required. Perform additional duties as assigned.Experience in filing claim appeals with insurance companies to ensuremaximum entitled reimbursement. Considerations & Statement OutreachCommunity Health Centers requires employees in certain departments to befully... For full info follow application link. We are an AffirmativeAction/Equal Opportunity Employer. We consider qualified applicants foremployment without regard to race, religion, color, national origin,ancestry, age, sex, gender, gender identity, gender expression, sexualorientation, genetic information, medical condition, disability, maritalstatus, or protected veteran status. APPLICATIONINSTRUCTIONS: Apply Online: ipc.us/t/3A71ECD4700F4430

Created: 2025-12-18