Job Description
Join our dynamic healthcare team in Milwaukee as a Medical Biller! We're seeking a meticulous professional to ensure accurate reimbursement and compliance in our revenue cycle. Enjoy competitive pay, comprehensive benefits, and a supportive environment where your expertise directly impacts patient care. Apply today to advance your career in Wisconsin's thriving healthcare sector!
Responsibilities
- Process and submit clean claims to insurance companies and government payers
- Verify patient demographics, insurance coverage, and pre-authorizations
- Resolve claim denials and appeals with documentation accuracy
- Conduct regular audits of billing codes (ICD-10, CPT, HCPCS)
- Maintain compliance with HIPAA, CMS, and payer regulations
- Collaborate with clinical teams to ensure coding precision
- Generate monthly reports on denial rates and collection performance
Qualifications
- 3+ years of medical billing experience in a US healthcare setting
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in ICD-10, CPT, and HCPCS coding systems
- Proficiency with Epic, Medisoft, or similar EHR platforms
- Strong knowledge of Medicare/Medicaid and commercial insurance policies
- Exceptional attention to detail and problem-solving skills
- Ability to maintain HIPAA compliance in all processes