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EH
Encompass Health Solutions
Billing Specialist I
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Based on Wisconsin data
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What they do
A Billing Specialist performs administrative work at financial institutions and banks that handle bills, receipts, and invoices. Manages the status of client accounts and tracks financial records, charges, and receipts of the accounts.
$43,358 / year median in Wisconsin
+1% projected growth
Job Description
Billing Specialist I Encompass Health Solutions Kimberly, WI Job Details Full-time $21.00 - $22.50 an hour 4 days ago Benefits Health savings account Health insurance Dental insurance 401(k) Paid time off 401(k) matching Retirement plan Qualifications Appeals HIPAA Medical coding guidelines High school diploma or GED Insurance medical billing Attention to detail Medical billing and coding communication with insurance companies Organizational skills Medical claims submission Epic Medical terminology Full Job Description Position Summary The Billing Specialist I is responsible for accurately preparing, reviewing, and submitting medical claims to insurance payers in a timely manner and following up on claim submissions. This role focuses on foundational billing functions, accuracy, and productivity within a specific specialty or payer group, while gaining exposure to the full revenue cycle process. Essential Duties & Responsibilities
- Prepare, review, and submit claims to payers with a focus on accuracy and timeliness.
- Verify charge capture accuracy and ensure all required documentation is attached.
- Review claim rejections, make non-coding related corrections, and resubmit as needed.
- Post insurance payments and adjustments as assigned.
- Communicate with internal team members to resolve missing or incomplete information.
- Maintain confidentiality and comply with HIPAA and payer-specific requirements.
- Appeal or call on denied claims.
- Always maintain patient confidentiality and professionalism. Required Skills & Knowledge
- Understanding of basic medical billing terminology, claim forms (UB-04/1500), payer websites, and payer types.
- Strong attention to detail and organizational skills.
- Basic knowledge of medical coding and modifiers.
- Ability to work independently with supervision and meet production standards. Experience & Education
- High school diploma or equivalent required.
- Minimum of one (1) year of experience in medical billing, claims processing, or a related healthcare administrative role preferred.
- Knowledge of insurance carrier requirements and claim submission guidelines preferred.
- Proficiency with electronic medical record (EMR) and practice management systems preferred. Epic experience would be appreciated.
- Previous experience in a healthcare or patient care setting preferred but not required.