Find & Apply For Billing Clerk / Specialist Jobs in Appleton, Wisconsin

About the Position We are looking for a detail-oriented, proactive Billing Specialist to join our team. This position is responsible for managing key areas of the billing process, including insurance verification, claims, EOBs, payment posting, denials, appeals, and accounts receivable. We are looking for someone who takes ownership, follows through, and doesn't wait for problems to become bigger problems. Our billing department operates proactively—not reactively, and the right person will be comfortable staying on top of their work, identifying issues early, and taking action to resolve them. If you are organized, persistent, accurate, and take pride in getting things done correctly and on time, we would love to hear from you. What You'll Do Insurance Verification Verify insurance eligibility and benefits prior to the patient's first visit. Confirm authorizations when required. Keep insurance information accurate and up to date. Communicate coverage changes promptly. Identify potential insurance issues before they result in denials or patient balance problems. Claims Submit accurate and timely insurance claims. Scrub claims before submission to reduce errors. Review claims for completeness and accuracy. Monitor claim status daily. Correct and resubmit rejected claims promptly. Follow up on outstanding claims and take appropriate action. Identify recurring claim issues and help prevent them from happening again. EOBs & Payments Review Explanation of Benefits (EOBs) consistently and accurately. Compare insurance payments against contracted expectations. Identify underpayments and discrepancies. Investigate and address payment issues. Post payments accurately and promptly. Ensure patient balances are accurate. Denials & Appeals Work insurance denials promptly. Investigate the root cause of denials. Correct issues and take appropriate action to resolve denied claims. Prepare and submit timely appeals when appropriate. Track appeals through resolution. Identify denial trends and help implement solutions to prevent repeat denials. Accounts Receivable Monitor aging reports. Follow up on unpaid insurance claims and outstanding balances. Prioritize accounts requiring attention. Keep collections moving efficiently. Work to reduce outstanding accounts receivable. Document follow-up activity and ensure accounts are consistently worked. What We're Looking For We are looking for someone who is: Proactive — You don't wait for someone to tell you something needs to be done. Accountable — You take ownership of your work and follow things through to completion. Detail-oriented — You understand that small billing errors can have a big financial impact. Persistent — You don't give up when a claim is denied or an account requires multiple follow-ups. Organized — You can manage multiple priorities while keeping deadlines and follow-ups on track. Problem-solving oriented — You look for the reason behind an issue, not just a quick fix. Reliable — You can be trusted to stay on top of your responsibilities. Team-oriented — You communicate well and understand that effective billing requires collaboration across the organization. Qualifications Previous medical billing, healthcare billing, insurance billing, or revenue cycle experience preferred. Knowledge of insurance verification, claims processing, EOBs, denials, appeals, and accounts receivable. Strong attention to detail. Excellent organizational and time-management skills. Strong written and verbal communication skills. Ability to work independently and manage responsibilities with minimal supervision. Strong computer and data-entry skills. Ability to learn new billing systems and processes quickly. Apply today to join our team as a Billing Specialist!

Pay:

From $20.00 per hour

Education:

High school or equivalent (Required)

Experience:

Insurance billing: 2 years (Preferred)

Work Location:

In person