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Responsibilities:
- Manage the complete revenue cycle for assigned Wisconsin payors, including claim submission, payment posting review, denial resolution, appeals, and follow-up.
- Investigate and resolve claim denials, rejections, and payment discrepancies by working with internal departments and payor representatives.
- Generate invoices for private, county, and state billing programs and follow up on outstanding aging reports.
Qualifications:
- High School diploma or equivalent, college preferred; 3-5 years of healthcare billing or revenue cycle experience.
- Experience with Wisconsin Medicaid (Forward Health) preferred; proficiency in CPT, ICD10, HCPCS coding, and Microsoft Suites.
- Strong communication, customer focus, problem-solving abilities, and adaptability to a fast-paced environment.
Compensation:
- Pay starting at $24/hr, with benefits including 401(k), personal time off, paid holidays, and tuition reimbursement.
- Equal Opportunity Employer; candidates must be eligible to work in the United States.
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LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.