Revenue Cycle Specialist (53122)
12 hours ago
Elm Grove
Revenue Cycle Specialist – Billing Lutheran Social Services of Wisconsin & Upper Michigan (LSS) Finance Department | Hybrid (Every Thursday and in-office as needed) Lutheran Social Services of Wisconsin & Upper Michigan (LSS) is seeking a Revenue Cycle Specialist – Billing to join our Financial Services team. This role plays a critical part in ensuring accurate, timely claim submission and compliance across multiple funding sources while supporting our mission-driven programs. Key Responsibilities • Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, county/state funding, grants, and self-pay payers, • Investigate and correct claim rejections related to eligibility, demographics, and coding, • Verify insurance coverage and update eligibility and authorizations as needed, • Maintain accurate billing records, generate statements, and document claim activity in the EHR system, • Collaborate with program staff, QA, and AR Follow-Up to resolve billing issues and denial trends, • Review unbilled and authorization reports to identify and resolve billing delays, • Assist with month-end close and support financial audits, • Ensure compliance with HIPAA, payer guidelines, and organizational policies Qualifications • High School Diploma required; Associate's degree or higher in accounting or related field preferred, • Minimum of 1 year of healthcare or behavioral health billing experience required, • Working knowledge of ICD coding, EOBs, and electronic billing processes, • Experience with EHR and medical billing software, • Strong attention to detail, analytical, organizational, and problem-solving skills, • Proficiency with Microsoft Excel, Word, and Outlook, • Ability to work independently, manage multiple deadlines, and collaborate across teams Why Join LSS? • Mission-driven organization serving diverse communities, • Hybrid work environment (in-office as needed), • Collaborative and supportive finance team, • Opportunity to contribute to essential community-based services Lutheran Social Services is an Equal Opportunity Employer (EOE).