Wisconsin Licensed Reimbursement Specialist

Job Summary

To support a growing team, the remote Wisconsin Licensed Reimbursement Specialist will manage billing and insurance processing for medical products, ensuring timely claims submission, verifying coverage, and maintaining compliant patient records.

Key responsibilities

• Prepare and submit claims, verify insurance coverage, and resolve denials to ensure accurate billing
• Maintain and update patient insurance records while ensuring compliance with Medicare, HIPAA, and departmental requirements
• Provide professional assistance to patients and clinicians regarding the reimbursement process and collaborate with internal teams to expedite orders

Required qualifications

• Two years of medical billing and/or transferable healthcare experience
• Demonstrated ability to review and process complex billing information and resolve discrepancies independently
• Knowledge of Medicaid, Medicare, and commercial insurance preferred
• Experience with billing software applications
• Strong decision-making skills and sound judgment in complex situations