Top 9 Billing specialist Jobs in Stevens Point, Wi

Billing & Enrollment Exchange Specialist
Delta Dental of Wisconsin Inc —Stevens Point, WI
- Mid-level
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Billing and Coding Specialist
Noble Community Clinics —Stevens Point, WI
- Full-time
- CPR Certification
- Research
- Mid-level
- Paid holidays
- Disability insurance
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1d
Accounts Receivable Specialist II
Renaissance Learning North America —Wisconsin Rapids, WI
- $17.50 - $24.08 an hour
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Paid holidays
- Disability insurance

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Billing and Coding Specialist
Noble Community Clinics —Stevens Point, WI
Knowledge of federal and state healthcare regulations related to documentation, coding, and billing. Research and apply federal, state, payer, and regulatory…
Quick Apply
1d
MANAGER- CENTRAL BILLING OFFICE - CBO - CENTRAL BILLING OFFI
ASPIRUS HEALTH —Wausau, WI
Excellent verbal and written communication skills include the ability to communicate technical concepts to a non-technical audience. PTO accrual from day one!

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Accounts Receivable Specialist
All Hours Mechanical LLC —Groveport, OH
Associate or Bachelor's degree in Accounting, Finance, or a related field preferred. Reconcile customer accounts and resolve payment discrepancies, including…
$50,000 - $60,000 a year
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Accounts Payable Specialist - Construction
Woda Cooper —Columbus, OH
Must possess a valid driver’s license and insurance. Process invoices and perform full-cycle accounts payable functions, including invoice entry, payment…
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Billing & Enrollment Exchange Specialist

Delta Dental of Wisconsin Inc -
Stevens Point, WI

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Job Details

Benefits

Health insurance
Dental insurance
Paid time off
401(k) matching

Qualifications

Non-technical user support
Spreadsheets
Productivity software

Full Job Description

Join Delta Dental of Wisconsin

Delta Dental of Wisconsin is seeking a Billing & Enrollment Exchange Specialist to support our Federal and State Exchange business. This role is responsible for the accurate and timely processing of electronic enrollment files, submission of reconciliation files, resolution of enrollment-related issues, and serving as a key liaison with Federal and State-Based Exchanges.

This is an excellent opportunity to expand your skills, gain cross-functional experience, and position yourself for future promotional opportunities within our organization. We offer a collaborative work environment, comprehensive benefits, and ongoing professional development opportunities.

Why Join Us?

Delta Dental of Wisconsin offers a competitive and comprehensive benefits package, including:

Medical and dental insurance
401(k) retirement plan with employer match
Generous Paid Time Off (PTO) program
Professional development and cross-training opportunities
Career growth and advancement potential

Position Summary

The Billing & Enrollment Exchange Specialist is responsible for administering enrollment and billing processes associated with Federal and State Health Insurance Exchanges. This role ensures the integrity and accuracy of Electronic Data Interchange (EDI) enrollment transactions, resolves complex enrollment and billing issues, performs reconciliations, and serves as a Subject Matter Expert (SME) for exchange-related processes.

Key Responsibilities

Process enrollment files received through electronic data feeds and perform account maintenance activities.
Conduct data reconciliation to ensure accuracy and consistency of information exchanged through EDI in accordance with Federal and State Exchange guidelines.
Monitor, investigate, and respond to inquiries and escalations from Federal and State Exchanges.
Submit and reconcile inbound enrollment reconciliation files.
Create, update, and maintain comprehensive documentation related to exchange processes, procedures, and system changes.
Establish and maintain EDI procedures and promote best practices across the department.
Participate in Federal and State Exchange meetings and communicate required operational changes.
Serve as a Subject Matter Expert (SME) and escalation resource for EDI enrollment and billing issues.
Ensure the accurate application of Advance Premium Tax Credits (APTC) and individual consumer premium payments.
Reconcile APTC activity and confirm policies are billed at the appropriate premium rates.
Perform User Acceptance Testing (UAT) for system enhancements, process improvements, and new exchange-related initiatives.
Collaborate with internal teams and external business partners to ensure successful file submissions, error resolution, and process improvements.
Identify, communicate, and escalate critical issues to appropriate stakeholders.
Partner with Client Experience and Product Services teams regarding client impacts resulting from Federal or State Exchange changes.
Participate in team meetings, training sessions, and special projects as assigned.
Maintain knowledge of Wyssta policy processing agreements and client requirements.
Provide exceptional customer service and respond professionally to enrollment and billing inquiries received via phone, email, web, or other communication channels.

Qualifications

Required Skills & Experience

Strong analytical, problem-solving, and troubleshooting abilities.
Intermediate proficiency in Microsoft Office applications, particularly Excel.
Excellent verbal and written communication skills with the ability to explain technical concepts to non-technical audiences.
Strong organizational skills and attention to detail.
Ability to prioritize multiple tasks and meet deadlines in a fast-paced environment.
Self-motivated with the ability to work independently and collaboratively.
Strong customer service orientation and commitment to quality.

Preferred Qualifications

Associate degree in Business, Information Systems, Healthcare Administration, or a related field.
1–2 years of Electronic Data Interchange (EDI), enrollment, billing, insurance operations, or related experience.
Experience working with health insurance exchanges, enrollment reconciliation, or premium billing processes.

What Makes You Successful

You are detail-oriented, analytical, and thrive on solving complex issues. You enjoy working across teams, managing data integrity, and delivering outstanding service to internal and external customers. You take ownership of your work, communicate effectively, and continuously seek opportunities to improve processes and outcomes.

Ready to build your career with Delta Dental of Wisconsin? Apply today and become part of a team committed to improving oral health and delivering exceptional service to our members and partners.

Licenses & Certifications

Preferred

Accident & Health Ins -WI

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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billing specialist jobs in stevens point, wi

Billing & Enrollment Exchange Specialist

Billing and Coding Specialist

Accounts Receivable Specialist II

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Join Delta Dental of Wisconsin

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