Top 58 Medical billing Jobs in Milwaukee Wi

Director of Revenue Cycle
Outreach Community Health Centers —Milwaukee, WI
- Management
- Writing skills
- Bachelor's degree
- Dental insurance
- Employee discount
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Billing Specialist
Outreach Community Health Centers —Milwaukee, WI
- Mid-level
- High school diploma or GED
- Analysis skills
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AR Follow-Up and Billing Specialist
Outreach Community Health Centers —Milwaukee, WI
- From $43,649.50 a year
- Writing skills
- Mid-level
- High school diploma or GED
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Medical Reimbursement Specialist (Remote in Wisconsin)
Coloplast —New Berlin, WI
- Remote
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Health savings account
- Paid holidays
Medical Billing Specialist
West Grove Clinic —Milwaukee, WI
- $22 - $25 an hour
- Full-time
- Customer service
- Basic math
- HIPAA
- Paid holidays
- Health insurance
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Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
Medical Billing Specialist
Fusion Anesthesia Solutions —Brookfield, WI
- $20 - $24 an hour
- Full-time
- Hybrid work
- Computer literacy
- HIPAA
- Mid-level
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Medical Billing Insurance Payment Poster
TABS Billing —Greenfield, WI
- $18 - $20 an hour
- Full-time
- Microsoft Excel
- Research
- Office
- Health insurance
- Paid time off
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Support Team Member for Medical Billing
Fusion Anesthesia Solutions —Brookfield, WI
- $20 - $23 an hour
- Full-time
- Computer literacy
- Office
- Data entry
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Insurance Coordinator
Oral Surgery Associates of Milwaukee —Oak Creek, WI
- $22 - $28 an hour
- Full-time
- Dental office
- Surgery
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Billing Specialist or Supervisor/Mental Health Biller
Shorehaven Behavioral Health —Milwaukee, WI
- Full-time
- Mid-level
- Office
- Computer skills
Account Resolution Representative Senior
Children's Wisconsin —West Allis, WI
- Full-time
- Bilingual
- Research
- Mid-level
Medical Billing/Business Office Rep
MOMA/Surgery Partners —Milwaukee, WI
- Full-time
- Medical office experience
- English
- Mid-level
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13d
Account Rep II, Medicare - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Wauwatosa, WI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Quality control
- Paid parental leave
- Paid holidays
Quick Apply
Strategic Bill Review Analyst - Workers' Compensation
Rising Medical Solutions —Milwaukee, WI
- Full-time
- Remote
- Microsoft Excel
- Customer service
- Mid-level
- Profit sharing
- 401(k) matching
Quick Apply
MED BILLING/PAYMENT ANALYST
Froedtert Health —Menomonee Falls, WI
- $24.45 - $41.08 an hour
- Full-time
- Mid-level
- Finance
- Analysis skills
- Continuing education credits
- Disability insurance
Epic Denials Management Operator
Deloitte —Milwaukee, WI
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
12d
Epic Denials Management Coordinator
Deloitte —Milwaukee, WI
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
12d
Billing Insurance Follow-up
Sixteenth Street Community Health Centers —Milwaukee, WI
- Full-time
- Computer literacy
- English
- Mid-level
Quick Apply
Medical Biller
TABS Billing —Milwaukee, WI
- $16 - $20 an hour
- Full-time
- Mid-level
- Organizational skills
- In-person
Quick Apply

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Director of Revenue Cycle

Outreach Community Health Centers -
Milwaukee, WI

Quick Apply

Job Details

Benefits

Dental insurance
Employee discount

Qualifications

Staff supervision
Management
Healthcare staff management
Medicare
Writing skills
Health insurance knowledge
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid

Full Job Description

Position Summary

Under the direction of the Chief Financial Officer (CFO), the Director of Revenue Cycle provides strategic and hands-on leadership for all FQHC revenue cycle operations. The role is directly responsible for closely monitoring accounts receivable, driving measurable improvements in collection rates, and implementing ongoing staff training to ensure billing compliance, denial reduction, and revenue optimization. The Director ensures integration between clinical operations, finance, billing vendors, and payers with deep focus on FQHC-specific requirements including Medicare/Medicaid cost reporting, sliding fee scale, and encounter data integrity. The position has direct supervisory oversight of the Patient Service Representative Supervisor and full responsibility for the Sliding Fee Discount Program and Provider Credentialing.

Supervisory Responsibilities

Directly supervises the Patient Service Representative (PSR) Supervisor.
Indirectly oversee PSR staff through the PSR Manager.
Responsible for performance management, training coordination, and accountability for registration, eligibility, and sliding fee processes.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

PROVIDER CREDENTIALING & ENROLLMENT

Manage and oversee the full lifecycle of provider credentialing and enrollment for all billable providers.
Ensure all providers are credentialed and enrolled with Medicare, Medicaid, and all commercial/managed care payers prior to their start date and maintained current thereafter.
Coordinate with HR and clinical leadership to onboard new providers, including completion of CAQH, state licenses, DEA, and payer applications.
Re-credential providers according to payer schedules (typically every 3 years) and ensure no lapse in reimbursement eligibility.
Investigate and resolve credentialing-related claim denials (e.g., provider not on file, non-participating status) in collaboration with billing staff.
Ensure timely submission of provider demographic changes (address, NPI, taxonomy practice location) to all payers.

ACCOUNTS RECEIVABLE – CLOSE MONITORING

Perform daily and weekly reviews of AR aging reports by payer (Medicare, Medicaid, Commercial, Self-Pay) and by service (medical, dental, behavioral health and case management).
Monitor days in accounts receivable (DAR), gross/net collection rates, and percentage of AR > days; present findings to CFO and department leadership.
Reconcile payer payments to contracts monthly, identifying underpayments, timely filing denials, precertification and pre-authorization denials, and FQHC-specific reimbursement shortfalls/
Oversee uncollectible account reviews and write-offs approvals in compliance with FQHC sliding scale fee scales policies.

IMPROVING COLLECTION RATES

Develop and implement strategies to reduce self-pay AR through improved sliding fee scale determination at registration, payment plan options, and follow-up protocols.
Lead denial management efforts with a focus on top FQHC denial reasons (e.g., missing encounter data, incorrect place of service, missing sliding fee documentation, prior authorization gaps, timely filing).
Collaborate with the PSR Manager to reduce registration-related collection barriers (e.g., incomplete sliding fee application applications, inaccurate or missing insurance capture, missed self-pay collections at check-in).
Establish and monitor collection KPIs by provider, site, and payers.

SLIDING FEE DISCOUNT PROGRAM

Own and administer the organization's Sliding Fee Discount Program in compliance with HRSA FQHC requirements.
Develop, maintain, and annually update the Sliding Fee Scale Policy, discount tiers, and eligibility criteria.
Ensure all patients are screened for sling fee eligibility at registration and recertified annually.
Oversee the accurate processing of sliding fee application, income verification, and discount application withing the EMR.
Conduct quarterly internal audits of sliding fee determinations and discounts applied; correct errors and retained staff as needed.
Prepare for and support HRSA operational site visits (OSV) related to sliding fee compliance.
Report sliding fee program metrics (e.g., % of patients screened, % eligible, write-offs by discount levels) to CFO monthly.
Ensure sliding fee discounts are properly reflected in patient statements and AR write-offs.

TRAINING STAFF (ONGOING)

Develop and deliver a revenue cycle training curriculum for registration staff (PSRs), billers, and clinical providers, including:
FQHC billing rules
Sliding fee scale – application, documentation, patient communication, and compliance
Medicare/Medicaid compliance and cost report data capture
Denial root cause analysis and prevention strategies
EMR workflows for charge capture, encounter closure, and registration accuracy
Provide real-time coaching on denied claims and registration errors; maintain a denial log with assigned corrective training for recurring issues.

ADDITIONAL FQHC-SPECIFIC DUTIES

Ensure accurate encounter data submission for Medicare/Medicaid cost reports and UDS reporting.
Monitor regulatory changes (Medicare Physician Fee Schedule, Medicaid FQHC PPS, FQHC billing manual, HRSA sliding guidance) and update internal policies/training accordingly.
Coordinate with clinical departments to optimize EMR workflows for same-day encounter closure, coding accuracy, and reduction of pre-bill edits.
Investigate denials trends, communication root cause owners (e.g., registration/PSR Supervisor and clinical), and report findings to leadership.
Assist providers on documentation rules tied to reimbursement (e.g., medical necessity, qualifying visit criteria for FQHC encounter rate).

LEADERSHIP & ADMINISTRATION

Attend staff meetings, leadership meetings, external FQHC revenue cycle collaborative sessions and EMR billing meetings.
Complete special projections as assigned by the CFO.

Minimum Qualifications (Knowledge, Skills, and Abilities)
Position requires the minimum of Bachelor's degree in Business Administration, Healthcare
Administration or related field preferred. Minimum 3-5 years of healthcare reimbursement experience, with at least 2 years in an FQHC, community health center, or rural health clinic (required). Minimum 3 years of experience with Medicare, Medicaid, and managed care billing in FQHC setting. Minimum 2-3 years of supervisory experience in revenue cycle, billing, or patient financial services. Knowledge of managed care policies. ICD10, and medical terminology preferred. Ability to read, write and communicate effectively orally and in writing.

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

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Refine Your Search

medical billing jobs in milwaukee wi

Director of Revenue Cycle

Billing Specialist

AR Follow-Up and Billing Specialist

Medical Reimbursement Specialist (Remote in Wisconsin)

Medical Billing Specialist

Account Resolution Representative

Medical Billing Specialist

Medical Billing Insurance Payment Poster

Support Team Member for Medical Billing

Insurance Coordinator

Billing Specialist or Supervisor/Mental Health Biller

Account Resolution Representative Senior

Medical Billing/Business Office Rep

Account Rep II, Medicare - Clinical Practice Services

Strategic Bill Review Analyst - Workers' Compensation

MED BILLING/PAYMENT ANALYST

Epic Denials Management Operator

Epic Denials Management Coordinator

Billing Insurance Follow-up

Medical Biller

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