Top 8 Document coder Jobs in West Allis, Wi

Dental Revenue Cycle Specialist
Meridian Endodontics & Periodontics —Brookfield, WI
- From $25 an hour
- Full-time
- Microsoft Outlook
- HIPAA
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
Account Rep Ld Follow-up
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Bilingual
- Mid-level
- Finance
Account Resolution Representative Senior
Children's Wisconsin —West Allis, WI
- Full-time
- Bilingual
- Research
- Mid-level
Business Office Assistant - Full-Time 1st Shift
Menomonee Falls Health Services —Menomonee Falls, WI
- From $25 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- CNA
- Paid holidays
- Disability insurance
Quick Apply
11d
Patient Accounts Lead
GI Associates LLC —Milwaukee, WI
- No weekends
- Mid-level
- Supervising experience
- Mentoring
- Paid holidays
- Disability insurance
Quick Apply
Support Team Member in Customer Service
Fusion Anesthesia Solutions —Brookfield, WI
- $20 - $23 an hour
- Full-time
- Computer literacy
- Office
- Data entry
Quick Apply
4d

More jobs to discover

Find similar jobs that you might be interested in.

Account Resolution Representative
Children's Wisconsin —West Allis, WI
Associate's Degree in a business related field Preferred. Utilizes Hospital computer billing system(s) (Epic) to follow-up on unpaid, underpaid, and credit…
Account Resolution Representative Senior
Children's Wisconsin —West Allis, WI
Professional certification in claims processing through HFMA or AHAAM is desired. Performs various collection actions including contacting patients/parents,…

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Outpatient Medical Coder 3
The Ohio State University —Columbus, OH
Required: 3 years’ acute care academic medical center outpatient coding experience within an academic Health Information Management department for service types…
Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module. Identifies solutions and responds professionally to…

Show more jobs in cities nearby

I want to receive the latest job alert for document coder in west allis, wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

document coder jobs near west allis, wi

Revenue Cycle Specialist jobs in Brookfield, WI

Office Assistant jobs in Menomonee Falls, WI

Revenue Cycle Specialist jobs in El Paso, TX

Revenue Operations jobs in San Diego, CA

Revenue Cycle Specialist jobs in Las Vegas, NV

Revenue Cycle Specialist jobs in Tupelo, MS

Revenue Cycle Specialist jobs in Philadelphia, PA

Credentialing Specialist jobs in Phoenix, AZ

Reading Specialist jobs in Massachusetts

Account Resolution Specialist jobs in St. Louis, MO

Account Resolution Specialist jobs in Philadelphia, PA

Document Specialist jobs in Austin, TX

Account Resolution Specialist jobs in Moorpark, CA

Office Assistant jobs in Queens, NY

Office Assistant jobs in New Orleans, LA

Office Cleaning jobs in Murfreesboro, TN

Office Assistant jobs in Cleveland, OH

Office Manager jobs in Fresno, CA

Medical Assistant jobs in Lees Summit, MO

Office Assistant jobs in Elk Grove, CA

Dental Revenue Cycle Specialist

Meridian Endodontics & Periodontics
Brookfield, WI

Quick Apply

Job Details

Full-time
From $25 an hour

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Employee discount
Flexible schedule
Life insurance
Retirement plan

Qualifications

Teamwork
Medical coding
HIPAA
High school diploma or GED
Attention to detail

Full Job Description

Position Summary

The Revenue Cycle Specialist is the front-line steward of the practice’s complete billing and collections workflow. This individual manages every financial touchpoint from insurance verification and charge entry through claims submission, payment posting, denial resolution, patient billing, and final account reconciliation. Working in close coordination with the Revenue Cycle Manager and clinical teams, the Specialist plays a critical role in maintaining clean accounts receivable, minimizing claim denials, and ensuring patients receive clear, timely financial communication—all in full compliance with HIPAA and payer guidelines.

Essential Duties & Responsibilities

Insurance Verification

Verify patient insurance eligibility and benefits prior to each appointment via online portals or clearinghouse.
Confirm deductibles, annual maximums, coverage percentages, waiting periods, frequency limitations, and missing tooth clauses.
Document verification results accurately in the dental software (DSN) and enter estimated patient fees on the appointment screen.
Initiate pre-authorizations for major treatment as required by payer.

Charge Entry & Coding

Review completed treatment against clinical notes to confirm accuracy before billing.
Assign correct CDT codes, including modifiers, tooth numbers, surfaces, and quadrant designations.
Identify and attach any required narratives; verify the correct fee schedule is applied before submission.
Perform 100% review of high-dollar procedure charges prior to claim generation.

Claims Submission

Generate and submit electronic claim batches daily through the practice clearinghouse.
Confirm each claim includes correct subscriber ID, accurate CDT codes, and all required attachments (X-rays, perio charting, narratives).
Save submission confirmation reports and reconcile any rejected claims within 24 hours.
Maintain target of zero unsubmitted claims older than two business days.

Claim Tracking & Follow-Up

Run and work the Unpaid Claims Report on a weekly follow-up cycle.
Segment outstanding claims by aging bucket (0–14 days: monitor; 15–30 days: follow up; 31+ days: escalate).
Contact payers via portal or phone, document reference numbers and call notes, and refile claims when requested.
Escalate claims unpaid beyond 45 days to the Revenue Cycle Manager or supervising provider.

Denial Management & Appeals

Review all EOB denials within 24 hours of receipt and categorize by denial reason (documentation, coding, eligibility, frequency, medical necessity).
Correct and resubmit fixable claims promptly; draft and submit formal appeal letters with supporting documentation within payer deadlines.
Maintain an up-to-date denial log and contribute to reporting on denial trends.
Work toward a practice denial rate below 5%.

Payment Posting

Post all insurance checks and EFTs on the day of receipt; post patient payments daily.
Reconcile EOBs line-by-line, matching allowed amounts, write-off adjustments, insurance payments, and patient responsibility.
Flag underpayments for follow-up; ensure all adjustments use standardized codes.
Perform weekly reconciliation of deposits versus postings.

Patient Billing & Collections

Generate patient statements on a weekly or bi-weekly cycle, ensuring insurance has been billed before patient responsibility is communicated.
Confirm account balances are accurate and not pending insurance resolution before sending statements.
For balances over $250, initiate a patient call within seven days of statement generation.
Follow the escalation pathway for aging balances: friendly reminder (30 days), firm follow-up with payment plan offer (60 days), final notice letter (90 days), and referral to collections or write-off review (120 days).
Document all billing and collections touchpoints in DSN account notes.

Account Reconciliation & Reporting

Assist in producing weekly and monthly A/R aging reports for the Revenue Cycle Manager.
Contribute data for KPI tracking: net collection rate (≥95%), total A/R (<1 month of production), insurance A/R over 60 days (<10%), denial rate (<5%), and clean claim rate (≥90%).
Identify discrepancies and take corrective action or escalate as appropriate.

Qualifications

Education & Experience

High school diploma or equivalent required; Associate’s degree or certificate in dental/medical billing or healthcare administration preferred.
Minimum 1–2 years of experience in dental or medical billing, revenue cycle, or a related financial role in a healthcare setting.
Hands-on experience with electronic claim submission and denial management strongly preferred.

Technical Skills

Proficiency with dental practice management software (Dentrix, Eaglesoft, Open Dental, or similar DSN platforms).
Working knowledge of CDT coding, insurance coordination of benefits, and EOB interpretation.
Experience using insurance portals and clearinghouses (e.g., Availity, Vyne, Dental Intel).
Competency with Microsoft Office (Excel, Word, Outlook); ability to produce and interpret basic reports.

Knowledge & Competencies

Strong understanding of the full dental revenue cycle from patient eligibility through final payment reconciliation.
Working knowledge of HIPAA regulations and patient privacy requirements in billing communications.
Familiarity with payer filing deadlines, appeal processes, and documentation standards.
Accuracy and attention to detail, particularly in coding, payment posting, and account reconciliation.
Effective verbal and written communication skills for patient and payer interactions.
Ability to manage a high-volume workload, prioritize aging accounts, and meet daily and weekly deadlines.
Collaborative, team-oriented approach with the ability to work independently when needed.

Pay: From $25.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee discount
Flexible schedule
Health insurance
Health savings account
Life insurance
Paid time off
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

document coder jobs in west allis, wi

Dental Revenue Cycle Specialist

Account Resolution Representative

Account Rep Ld Follow-up

Account Resolution Representative Senior

Business Office Assistant - Full-Time 1st Shift

Patient Accounts Lead

Support Team Member in Customer Service

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for document coder in west allis, wi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected