Top 114 Patient accounts representative Jobs in West Allis, Wi

Director of Revenue Cycle
Outreach Community Health Centers —Milwaukee, WI
- $88,666.67 - $104,540.00 a year
- Management
- Writing skills
- Bachelor's degree
- Dental insurance
- Employee discount
Quick Apply
Business Development Representative
Shaker - Illinois - UHS - Granite Hills Hospital —Milwaukee, WI
- Full-time
- Hybrid work
- Marketing
- Adults
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Patient Financial Counselor
Outreach Community Health Centers —Milwaukee, WI
- $19.81 - $22.29 an hour
- Word processing
- Computer literacy
- Basic math
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Principal Systems Analyst - Data Design and Architecture
Versiti, Inc. —Milwaukee, WI
- Full-time
- Computer science
- Computer Science
- 5 years
- Paid holidays
- Disability insurance
Scheduling Access Representative
Children's Wisconsin —West Allis, WI
- Full-time
- HIPAA
- High school diploma or GED
- Children
Patient Access Representative I - Emergency Department (Casual)
Children's Wisconsin —Milwaukee, WI
- Part-time
- Word processing
- Computer literacy
- Windows
Customer Service- Call Center for Medical Bil
Fusion Anesthesia Solutions —Brookfield, WI
- $20 - $23 an hour
- Full-time
- Bilingual
- Communication skills
- Entry level
Quick Apply
Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
Medical Billing Payment Poster- Pewaukee
ORTHOPAEDIC ASSOCIATES OF WISCONSIN —Pewaukee, WI
- Part-time
- Hybrid work
- Basic math
- Mid-level
- Office
Quick Apply
Patient Service Representative
The Kids Dentist —Mequon, WI
- $23 - $24 an hour
- Full-time
- Dental office
- Cleaning
- In-person
- Dental insurance
- 401(k)
Clinic Service Representative - Westbrook
Children's Wisconsin —Brookfield, WI
- Part-time
- HIPAA
- High school diploma or GED
- Clinic
14d
Clinic Service Representative - Bayshore
Children's Wisconsin —Fox Point, WI
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
3d
Billing Insurance Follow-up
Sixteenth Street Community Health Centers —Milwaukee, WI
- Full-time
- Computer literacy
- English
- Mid-level
Quick Apply
Customer Service Representative (Hybrid)
Coloplast —New Berlin, WI
- $21 - $23 an hour
- Hybrid work
- Office
- High school diploma or GED
- Conflict management
- Health savings account
- Paid holidays
14d
Pat Financial Svc Rep I
Children's Wisconsin —West Allis, WI
- Full-time
- High school diploma or GED
- Children
- Computer skills
Pat Access Rep I, Part Time
Children's Wisconsin —Mequon, WI
- Part-time
- Hospital
- Computer literacy
- Windows
8d
Client Service Representative Medical Technologist
Advocate Aurora Health —West Allis, WI
- $25.30 - $46.05 an hour
- Full-time
- Computer literacy
- No experience needed
- English
15h
Special Education Paraprofessional
Rocketship Public Schools —Milwaukee, WI
- $21 - $26 an hour
- Full-time
- Bilingual
- School experience
- Classroom
- Health insurance
- Flexible spending account
Quick Apply
Patient Service Representative - Operator
Sixteenth Street Community Health Centers —Milwaukee, WI
- Full-time
- Spanish
- Computer literacy
- English
Quick Apply
Pat Access Rep I, Casual
Children's Wisconsin —New Berlin, WI
- Part-time
- Hospital
- Computer literacy
- Windows

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Director of Revenue Cycle

Outreach Community Health Centers -
Milwaukee, WI

Quick Apply

Job Details

$88,666.67 - $104,540.00 a year

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

Quick Apply

Refine Your Search

patient accounts representative jobs in west allis, wi

Director of Revenue Cycle

Business Development Representative

Patient Financial Counselor

Principal Systems Analyst - Data Design and Architecture

Scheduling Access Representative

Patient Access Representative I - Emergency Department (Casual)

Customer Service- Call Center for Medical Bil

Account Resolution Representative

Medical Billing Payment Poster- Pewaukee

Patient Service Representative

Clinic Service Representative - Westbrook

Clinic Service Representative - Bayshore

Billing Insurance Follow-up

Customer Service Representative (Hybrid)

Pat Financial Svc Rep I

Pat Access Rep I, Part Time

Client Service Representative Medical Technologist

Special Education Paraprofessional

Patient Service Representative - Operator

Pat Access Rep I, Casual

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