North Shore Health · 17 hours ago
Insurance Billing Specialist I - Full-Time
Milwaukee, WI
Full-time
Onsite
Entry Level
$22/hr - $24/hr
1+ years expNorth Shore Health is a leading provider of post-acute care in the Midwest, seeking to hire an Insurance Billing Specialist. The role involves managing the billing and collection of private insurance receivables and ensuring compliance with company policies and third-party requirements.
Assisted LivingHealth CareMedicalNursing and Residential CareRehabilitationWellness
Responsibilities
Prepares and submits claims from the following list (including, but not limited to): all primary, secondary and supplemental insurance claims, including VA, hospice and Medicare coinsurance that is billable to an insurance plan
Utilizes company approved system to document and follow up on payer commitments
Responds to payer requests for documentation
Identifies payment discrepancies and unpaid claims; takes appropriate action to resolve balance
Prepares A/R adjustments and corrections as needed
Identifies, researches and resolves credit balances according to policy and payer requirements
Identifies adverse facility trends resulting in returned or denied claims (e.g., repeated failure to obtain prior authorization) and communicates to Intake Administrator for follow-up with Admissions Coordinator
Reports status of claims and AR balances to supervisor, upon demand and/or according to established schedule and procedures
Participates in monthly AR review
Prepares account write-off when collection efforts exhaust
Other duties as assigned
Adheres to the Company Code of Conduct and Business Ethics policy, including documentation and reporting responsibilities
Exposure to automated tasking system preferred
Ability to manage, analyze and reconcile billing and payment detail
Ability to work well in a team-oriented, cooperative environment
Strong organizational skills and communication skills
Basic understanding of Excel and Word, mainframe computer systems and PC LANs
Ability to maintain regular attendance
Capable of performing the essential duties of this job, with or without reasonable accommodation
Qualification
Required
High school diploma or G.E.D
Minimum of one (1) year experience in health care insurance billing, preferably for skilled nursing facility providers required
Comprehensive knowledge of commercial insurance and managed care plans, including basic coverage models, billing requirements, subscriber and provider responsibilities, and coordination of benefit (COB) rules
Preferred
Exposure to automated tasking system preferred
Benefits
Health insurance for full-time employees starting the first of the month following 30 days of employment
Dental and vision insurance for full and part-time staff
401(K) Program for full and part-time staff
6 paid holidays plus one floating holiday for full-time staff
Company paid life insurance for full-time staff
Voluntary life and disability insurance for full-time staff
Paid Time Off
Company
North Shore Health
North Shore Health and its facilities proudly serve communities in Wisconsin, Minnesota, and North Dakota by offering long-term skilled nursing care, short-term rehabilitation, and assisted living facilities.
1001-5000 employees
H1B Sponsorship
North Shore Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
Funding
Current Stage
Late StageLeadership Team
Darren Gee
Chief Executive Officer
Katherine Davis
Chief Development Officer
Recent News
Company data provided by crunchbase