We are hiring a Medical Billing Specialist who understands the full billing cycle in a therapy setting—from authorization to payment. This role requires real experience with Wisconsin Medicaid (ForwardHealth), insurance billing, and working within a small clinic environment.

This is not a training role. We need someone who can step in, stay organized, and consistently get the work done right.

Responsibilities include submitting and managing claims through ForwardHealth (Wisconsin Medicaid), ensuring preauthorizations are in place prior to services, requesting, obtaining, and tracking service authorizations, monitoring, reconciling, and following up on unpaid or denied claims, managing accounts receivable and keeping aging under control, correcting and resubmitting claims as needed, maintaining clean, accurate billing records and ensuring compliance, communicating professionally with colleagues, clients, and county representatives, and maintaining strict HIPAA compliance in all billing, communication, and documentation practices.

Qualifications include experience with ForwardHealth (Wisconsin Medicaid) billing, experience billing commercial insurance, experience in a therapy clinic or small healthcare setting preferred, strong understanding of prior authorizations and payer requirements, experience with EMR/EHR systems, knowledge of billing workflows, denial management, and follow-up processes, ability to work independently and stay organized, and strong communication skills.

Compensation includes competitive pay based on experience and flexible schedule options.

Benefits include employee assistance program, flexible schedule, and paid time off.

Applicants must be able to pass a caregiver background check.