Accounts Receivable Rep (Specialty Billing)

Gundersen Health System•Onalaska, WI

1d•Hybrid

About The Position

Emplify Health by Gundersen is seeking a detail-oriented and proactive individual to join their team as a full-time Accounts Receivable Rep in the Specialty Billing department. The role is ideal for someone passionate about problem-solving, compliance, and making a difference in healthcare finance. Emplify Health is a not-for-profit, patient-centered healthcare network formed by Bellin Health and Gundersen Health System, with headquarters in Green Bay and La Crosse, Wisconsin. Their extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota, and Michigan’s Upper Peninsula. With over 4,500 dedicated nurses and providers, they are committed to delivering primary, specialty, and emergency care, along with innovative medical education programs. Gundersen Health System, based in La Crosse, WI, is a leading provider of primary and specialized care in western Wisconsin, southeast Minnesota, and northeast Iowa, serving over 500,000 residents. It includes a 325-bed teaching hospital, tertiary referral center, Level II Trauma Center, community clinics, affiliate critical access hospitals, nursing homes, behavioral health services, vision centers, pharmacies, and ambulance services. The organization fosters an employee-first culture, work-life balance, and career advancement opportunities, aiming to inspire employees' best lives through caring, learning, and innovating.

Requirements

High school diploma or equivalent
1 year of work experience, preferably in a medical facility, insurance company, or office setting
Strong communication and problem-solving skills
Successful completion of core competency testing for Accounts Receivable Representatives

Nice To Haves

Familiarity with medical billing and third-party payor processes

Responsibilities

Work with payors, patients, and internal teams to resolve billing issues, verify correct reimbursement, and maintain accurate patient account data.
Perform complex account reviews, including denials, credit balances, corrections, insurance eligibility updates, and refund requests, while documenting all actions.
Communicate with patients about financial responsibilities, provide estimates, set up payment arrangements, and support overall patient satisfaction.
Ensure compliance by maintaining up‑to‑date knowledge of regulations, contractual guidelines, HIPAA, and payer requirements.
Identify and resolve system or data issues, such as Charge Master concerns and ERN file errors, collaborating with PBS Systems, IS, and other departments as needed.
Participate in process improvement, departmental meetings, and special projects to enhance workflow, accuracy, and patient experience.