Billing Specialist

IlluminusWatertown, WI

About The Position

Illuminus is seeking a highly motivated individual with excellent collaboration and organizational skills to join our team as a Billing Specialist. In this role, you will be responsible for obtaining authorization, timely and accurate release of claims, and managing collections on commercial insurances/Medicare Advantage/Medicaid/Family Care payer groups. The Billing Specialist maintains and actively promotes effective communication with all individuals, maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Completes daily deposits and updates cash balance logs. Maintains resident census including admissions, discharges, status and payer changes and maintaining monthly census reports. Tracks and follows up on outstanding balances in accordance with facility policies. Participates in weekly billing meetings. Responsible for monthly billing and follow-up on outstanding claims. Submits required month-end reports as needed. Responsible for managing, accounting for, and disbursing resident funds. Keeps Finance department management appraised of payment issues. Participates in Aging calls and keeps Finance department management appraised of expected payment issues. Tracks claims through clearinghouse and verifies successful transmission. Posts ancillary charges and payments. Submits authorizations timely to prevent billing issues. Maintains a positive attitude and approach to an ever-changing work environment. Responsible for on-call and performs other duties, as assigned.

Requirements

  • Two-year associate degree.
  • Two years accounts receivable experience, preferably in healthcare.
  • Word processing and spreadsheet knowledge.
  • Typing and filing abilities.
  • Commitment to quality outcomes and services for all individuals.
  • Ability to relate well to all individuals.
  • Ability to maintain and protect the confidentiality of information.
  • Ability to exercise independent judgment and make sound decisions.
  • Ability to adapt to change.

Responsibilities

  • Maintains and actively promotes effective communication with all individuals.
  • Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
  • Completes daily deposits and updates cash balance logs.
  • Maintains resident census including admissions, discharges, status and payer changes and maintaining monthly census reports.
  • Tracks and follows up on outstanding balances in accordance with facility policies.
  • Participates in weekly billing meetings.
  • Responsible for monthly billing and follow-up on outstanding claims.
  • Submits required month end reports as needed.
  • Responsible for managing, accounting for, and disbursing resident funds.
  • Keeps Finance department management appraised of payment issues.
  • Participates in Aging calls and keeps Finance department management appraised of expected payment issues.
  • Tracks claims through clearinghouse and verify successful transmission.
  • Posts ancillary charges and payments.
  • Submits authorizations timely to prevent billing issues.
  • Maintains positive attitude and approach to ever-changing work environment.
  • Responsible for on-call and performs other duties, as assigned.

Benefits

  • FREE Direct Primary Care (DPC) for employees enrolled in our health plan —no copays for primary care visits and personalized access to your provider
  • Low-cost health insurance through our self-funded health plan designed to keep more money in your paycheck
  • Dental, Vision, Life and Disability Insurance
  • Flexible Spending Account (FSA)
  • 401(k) Retirement Plan with a company match of $0.50 for every $1 you contribute, up to 6%
  • Financial and Retirement Planning at No Charge
  • Tuition Reimbursement
  • Paid Time Off
  • Mission-driven culture where you can make a meaningful difference every day
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