Superior, WI 54880 • (35.7 miles) • Full Time • 9/4/2026

Job SummaryThe MCO Billing Specialist is responsible for the accurate and timely billing, follow-up, and collection of claims submitted to managed care organizations. This role ensures compliance with payer-specific requirements, resolves claim denials and rejections, and supports the organization's revenue cycle by minimizing aging accounts receivable.ResponsibilitiesPrepares, reviews, and submits clean claims to managed care payers via electronic and paper submissionVerifies member eligibility, benefits, and authorization requirements prior to claim submissionResearches, corrects, and resubmits denied, rejected, or underpaid claims within payer timely-filing limitsPosts payments, adjustments, and denialsReconciles remittance advices (ERA/EOB) against expected reimbursement.Monitors accou