Billing & Credentialing Specialist Job at Lad Lake Inc, Dousman, WI

M0tZeW14OTVmMVRhMmw1NElvQVMrSXM3UXc9PQ==
  • Lad Lake Inc
  • Dousman, WI

Job Description

Who We Are
Lad Lake is a COA-accredited, nonprofit, independent organization serving youth and families across Wisconsin. With over 1,200 individuals benefiting from our trauma-informed programs, we are committed to guiding growth and promoting diversity, equity, and inclusion in all we do.

Our mission is to help young people reach their potential and live responsibly. Behind every youth served is a team of dedicated professionals making it all possible—including our financial operations team. If you're detail-oriented, organized, and passionate about using your skills to support a greater cause, we’d love to meet you.

What a Day in the Life of the Billing & Credentialing Specialist Looks Like:

  • Submit timely and accurate billing for Medicaid (ForwardHealth), private insurance, private pay clients, and contracted purchasers.

  • Track and manage claims, denials, appeals, and authorizations to ensure timely and maximum reimbursement.

  • Coordinate credentialing and re-credentialing of Lad Lake providers and programs with commercial insurance panels and Medicaid networks.

  • Maintain updated records in CAQH and payer portals; monitor licenses, insurance, and NPI data for ongoing compliance.

  • Reconcile payments, resolve discrepancies, and manage aging accounts receivable.

  • Collaborate with internal teams—including clinical, HR, and administration—to align documentation with billing and credentialing requirements.

  • Support audits, generate billing reports, and contribute to process improvements in billing and credentialing workflows.

What You Bring to the Table:

  • Bachelor’s degree required (Accounting, Finance, or Healthcare Administration preferred).

  • 2–3 years of experience in healthcare billing, Medicaid claims, and accounts receivable management.

  • Familiarity with ForwardHealth, CAQH, payer portals, and provider credentialing.

  • Knowledge of CPT/ICD-10 coding, EOB interpretation, and prior authorization workflows.

  • Advanced proficiency in Excel and experience with billing/accounting systems (Sage 300 ERP a plus).

  • Strong attention to detail, organizational skills, and the ability to work independently.

  • Excellent communication skills and a mission-driven mindset.

What We Bring to the Table:

  • Competitive Pay

  • Medical, Dental, Life Insurance, STD, LTD Benefits

  • Paid Time Off (up to 16 days annually to start)

  • Holiday Pay (up to 8 days)

  • Tuition reimbursement to support your career growth

  • 401k plan + profit sharing for your financial future

  • Casual dress code – wear what makes you comfortable!

  • Employee Assistance Program (EAP) for additional support

  • Federal Student Loan Forgiveness Employer

  • Professional development opportunities (we’ll pay you to learn!)

  • Longevity – We’re Wisconsin’s oldest youth service organization!

  • Career advancement – Many of our leaders started in entry-level roles and grew into leadership

  • A servant-leadership culture – Our leaders are here to support you so you can best support the mission

Come join the Lad Lake family. Welcome home!


(The actual base pay offered will consider internal equity and may vary based on education, experience, and job-related skills.)

PI1d7d34e11fa2-30492-37825008

Job Tags

Holiday work, Casual work,

Similar Jobs

Tier One Technologies, LLC

Security Escort - TS/SCI Clearance (part-time) Job at Tier One Technologies, LLC

 ...week for 3 hours each day in support of the bathroom cleaning contract. Work will also be performed one day a week for an additional...  ...WITHOUT REQUIRED CLEARANCE WILL BE SUBJECT TO A FEDERAL GOVERNMENT BACKGROUND INVESTIGATION TO RECEIVE IT. Responsibilities... 

Omni Hotels & Resorts

Assistant Director of Housekeeping Job at Omni Hotels & Resorts

 ...Overview The Omni Atlanta Hotel at Centennial Park is seeking an Assistant Director of Housekeeping to join and help lead their housekeeping team! The goal of this position is to assist in managing and directing of all Housekeeping. To participate in quality... 

KM Partners

Chief Financial Officer (CFO) - Affordable Housing / LIHTC Sector Job at KM Partners

 ...Chief Financial Officer (CFO) Affordable Housing & LIHTC Sector Location Greater Los Angeles Area (To be considered for this...  ...acquisitions, dispositions, and refinancing. Financial and Tax Planning and Analysis Oversee budgeting, forecasting, and financial... 

TalentLNX

Receiving Pharmacy Technician Job at TalentLNX

 ...Location: Austin, TX (On-Site | Long-Term Care Pharmacy) Schedule: Full-Time | MondayFriday | Day Shifts Compensation: $18$22/...  ...pharmacists and technicians to support pharmacy operations and delivery timelines Take on additional tasks as assigned by pharmacy leadership... 

Wonderway ABA Services

Board Certified Behavior Analyst (BCBA) Job at Wonderway ABA Services

 ...Join Our Team as a BCBA in ABA Therapy! Are you a dedicated Board Certified Behavior Analyst (BCBA) looking for a supportive, collaborative work environment with a manageable caseload? We are seeking a passionate BCBA to join our team at Wonderway and make a meaningful...