Billing Specialist (BV)

Outagamie County; Town of Grand Chute, Appleton (WI, WI); Vor Ort; USD 37.000 - 52.000; Vollzeit

Zusammenfassung

Brewster Village in Wisconsin seeks a Billing Specialist to manage data entry, billing submissions to Medicare/Medicaid, and accounts receivable. This on-site role supports financial operations under the Financial Services Manager and requires familiarity with billing policies, HIPAA compliance, and coordinating with residents and families.

Work hours are 8:00am-4:30pm, on-site only, with responsibilities across reporting, cash receipts, and monthly reconciliations to keep billing accurate and

Qualifikationen

• Associate degree in Accounting with 1–2 years billing or accounting experience.
• Flu vaccination required unless exempt by HR.
• Ability to prepare Federal and State cost reports, vouchers, journals and related documents.
• Ability to interpret county resolutions, nursing home regulations and billing terminology.
• Professional communication with clients, coworkers, supervisors, insurers and internal staff.

Aufgaben

• Follows CMS guidelines and stays current on billing policies for insurance, Medicare and Medicaid.
• Prepare billing information for Medicare Part A/B, Medical Assistance, private pay and insurance claims; verify insurance and obtain authorizations.
• Monitor private pay and resident statements; pursue collections and maintain logs for AR/AP.
• Perform AR aging follow-up, make inquiries, resubmissions, and generate required reports for Finance Manager and Admin.
• Maximize billing software to deliver accurate statements/claims to responsible parties.
• Enter cash receipts and ensure deposits balance; report inconsistencies.
• Monitor daily census to align billing with admissions/discharges and payor changes.
• Attend weekly Medicare meetings and assist with monthly close processes.
• Assess ability to pay and coordinate with staff; inform villagers of resources to stay financially solvent.
• Back up for other areas in the business office and maintain a safe environment.

Kenntnisse

Strong communication

Attention to detail

Professional demeanor

Team player

Insurance/billing terminology

Ausbildung

Associate degree in Accounting

Jobbeschreibung

Brewster Village is looking for dedicated and compassionate individuals who want to work in a team-based environment, where Person Directed Living is our top priority.

Under the general supervision of the Financial Services Manager, the Billing Specialist performs data entry and other duties relating to billing; maintain records, provides information and assistance and maintains knowledge related to regulatory requirements.

The hours for this position are 8:00am-4:30pm. All work will be completed on-site. No remote work is available.

The following duties are normal for this position. These are not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

• Follows CMS guidelines and remains current on all internal and external billing policies and procedures related to insurance, Medicare and Medicaid including eligibility and enrollment requirements.
• Accurately prepare billing information for Medicare Part A, Medicare Part B, Medical Assistance, private pay, and insurance claims as assigned and submit them in a timely manner. Includes verifying insurance and initiating and tracking all appropriate authorizations.
• Monitor all private pay and resident liability statements. Follow procedure for timely collections and, when needed, follows-up with other County departments. Maintain logs, ledgers, and calendars as required for accounts receivable and accounts payable. Provide informational correspondence to all private pay residents/families.
• Conduct follow-up associated with accounts receivable aging including phone inquiries, and resubmissions, and prepare required reports for the Finance Manager, Administrator, and other required staff.
• Maximizes the capabilities of the billing software in order to deliver accurate and timely statements/claims to responsible parties.
• Accurately prepare necessary documents and entries and follow procedure for payment of invoices and refunds utilizing the County’s accounting system. Enters Cash Receipts from private parties and insurance companies into the accounting system.
• Monitor daily census for proper processing of admissions, discharges, bed holds, payor changes, level of care changes, and room changes. Assure the billing system mirrors the census.
• Oversee the monthly Triple check process and attend weekly Medicare meetings
• Assesses ability to pay of all villagers and, as necessary, coordinates with appropriate staff to determine villager's ability to pay, including attending care conferences and informing villagers of available resources to remain in good financial standing.
• Process payments accurately and ensure that entries balance to deposit. Report any inconsistency to the appropriate individual.
• Ensure compliance with HIPPA regulations.
• Identifies and works with the Finance Manager to rectify unpaid accounts and documents appropriate notes in villager's record. Engages, at least weekly, with villagers in support of the mission of Brewster Village and maintains regular and predictable attendance, works overtime/extra hours as required.
• Report to the Finance Manager any unusual occurrences pertaining to department systems, collections, or procedures.
• Maintains a safe, comfortable and functional environment by assessing for potential hazards, implements practices utilizing appropriate techniques regarding sanitation, infection control, fire safety, disaster preparedness and emergency care, investigates and reports all incidents and accidents, and observes the team for safe work habits.
• Performs as back up for other areas in business office.

• Associate degree in Accounting with one to two years office billing or accounting, and computer experience, or any combination of education and experience that provides equivalent knowledge, skills, and abilities.
• The Flu Vaccination is required unless an Exemption is Approved via the Outagamie County Human Resources Department prior to start date.

• Ability to prepare a variety of documents including Federal and State cost reports, credit reports, vouchers, journals, letters and other correspondence, etc.
• Ability to comprehend and interpret a variety of documents including County Board resolutions, salary authorizations, various policy and procedure guides, Federal and State nursing home regulations, etc.
• Ability to use and interpret accounting and billing terminology.
• Ability to communicate professionally and effectively with Clients, Coworkers, Supervisors, Insurance Company Personal, State Billing Personal, Collection Agency Representatives, and other County departments, IT personnel, and others verbally and in writing.