Financial Associate II – Billing Specialist

Wisconsin Counties; Wisconsin; On-site; USD 33,000 - 46,000; Full time

Job summary

Wisconsin Counties, located in Wisconsin, seeks a Financial Associate II – Billing Specialist to manage invoicing, ledger reconciliation, and patient billing across Medicare, Medicaid, commercial, and self-pay accounts.

The role also includes verifying benefits, obtaining prior authorizations, and ensuring documentation is complete before submission. A two-year accounting/bookkeeping background is required, with an associate degree preferred.

Qualifications

• Associate degree in accounting/finance/business or related field.
• Minimum of two years of experience in accounting/bookkeeping.
• Equivalent combination of education, skills, knowledge, and abilities may be substituted for above requirements.

Responsibilities

• Receives invoices from vendors; reviews for accuracy and enters charges into EHR.
• Reconciles General Ledger accounts and prepares journal entries.
• Collects insurance information and determines ability to pay; obtains required signatures.

Skills

Accounting basics

Bookkeeping

Verbal and written communication

Education

Associate degree in accounting/finance/business

Job description

Financial Associate II – Billing Specialist

Application Deadline: 2026-11-17

Job Type: County

Job Description:

ESSENTIAL FUNCTIONS:

• Receives invoices from vendors. Review for accuracy and confirm rates match contract amounts. Enters charges into Electronic Health Record (E.H.R)
• Reconciles General Ledger accounts and prepares journal entries.
• Completes financial interviews with consumers either in person or over the phone to gather insurance information, verification of assets and income to determine ability to pay. Obtain signatures on required paperwork for releases, ABN and billing.
• Verifies insurance benefits and obtains prior authorizations for services. Reviews documentation submitted by staff to ensure accurate completion before submission. Monitors use of services and obtains additional authorizations as they expire, or approved visits are consumed.
• Prepares the daily appointment schedule. Reviews insurance notes and most recent interview date and notes.
• Bills services to Medicare, Medicaid, Commercial Insurance, and Self Pay. Follows-up on unpaid claims.
• Sorts, balances, and assigns G/L account numbers to cash, checks, credit card and EFT payments received.
• Completes deposit and provides treasurer and other departments with deposit documentation. Creates journal entries for recording of deposit to G/L.
• Applies payments to consumer accounts in Electronic Health Record (E.H.R); makes rate adjustments, initiates refund for over payments, disputes incorrect claim payments or denials.
• Communicates with consumers to accept payments, provides explanations regarding account balances, and sets up payment plans on past due accounts.
• Assists consumers with applications for medical assistance and family care.
• Provides Medicare Notices of Non-Coverage to consumers.
• Assists with appeals and denial process.
• Other duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION AND EXPERIENCE REQUIREMENTS

• Associates degree in accounting, finance, business, management or related field.
• Minimum of two (2) years of experience working in an accounting/bookkeeping position.
• Equivalent combination of education, skills, knowledge, and abilities may be substituted for above listed requirements.
• Appointment will be conditional upon successful completion of a criminal background check.

EXPERIENCE PREFERRED

• Minimum of two (2) years of experience working in a nursing home, medical or mental health field.
• Medical claim submission and compliance requirements within CMS (Centers for Medicare & Medicaid Services).

Starting pay is determined within the expected hiring range based on qualifications, directly related experience, and internal equity. Employees may advance through the full salary range in accordance with County policy.

Full Pay Range: $24.10 – $33.59/hour
Expected Pay Range: $24.10 – $27.27/hour
FTE: 1.0
Department: Finance

St. Croix County is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We take affirmative action to ensure equal opportunity for all applicants without regard to an individual’s race, color, age, religion, sex, sexual orientation, national origin, gender identity, disability, marital status, veteran status, or other legally protected characteristics.

https://efff.fa.us6.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/623/?utm_medium=jobshare&utm_source=External+Job+Share

Deadline Note: