Billing Specialist (BV)

Outagamie County•Wi 54914, WI

1d•Onsite

About The Position

Brewster Village seeks a dedicated and compassionate Billing Specialist to work in a team-based environment centered on Person Directed Living. Under the general supervision of the Financial Services Manager, the position performs billing data entry and related duties, maintains records, provides information and assistance, and stays current with applicable regulatory requirements. The role handles billing and accounts receivable and payable activities for Medicare, Medicaid, private-pay residents, and insurance claims, while coordinating with residents, families, staff, and other County departments. The position works on-site from 8:00 a.m. to 4:30 p.m.; remote work is not available. The role also supports other business office areas as needed and maintains regular, predictable attendance. Overtime or extra hours may be required.

Requirements

Associate degree in Accounting with one to two years of office billing or accounting and computer experience, or an equivalent combination of education and experience providing the required knowledge, skills, and abilities.
Ability to prepare documents such as Federal and State cost reports, credit reports, vouchers, journals, letters, and other correspondence.
Ability to comprehend and interpret County Board resolutions, salary authorizations, policy and procedure guides, Federal and State nursing home regulations, and other documents.
Ability to use and interpret accounting and billing terminology.
Ability to communicate professionally and effectively, verbally and in writing, with clients, coworkers, supervisors, insurance company personnel, State billing personnel, collection agency representatives, County departments, IT personnel, and others.
Flu vaccination is required unless an exemption is approved by the Outagamie County Human Resources Department before the start date.

Responsibilities

Follow CMS guidelines and stay current on internal and external billing policies and procedures, including insurance, Medicare, Medicaid, eligibility, and enrollment requirements.
Prepare and timely submit billing information and claims for Medicare Part A and Part B, Medical Assistance, private pay, and insurance; verify insurance and initiate and track authorizations.
Monitor private-pay and resident-liability statements, follow collection procedures, and follow up with other County departments when needed.
Maintain logs, ledgers, and calendars for accounts receivable and accounts payable.
Provide informational correspondence to private-pay residents and their families.
Follow up on aging accounts receivable through phone inquiries and claim resubmissions, and prepare required reports for the Finance Manager, Administrator, and other staff.
Use billing software to deliver accurate and timely statements and claims to responsible parties.
Prepare documents and accounting entries and follow procedures for invoice payments and refunds using the County accounting system.
Enter cash receipts from private parties and insurance companies into the accounting system.
Monitor daily census changes, including admissions, discharges, bed holds, payer changes, level-of-care changes, and room changes; ensure the billing system matches the census.
Oversee the monthly Triple Check process and attend weekly Medicare meetings.
Assess villagers’ ability to pay and coordinate with appropriate staff as needed, including attending care conferences and informing villagers of available resources to maintain good financial standing.
Process payments accurately and ensure entries balance to deposits; report inconsistencies to the appropriate person.
Ensure compliance with HIPAA regulations.
Work with the Finance Manager to address unpaid accounts and document appropriate notes in villagers’ records.
Engage with villagers at least weekly in support of Brewster Village’s mission.
Report unusual occurrences involving department systems, collections, or procedures to the Finance Manager.
Help maintain a safe, comfortable, and functional environment by identifying hazards; following sanitation, infection-control, fire-safety, disaster-preparedness, and emergency-care practices; investigating and reporting incidents and accidents; and observing safe work habits.
Provide backup coverage for other business office areas.
Maintain regular and predictable attendance and work overtime or extra hours as required.