Billing Specialist

Community Living Alliance • Madison, WI

2d • $21 - $22

About The Position

This position will be responsible for client authorizations, processing claim submissions, posting payments and follow up, reconciling billing units with electronic visit verification (EVV) data and resolving any coverage and/or denial issues. Process and calculate monthly revenue amounts for posting to financials. Providing backup daily payroll duties.

Requirements

• 18 Years or Older
• Associate degree in accounting or related field or other equivalent education
• Three (3) years experience in a billing or accounting position
• Must be willing to undergo and pass a background check.
• Work in a general office environment, no hazardous or unpleasant conditions.
• Authorized to work in the United States.
• Capable of lifting/moving/pushing/pulling 35 pounds

Nice To Haves

• Knowledge of Medicaid billing
• Knowledge of general accounting principles and billing methods
• Ability to understand and accurately coordinate personal care hours billing

Responsibilities

• Process Prior Medical Authorization and renewal submissions for Wisconsin Medicaid and Managed Care Programs.
• Maintain client authorizations in accounting systems.
• Generate electronic billing files for submission to various payor portals.
• Reconcile paid hours verses authorized hours for billing and EVV (electronic visit verification)
• Ability to navigate payor portals for claim/billing information and payment remittances.
• Ability to navigate and run reports from the time and attendance system and reconcile with EVV aggregator data.
• Enter payments on patient accounts in billing system and reconciliation as requested.
• Assist Revenue Manager with outstanding and denied claims in a timely manner.
• Backup daily time and attendance duties as needed.

Benefits

• Work-Life Balance: M-F, No weekends, Flex Time
• Time Off: 10 Paid Holidays, Vacation, Sick time
• Mileage Reimbursement: Any traveling done on behalf of CLA
• Competitive Benefits Package: Health, Dental, Vision, Retirement Plans, Life Insurance, Pet Insurance, Tuition Assistance, Eligibility for Public Student Loan Forgiveness Program (PSLF), Flex Spending Account and AAA discount
• Collaborative Team Environment: Work alongside dedicated professionals who value mentorship and teamwork
• Leadership & Growth Opportunities: Continuous training and development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees