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Billing Specialist

Billing Specialist

Juneau County, WIWisconsin Rapids, WI, United States
19 hours ago
Job type
  • Full-time
Job description

Salary : $22.85 Hourly

Location : WI 53948, WI

Job Type : Full-Time

Job Number : 602025

Department : Finance

Opening Date : 11 / 05 / 2025

Closing Date : 11 / 24 / 2025 4 : 00 PM Central

Description

POSITION SUMMARY

This position provides advanced fiscal support by submitting medical claims to insurance companies and other source payers; and provides responsive, courteous, and efficient customer service in support of departmental operations.

Examples of Duties

ESSENTIAL FUNCTIONS

The following duties are normal for this position. However, they are not to be construed as exclusive or all-inclusive. To perform this job successfully, an individual must be able to perform each duty satisfactorily. Other duties may also be required or assigned.

  • Provides customer service to internal and external customers; greets, receives and screens visitors and customers; addresses and resolves customer questions as able and refers complex inquiries, requests, or complaints to appropriate staff.
  • Maintains computerized Accounts Receivable accounts for DHS including : collecting and compiling data, posting / reconciling charges and payments on accounts.
  • Financial interview with consumer or guardian to verify patient or consumer eligibility and benefit coverage, including, but not limited to all referrals for services, admission, therapy, and any change in payer. If no insurance, determines client's ability to pay in accordance with Wis State Statutes and obtains necessary information to verify.
  • Enters insurance claim information for claims submittal. Prepares, reviews and submits claims, using software, in addition to any manual intervention necessary to timely claim submission for services rendered. Reviews for errors, corrects and resubmits claims.
  • Communicates with insurance companies on unpaid or rejected claims and rebilling.
  • Communicates with insurance companies on developing Letters of Agreements as well as prior authorization agreements.
  • Fulfills credentialing requirements of behavioral health providers.
  • Maintains and uploads PPS data to the State of WI portal.
  • Compiles and inputs information to generate personal statements, including payments received, insurance status and amount due.
  • Monitors claims for timely processing and correct documentation of payments.
  • Inputs miscellaneous departmental charges for services.
  • Completes accurate reconciliation of accounts.
  • Prepares and submits all payer claims, including but not limited to insurance, Medicare, Medicaid, etc.
  • Prepares and files appeals as necessary in the billing cycle.

15. Communicates with outside vendor's providing payer information.

16. Continually updates billing software to reflect the most current data.

17. Serves as a resource to patients / consumers / families for billing and insurance questions.

18. Composes routine correspondence; proofreads and edits documents; enters, scans, updates, and maintains information in spreadsheets, databases, and reports.

19. Maintains electronic and paper filing and record systems to provide easy access to records and information; provides retention of records as required by Department and County policies.

20. Provides backup assistance to other department personnel as needed.

21. Participates in process improvement measures

22. Other duties as assigned.

EXPECTATIONS

  • Interprets and applies Federal, State, municipal, and Department rules, regulations, and policies.
  • Attends work regularly and is punctual.
  • Behaves professionally and presents an appropriate standard of grooming, hygiene, and dress that align with health and safety standards.
  • Conducts self in such a way as to reflect positively on the County.
  • Fosters positive working relationships and accepts new responsibilities.
  • Learns and understands the safe practices for the job being performed and complies with the safe work practices and personal protective requirements for the job.

    • Typical Qualifications

    MINIMUM REQUIRED QUALIFICATIONS

  • Associate's degree from an accredited college in an accounting or related program and two (2) years' work experience in medical insurance billing and coding.
  • Must successfully pass caregiver and criminal background check.

    • Supplemental Information

    REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

  • Knowledge of CPT codes, medical billing codes, and insurance billing processes.
  • Knowledge of accounting procedures, and financial practices.
  • Ability to understand and follow oral and written instructions and adhere to prescribed departmental routines.
  • Ability to establish and maintain accurate records of assigned activities and operations.
  • Skill in time management; prioritizing duties to accomplish a high volume of quality work product requiring minimal supervision.
  • Ability to define problems, exercise sound judgment, and address a variety of situations successfully.
  • Knowledge and ability to follow the policies and practices contained in the County Personnel Handbook.
  • Ability to maintain confidentiality of all patient care information and assure patient rights and privacy are protected at all times per HIPAA.
  • Ability to work the allocated hours of the position.

    • PHYSICAL AND WORK ENVIRONMENT

    The physical and work environment characteristics described in this description are representative of those an employee encounters while performing the essential functions of this job.? Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as otherwise required by law. ?Employees needing reasonable accommodation should discuss the request with Human Resources.?

  • This work requires the occasional exertion of up to 25 pounds of force; work regularly requires sitting, frequently requires standing, speaking or hearing, using hands to finger, handle or feel and repetitive motions and occasionally requires walking, stooping, kneeling, crouching or crawling and reaching with hands and arms.
  • Work has standard vision requirements.
  • Vocal communication is required for expressing or exchanging ideas by means of the spoken word.
  • Hearing is required to perceive information at normal spoken word levels.
  • Work requires preparing and analyzing written or computer data and observing general surroundings and activities.
  • Work is generally in a moderately noisy office setting.?

    • Juneau County is an Equal Opportunity Employer.

    JUNEAU COUNTY OFFERS A COMPREHENSIVE AND HIGHLY COMPETITIVE BENEFITS PACKAGE TO IS EMPLOYEES.

    LEVELS OF BENEFITS CAN VARY BASED ON EMPLOYMENT STATUS.

    Medical Coverage

    Juneau County currently offers eligibile employees Health insurance through ETF. The plans are available for single or family coverage.

    Dental Coverage

    Eligible employees may choose either single, employee and spouse, employee and child, or family coverage.

    Vision Coverage

    Juneau County offers single, employee plus one, and family coverage.

    Flexible Spending Account (FSA)

    The Flexible Spending Account saves money by allowing the employee to pay for certain medical related expenses and dependent care expenses on a pre-tax basis, reducing annual taxable income resulting in Federal, State, Social Security, and Medicare tax savings.

    AFLAC

    Juneau County isi pleased to extend to you the opportunity to evaluate voluntary benefit plans available through AFLAC.

    Life Insurance through ETF

    Eligible employee of Juneau County can elect up to four times their salary in term life insurance through Employee Trust Funds (ETF).

    Voluntary Short Term Disability Coverage through AFLAC

    Short-Term Disability pays the employee a portion of his or her income for a specified period of time, as determined by the plan.

    Long Term Disability

    Juneau County provides employees long-term disability coverage paid at 60% of your eligible earnings, up to a maximum benefit of $5,000 per month.

    Wisconsin Retirement System through ETF

    Wisconsin Retirement System helps provide for financial security during retirement. For eligibile employees, the total contribution rate to WRS is 13.6% of gross wages; half of that is paid by Juneau County and the other half is paid by the employee via "pre-tax" deductions.

    Deferred Compensation

    Deferred Compensation allows employees to set aside pre-tax earnings toward retirement.

    Employee Assistance Program (EAP)

    Juneau County has an Employee Assistance Program (EAP) with FEI Workforce Resilience and Wellness Program. The services offered as part of the County's plan are a benefit provided at no cost to its employees and their immediate family members to help deal with life's stresses. EAP consists of caring individuals who are certified counselors. They offer professional support and idrection towards resolving problems or concerns. They can also help by referring the employee to another resource if assistance is needed beyond the EAP.

    Well Wisconsin Program

    The Well Wisconsin program administered by WebMD, provides tools and resources to help participants set health and well-beng goals, track progress, stay motivated, and earn incentives.

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    Billing Specialist • Wisconsin Rapids, WI, United States