Employment Opportunities

Medical Billing/Accounts Receivable Specialist

  • Job Tracking ID: 512507-669102
  • Job Location: Milwaukee, WI
  • Job Level: Mid Career (2+ years)
  • Level of Education: High School/GED
  • Job Type: Full-Time/Regular
  • Date Updated: February 11, 2019
  • Years of Experience: 5 - 7 Years
  • Starting Date: ASAP



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Job Description:

Be Part of a Great Team!

IndependenceFirst is looking for awesome people to join our team!

You are just the person to join our growing team if you are...

  • Looking for an Excellent Benefits Package
  • Passionate About Helping Others
  • Prefer Bilingual in English, Spanish, Hmong or Arabic (Not required)

 

Benefits include:

  • 12 sick days, 13 vacation days and an additional 10 paid holidays a year
  • Employer paid Dental, Life Insurance (twice annual salary), AD&D, Short and Long Term Disability
  • Health Insurance Benefits (partially employer paid, depending on coverage)
  • Low-cost Vision Insurance
  • Employer-matched 403(b) Retirement Account
  • Fitness Center On-site
  • Annual Health Risk Assessment
  • Annual Flu Shot
  • Comprehensive Wellness Program
  • Tuition Reimbursement Program

 

POSITION DESCRIPTION

 

I. Position: Medical Billing/Accounts Receivable Specialist

 

II. Status: Full Time, Hourly

 

III. Reports to: Personal Assistance Services ("PAS") Quality and Compliance Manager

 

IV. Position Summary: Consistently follow up on denied, unpaid or improperly paid claims, filing appeals when appropriate, to obtain maximum reimbursement. Support Billing function for Department.

 

V. Position Expected Hours of Work: Typical hours are full time 40 hours, Monday through Friday, 8:00AM through 4:30PM.

 

VI. Essential Functions of the Position:

  1. Perform timely follow up on insurance claim denials, exceptions or exclusions including unpaid or improperly paid claims within all contractual filing deadlines. Utilize aging accounts receivable reports to follow up on unpaid claims aged over 30 days by phone, mail, and/or electronic means.
  2. Read and interpret payor explanations of benefits/explanations of payment, correctly identifying denials and improperly paid claims, and work claims accordingly. Provide detailed and accurate follow-up on assigned work
  3. Maintain detailed functioning knowledge of our billing system. Utilize our internal billing software to sort, filter, summarize and identify various account receivable trends.
  4. Work collaboratively with Accounting Clerk to ensure all claims are submitted with a goal of zero errors. This includes verifying completeness and accuracy of all claims prior to submission through Clearinghouse and working with Accounting Clerk to accurately post all insurance payments by line item.
  5. Will cross-train with Accounting Clerk ensuring internal controls are maintained at all times.
  6. Participate on PAS Billing/Accounts Receivable Team Meetings. Communicate regularly with staff and management on any issues with reimbursement or billing.
  7. Maintain an on-going knowledge of payor requirements as well as applicable contracts, regulations, and laws. Establish and maintain effective working relationships with carrier representatives.
  8. Document and track all work according to policy and procedure.
  9. Other tasks as required by supervisor or department director.

I. Work Environment:

  1. Work environment is generally performed in an office setting with minimal to moderate noise level.

 

  1. The work environment characteristics described here 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.

 

 

 

Disclaimer:

 

The above statements reflect the general details necessary to describe the principle functions of the occupation described and shall not be construed as a detailed description of all the work requirements that may be inherent in the occupation.

Experience and Skills:

I. Professional Qualifications:

  1. High School Diploma or equivalent.
  2. At least five years experience working with Wisconsin Medicaid, insurance eligibility, medical billing, and prior authorizations required.
  3. Must be able to read and interpret insurance payor explanation of benefits and have experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
  4. Excellent organization and interpersonal skills as well as excellent written and verbal communication skills required.
  5. Must be very detail oriented.
  6. Ability to be flexible and multitask to meet the changing needs of the department.
  7. Analytical ability to find errors and resolve them.
  8. Positive attitude and a team player.
  9. Experience in CPT and ICD-10 coding; familiarity with medical terminology.
  10. Proficient knowledge of and experience in the general use of computers and internet.
  11. Knowledge of Medicaid regulations in regards to the provision of Personal Care Services, as well as criteria for Medicaid Managed Care and Self Directed Supports, preferred.
  12. Ability to problem solve and work interdependently within a team environment.
  13. Transportationally mobile or able to arrange own transportation.

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