2 Analyst I - Claims Jobs in Wauwatosa, WI

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Analyst I - Claims

AssuranceSD

Wauwatosa, WI | Full Time

$45k-59k (estimate)

1 Week Ago

Analyst I - Claims

AssuranceSD

Wauwatosa, WI | Full Time

$45k-59k (estimate)

1 Week Ago

Analyst I - Claims

AssuranceSD Wauwatosa, WI

$45k-59k (estimate)

Full Time 1 Week Ago

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AssuranceSD is Hiring an Analyst I - Claims Near Wauwatosa, WI

About the Company:

AssuranceSD is a mission-driven organization providing administrative services that enable individuals to take ownership over their personal care services, ensuring that they receive quality and comprehensive care with minimal disruption. Our mission is to help strengthen communities through enabling individuals to elect and manage their own care programs, including how, when, where and who delivers these services. This helps care recipients retain their dignity during what are often challenging times and ensures they receive the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with special needs.

General Responsibilities:

The Claims Department Analyst I is responsible for coordinating the company’s customer billings and accounts receivable collections, as well as other general ledger and financial reporting activities. This individual will report to the Revenue Cycle Supervisor/Manager/Director. These statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered a detailed description of work requirements that may be involved.

AssuranceSD Benefit Package Includes:

Competitive Pay
Health insurance with Company Contributions
HAS
Holiday Pay
Paid time off
Dental Insurance
Vision insurance
401(k) with Company match Life insurance
Long- and Short-Term Disability insurance
Parental leave

Essential Duties and Responsibilities:

Ensuring that claims are submitted timely and accurately, including monitoring, and tracking of performance towards those two goals (e.g. speed of claims submission, denial rates, etc).
Analyzing new contracts and providing input into evaluating and implementing billing processes for new contracts.
Review of billing information sheets for completeness and accuracy; investigating differences identified.
Reconciling billed claims and payroll issued to the general ledger platform.
Maintain the general ledger with respect to billed claims and associated payroll/tax/insurance costs.
Monitor tracking of billed claims and collections using the A/R software.
Prepare and produce timely A/R reports to support Management reporting.
Reconciling ACH and check remittances to participant billed claims per the payroll ledger.
Reconciling and recording remittances to customer invoices per the general ledger.
Prepare monthly billing documentation for Medicare, Medicaid, and insurance companies to ensure proper payment of funds.
Responsible for the timely billing of customers’ invoices including their billing files and any needed reports.
Accountable for updating the bad debt log or write off journal required by Medicaid-related programs.
Communicate with customers concerning billing, collection, and reconciliation of invoices. Ensure transactions are reported timely and accurately.
Perform reconciliations and reviews regularly to identify discrepancies.
Proactively focus on process and internal control improvements to build a more efficient system.
Liaising closely with the RCM/Supervisor/Manager/Director on business initiatives.
Other duties as assigned.

Who you are:

3 years of healthcare billing and collection experience preferred.
Proficient in Microsoft Office applications.
Understanding of requirements and regulations set forth by Medicaid and other related agencies.
Communications often deal with sensitive, confidential issues aimed at collecting and reconciling various care recipient accounts. Ability to work with HIPPA information discretely.
Must be able to clearly communicate their expertise concerning any number of billing issues, requiring advanced oral and written skills.
Experience working with Medicaid billing/claims is a plus.

Equal Employer Opportunity Statement:

We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law.

We are committed to diversity, equity and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee. We strive to create a mindful and respectful environment where everyone can bring their authentic self to work, and experience a culture that is free of harassment, racism, and discrimination.

Disclaimer:

This job description indicates the general work necessary to adequately execute core job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.