What are the responsibilities and job description for the Billing Specialist position at Community Living Alliance?
Purpose
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.
Primary Duties:
- 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.
Benefits:
- Pay Starts at $22/Hr
- Balanced Schedule/Work Life Balance: Mon-Fri, 8:30AM-4:30PM, 37.5 Hours Per Week, NO WEEKENDS
- 10 Paid Holidays Off
- Separate Vacation & Sick Time
- Eligible for Public Service Loan Forgiveness Program (PSLF)
- Health Insurance
- Dental Insurance
- Vision Insurance
- Flex Spending Account (FSA)
- Tuition Assistance
- Life Insurances
- Retirement Plans
- Mileage Reimbursement
- Pet Insurance and AAA Discount
Minimum Education/Experience and Requirements:
- 18 Years or Older
- Associate Degree in Accounting or Related Field, required.
- Three (3) years experience in a billing or accounting position, required.
- Must be willing to undergo and pass a background check.
- Authorized to work in the United States.
- Capable of lifting/moving/pushing/pulling 35 pounds
Why Community Living Alliance?
Community Living Alliance (CLA) is a nonprofit, community-based organization providing services for older adults and persons with disabilities and chronic illnesses. We offer great autonomy, as well as personal and professional harmony. Community Living Alliance has been rated among the top 20% of employers on indeed for our Indeed Work Wellbeing Score!
Community Living Alliance (CLA) is a community-based, non-profit, trauma-informed organization providing services for older adults and persons with disabilities and chronic illnesses. We offer great autonomy, as well as personal and professional harmony. CLA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. CLA proudly celebrates diversity, equity, and inclusivity!
Salary : $22
