Billing Specialist

Join our team and make a difference in your community as a Billing Specialist for the Human Services team. 

A career with Sauk County will bring unlimited opportunities to provide support, assistance, and growth to local communities. Sauk County is the ultimate destination where anyone can happily live, work, and play. We are looking for someone who has the desire to support local communities and be a part of the Human Services team. 

The purpose of the Billing Specialist position is to perform billing, accounts receivable, data entry, and collection tasks for Sauk County Department of Human Services.

Essential Duties

• Process claims for multiple agency programs in electronic and/or paper form. Ensuring program requirements are being met, producing reports, and researching denials. Coordinate prior authorizations for programs. Monitor client account changes in insurance coverage, including following up with consumers for updated information. Generates monthly reports to research events not yet billed or open claims.
• Interview consumers regarding insurance coverage and financial information to determine the ability to pay for services. Set up new or update existing consumer financial records. Enter consumer liabilities into the agency system.

• Collect past due accounts by contacting clients. Establish and monitor payment plans by verifying all possible funding sources. Certify delinquent accounts to the State of Wisconsin TRIP program and maintain the balances.  
• Processes and records private, insurance and Medical Assistance payments to consumer accounts in the financial system.  Applies appropriate amount of payment specific to date of service and re-bills remaining amounts to next appropriate funding source and/or write off balance where applicable.
• Collect payments from consumers at the billing window, write receipts, and process credit card payments.
• Process the completed applications with insurance companies or government offices for credential verification and update on staff including necessary documentation to insurance companies for provider status. 
• Process consumer monthly statements and verify accuracy of statement before mailing.
• Proofs service entry and completeness of documentation by professional staff, contracting appropriate staff to make corrections and/or complete documentation.
• Provide back up to Accounts Payable by assisting in keying monthly Comprehensive Community Services charges into the managed care system. 
• Provide back up to the Administrative Service Coordinator with processing payroll.  
• Coordinate and communicate with our contracted collection agency to provide needed information for delinquent accounts.
• Participate in training and maintain knowledge of current insurance and medical assistant billing requirements.  Maintain knowledge of Forward Health System.
• Update consumer addresses and funding source information. Receive calls from consumers with questions and concerns regarding their accounts and/or ability to pay.
• And other duties as assigned.

Required Working Hours

Standard working hours are Monday through Friday, 8:00 am until 4:30 pm.  Please note these hours are subject to change and additional hours may be needed or required. Compensation for additional hours beyond normal working hours are subject to applicable state and federal regulations.

Minimum Training and Education

Required:                       

Associates degree in Accounting, Human Services or another business-related field with 1 to 3 years of billing experience required.    

Preferred:                     

Billing and/or Accounts receivable experience in a Human Services environment along with knowledge of insurance, Medical Assistance and Medicare

claims processes.  Understanding medical and diagnosis codes and experience in dealing with the public is preferred.

Any combination of education and experience that provides equivalent knowledge, skills and abilities may be considered.

Sauk County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.