JOB REQUIREMENTS: Essential Job Functions Processes payments which
include posting to the client\'s individual account by electronic funds
transfers and by entering information from explanation of benefits forms
from insurance companies and assigning revenue account numbers.
Completes deposits into appropriate accounts through the financial
software system. Processes vendor prior authorizations for the
Children\'s Long-Term Support (CLTS) Waiver Program and Birth to Three.
Monitors units available for each service and child and reports spending
to the state for county purchases for the program. Assists Client
Account Specialist with researching and reconciling unpaid or underpaid
claims. Corrects and resubmits secondary claims to insurance companies
as needed. Communicates with Medicare, Medicaid and private insures to
resolve issues. Researches and follows policies from the Center of
Medicare and Medicaid services. Completes monthly write off process from
insurance denials. Processes various billing for shared county functions
and restitution payments. Assists Billing Specialist with credentialing
of new mental health and AODA providers for the agency. Contacts
insurance providers to ensure licensure or certification has been met
for billing purposes. Processes payments for services provided by Public
Health. Submits flu clinic insurance claims. Tracks, submits, and
completes various reports for the state and other local Consortium\'s
for services provided in Door County. Other administrative duties as
assigned. General Job Functions Assists the Client Account Specialist in
detecting billing problems. Assists Accounts Payable as back up with
disbursement of gas/credit cards. ** OTHER EXPERIENCE AND
QUALIFICATIONS: Required Training and Experience One (1) to three (3)
years of progressive work experience (within the past three years) and
knowledge of policies and procedures pertaining to medical billing to
Medicare, Medicaid, and Private insurance; or Associate degree in
accounting or related field (preferred). Knowledge, Skills, and
Abilities Required Ability and skill in use and operation of a personal
computer is required (knowledge of Microsoft Excel and Word highly
desirable) and experience working with a electronic health record
program is desirable. Ability to follow instructions and complete work
within established deadlines for electronic health billing system with a
high degree of accuracy is required. Strong math, grammar and
problem-solving skills. Ability to set work priorities and adapt to
change in technology and work environment. Ability to follow the
County\'s policies on maintaining the confidentiality of all client
clinical and billing records. Ability to read, comprehend, and
communicate, both verbally and in writing. Ability to use tack and
courtesy in maintaining an effective working relationship with county
employees, supervisors, officials, and general public. **
APPLICATION INSTRUCTIONS: Apply Online: www.co.door.wi.gov
