Administrative Specialist I - Compliance

Responsibilities

• Mainters and reviews case notes, ensuring accuracy of documentation and quality assurance for billing.
• Completes utilization reviews of files and communicates log entries to appropriate personnel for case management.
• Participates in program audits and reviews, providing data and information requested.
• Audits files to ensure paperwork is completed and correct for billing purposes.
• Maintains several databases by accurately performing computer data entry, including maintaining master directories such as client lists and consumer medications lists.
• Sets up, organizes, and maintains files, which may include opening and closing files as well as ensuring proper documents are included in the file.
• Maintains knowledge of Administrative Rules, Medicaid Handbook, and OIG findings, interpreting and applying information when tracking status of cases.

Qualifications

• High school diploma or equivalent with one to two years related experience and/or training required;
• Or Associate degree;
• Or equivalent combination of education and experience.

Benefits

• Health insurance
• Health insurance opt Out Plan
• Dental & Vision insurance
• Life insurance
• Wisconsin Retirement System
• Health Savings Account
• Deferred Compensation Program
• 2026 Gold Certified Family Friendly Workplace