Lead Billing Specialist

About the role

Join our team and make a difference in your community as a Lead Billing Specialist for the Human Services Department. 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 Lead Billing Specialist is to perform, implement, monitor and lead the accounts receivable department in billing, policies and procedures, technology and ensure all applicable funding sources are billed, and revenue is received in a timely manner for the Sauk County Department of Human Services.

Responsibilities

• Assist the BAS Manager with set-up and maintenance of billing components in the Electronic Record System (AVATAR), including guarantor and service code maintenance, insurance charge category set-up, electronic billing and receipting, exporting and importing of billing rates, entering sliding fee scale information, and developing reports.
• Ensure compliance with all policies, procedures and guidelines for billing set by Human Service programs, State Statute, HIPAA and billing vendors.
• Participate in the training, advising, monitoring, and leading of new and current billing staff.
• Process claims for agency programs in electronic and/or paper form, ensuring program requirements are met, producing reports, and researching denials.
• Ensure all claims are submitted within billing deadlines and follow up on claim denials, exceptions or exclusions in a timely manner.
• Utilize available reports to follow up on open or unpaid claims; review credit balance reports and adjust accounts.
• Regularly meet with the Business and Administrative Services Manager to discuss and resolve reimbursement issues or billing obstacles.
• Perform adjustments on client accounts and verify charges are assigned to the correct guarantor.
• Interact with staff, clients, payers and agencies to answer questions, obtain information and resolve issues.
• Prepare and submit reports upon request; assist in the creation of manuals and protocols.
• Perform credentialing/re-credentialing of providers with in-network insurance companies.
• Perform billing duties in the absence of other billing staff.
• Other duties as assigned.

Requirements

• Associate’s degree in Accounting or another related field.
• Supervisory/Lead Worker experience related to Accounts Receivable/Billing.

Qualifications

• Preferred: 3 years billing experience.
• Preferred: Experience with insurance, Medical Assistance and Medicare claims process, and/or medical and billing diagnosis codes.
• Preferred: Knowledge of billing for Human Services.
• Any combination of education and experience that provides equivalent knowledge, skills and abilities may be considered.

Schedule

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