Community Living Alliance ยท 1 day ago
Billing Specialist
Madison, WI
Full-time
Onsite
Mid Level
$21/hr - $22/hr
3+ years expCommunity Living Alliance (CLA) is a nonprofit, community-based organization providing services for older adults and persons with disabilities and chronic illnesses. The Billing Specialist will be responsible for client authorizations, processing claim submissions, posting payments, reconciling billing units, and resolving coverage issues. This role also includes assisting with daily payroll duties and ensuring accurate billing processes.
Elder CareHealth CareHome Health CareHome ServicesNon ProfitNursing and Residential Care
Responsibilities
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
Backup daily time and attendance duties as needed
Qualification
Required
18 Years or Older
Associate degree in accounting or related field or other equivalent education
Three (3) years experience in a billing or accounting position
Must be willing to undergo and pass a background check
Work in a general office environment, no hazardous or unpleasant conditions
Authorized to work in the United States
Capable of lifting/moving/pushing/pulling 35 pounds
Preferred
Knowledge of Medicaid billing
Knowledge of general accounting principles and billing methods
Ability to understand and accurately coordinate personal care hours billing
Benefits
Work-Life Balance: M-F, 8:30A-4:30P, No weekends, Flex Time
Time Off: 10 Paid Holidays, Vacation, Sick time
Mileage Reimbursement: Any traveling done on behalf of CLA
Competitive Benefits Package: Health, Dental, Vision, Life Insurance, Tuition Assistance, Eligibility for Public Student Loan Forgiveness Program (PSLF), Flex Spending Account
Non-Traditional Benefits & Retirement Accounts: Pet Insurance, AAA discount, 403B and Roth options.
Collaborative Team Environment: Work alongside dedicated professionals who value mentorship and teamwork
Leadership & Growth Opportunities: Continuous training and development opportunities.
Company
Community Living Alliance
Community Living Alliance offers services for the elderly and specially-abled people focusing on medical assistance, chores, and home care.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase