Lead Billing Specialist

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.

Sauk County is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, protected veteran status, or disability. We actively encourage protected veterans and individuals with disabilities to apply for our open positions. 

In compliance with the Americans with Disabilities Act and Section 503 of the Rehabilitation Act, the company will provide reasonable accommodations to qualified individuals with disabilities. We encourage both prospective and current employees to discuss potential accommodations with the employer. If you are a qualified individual with a disability or a disabled veteran, you have the right to request a reasonable accommodation if you are unable or limited in your ability to use or access our online application system as a result of your disability. 

To request an accommodation, please contact our Human Resources team at 608-355-4887 or scpersonnel@saukcountywi.gov

Essential Duties

• Responsible for assisting the BAS Manager with set-up and maintenance of billing components in the Electronic Record System (AVATAR) which include (but not all inclusive) guarantor and service code maintenance, set-up of insurance charge categories, electronic billing and electronic receipting of payment, exporting and importing of billing rates, enter sliding fee scale information as well as developing reports and assisting in enhancing the Electronic Record System.

• 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 new and current billing staff.
• Process claims for agency programs in electronic and/or paper form, ensuring program requirements are being met, producing reports, and researching denials. 
• Ensure all claims are submitted within billing deadlines.  Ensure claim denials, exceptions or exclusions are timely followed up on.   Utilize available reports to follow up on open or unpaid claims.  Review credit balance report and adjust accounts.  Regularly meet with the Business and Administrative Services Manger to discuss and resolve reimbursement issues or billing obstacles. 
• Perform adjustments on client accounts and verify charges are going to the right 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.
• Credentialing/re-credentialing providers with in-network insurance companies.
• Perform billing duties in absence of other billing staff.
• 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:

Associate’s degree in Accounting or another related field

Supervisory/Lead Worker experience related to Accounts Receivable/Billing 

Preferred:

3 years billing experience

Experience with insurance, Medical Assistance and Medicare claims process, and/or medical and billing diagnosis codes

Knowledge of billing for Human Services

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