Overview
BIilling/Claims Specialist (FEA In-Person Prairie du Chien Office site) Jobs in Prairie du Chien, WI at AssuranceSD
AssuranceSD is a mission-driven organization providing administrative services that enable individuals to take ownership over their personal care services, ensuring that they receive quality and comprehensive care with minimal disruption. Our mission is to help strengthen communities by enabling individuals to elect and manage their own care programs, including how, when, where, and who delivers these services.
This helps care recipients retain their dignity during what are often challenging times and ensures they receive the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with disabilities.
General Responsibilities:
The Lori Knapp Choice Claims Specialist performs a wide range of duties requiring independent judgement in the preparation and process of fiscal activities and other transactions for ensuring compliance with federal, state, waiver and funding agency guidelines.
AssuranceSD Benefit Package Includes:
- Competitive Pay
- Health insurance with Company Contributions
- HSA
- Holiday Pay
- Paid time off
- Dental insurance
- Vision insurance
- 401(k) with Company match
- Life insurance
- Long- and Short-Term Disability insurance
- Parental leave
- FMLA
Essential Duties and Responsibilities:
- Effectively and professionally communicate with all internal and external customers
- Provide excellent customer service through quick follow-up and resolution to concerns and questions
- Adhere to established Lori Knapp Choice/ASD Policies, procedures, and expectations
- Keep and update claims submitted to Managed Care Organizations and CLTS programs
- Compute claims and charges from payroll softwareSubmit claims and admin charges to Managed Care Organizations and CLTS Programs on the appropriate schedule
- Code Explanation of Benefit from Managed Care Organizations and CLTS Programs
- Investigate unpaid claims and submit corrected claims as applicable
- Carry out financial transactions needed to complete claims processes
- Familiarity with the Fiscal Agent program processes and procedures
- Other duties as needed to maintain a high quality program
Who You Are:
- Documented formal education or experience related to accounting and financial management
- Working knowledge of laws and regulations pertinent to essential job functions
- Excellent communication skills via telephone, email, and in-person.General math, clerical, data entry, and customer service
- Strong data entry and process skills
- Excellent interpersonal skills; self-driven, motivated and results oriented
- Computer skills using Microsoft Windows, Word, and Exce
- High degree of professionalism and confidentiality regarding all aspects of the position and its responsibilities
- Ability to juggle and prioritize multiple, often competing, priorities in a fast-paced environment
- Client-first mentality with the ability to interact with internal and external clients at all levels
Employer Opportunity Statement:
We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state, or local law.
Disclaimer:
This job description outlines the general work required to execute core job responsibilities effectively. It is not intended to be a comprehensive inventory of all duties, responsibilities, expectations, and qualifications required of employees assigned to this job. Duties may change, and should be expected to change, at the Company’s discretion, as the business and this role evolves. Nothing herein is intended or establishes a contract of employment or Employment Agreement whatsoever and all employment remains “at will.” The signature below indicates you have read and understood this document, and again, is not intended in any way as an employment agreement or contract.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Claims: 1 year (Required)
- Data entry: 2 years (Required)
- Microsoft Excel: 2 years (Required)
- Customer service: 2 years (Required)
Ability to Commute:
- Prairie du Chien, WI 53821 (Required)
Work Location: In person
Title: BIilling/Claims Specialist (FEA In-Person Prairie du Chien Office site)
Company: AssuranceSD
Location: Prairie du Chien, WI
