Billing Specialist (BV)

Billing Specialist (BV)

Salary

$22.61 - $25.45 Hourly

Location

Brewster Village 3300 W Brewster St, Appleton, WI 54914, WI

Job Type

Full-time

Job Number

2603659

Department

BV Administration

Opening Date

10/21/2026

Typical Work Hours/Shift:

8:00am-4:30pm

Full Salary Range (Step 1)

$22.61

Full Salary Range (Step 10)

$29.50

• Description
• Benefits
• Questions

Outagamie County Core Values

Invested in Serving

Better Together

Create Progress

Support Through Compassion

Position Purpose

Brewster Village is looking for dedicated and compassionate individuals who want to work in a team-based environment, where Person Directed Living is our top priority.

Under the general supervision of the Financial Services Manager, the Billing Specialist performs data entry and other duties relating to billing; maintain records, provides information and assistance and maintains knowledge related to regulatory requirements.

The hours for this position are 8:00am-4:30pm. All work will be completed on-site. No remote work is available.

Key Responsibilities

The following duties are normal for this position. These are not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

• Follows CMS guidelines and remains current on all internal and external billing policies and procedures related to insurance, Medicare and Medicaid including eligibility and enrollment requirements.
• Accurately prepare billing information for Medicare Part A, Medicare Part B, Medical Assistance, private pay, and insurance claims as assigned and submit them in a timely manner. Includes verifying insurance and initiating and tracking all appropriate authorizations.
• Monitor all private pay and resident liability statements. Follow procedure for timely collections and, when needed, follows-up with other County departments. Maintain logs, ledgers, and calendars as required for accounts receivable and accounts payable. Provide informational correspondence to all private pay residents/families.
• Conduct follow-up associated with accounts receivable aging including phone inquiries, and resubmissions, and prepare required reports for the Finance Manager, Administrator, and other required staff.
• Maximizes the capabilities of the billing software in order to deliver accurate and timely statements/claims to responsible parties.
• Accurately prepare necessary documents and entries and follow procedure for payment of invoices and refunds utilizing the County's accounting system. Enters Cash Receipts from private parties and insurance companies into the accounting system..
• Monitor daily census for proper processing of admissions, discharges, bed holds, payor changes, level of care changes, and room changes. Assure the billing system mirrors the census.
• Oversee the monthly Triple check process and attend weekly Medicare meetings
• Assesses ability to pay of all villagers and, as necessary, coordinates with appropriate staff to determine villagers ability to pay, including attending care conferences and informing villagers of available resources to remain in good financial standing.
• Process payments accurately and ensure that entries balance to deposit. Report any inconsistency to the appropriate individual.
• Ensure compliance with HIPPA regulations.
• Identifies and works with the Finance Manager to rectify unpaid accounts and documents appropriate notes in villagers record. Engages, at least weekly, with villagers in support of the mission of Brewster Village and maintains regular and predictable attendance, works overtime/extra hours as required.
• Report to the Finance Manager any unusual occurrences pertaining to department systems, collections, or procedures.
• Maintains a safe, comfortable and functional environment by assessing for potential hazards, implements practices utilizing appropriate techniques regarding sanitation, infection control, fire safety, disaster preparedness and emergency care, investigates and reports all incidents and accidents, and observes the team for safe work habits.
• Performs as back up for other areas in business office.

Education/Certifications/Experience Requirements

• Associate degree in Accounting with one to two years office billing or accounting, and computer experience, or any combination of education and experience that provides equivalent knowledge, skills, and abilities.
• The Flu Vaccination is required unless an Exemption is Approved via the Outagamie County Human Resources Department prior to start date.

Required or Preferred Skills

• Ability to prepare a variety of documents including Federal and State cost reports, credit reports, vouchers, journals, letters and other correspondence, etc.
• Ability to comprehend and interpret a variety of documents including County Board resolutions, salary authorizations, various policy and procedure guides, Federal and State nursing home regulations, etc.
• Ability to use and interpret accounting and billing terminology.
• Ability to communicate professionally and effectively with Clients, Coworkers, Supervisors, Insurance Company Personal, State Billing Personal, Collection Agency Representatives, and other County departments, IT personnel, and others verbally and in writing.

Outagamie County offers Benefit options and paid time off for team members that work 20+ or more hours per week. Learn more today by visiting: https://www.outagamie.org/government/departments-f-m/human-resources/employee-benefits-information

Outagamie County Diversity Statement:

Outagamie County is committed to developing, nurturing, and sustaining an equitable community and workforce where all individuals can thrive. We pledge to amplify the voices of under-represented communities or those who were historically excluded, by removing barriers that result from racial, social injustice and inequities. We strive to ensure that equity, diversity, inclusion are embedded at all levels of Outagamie County programs and departments through acknowledging, analyzing, and addressing the root causes of inequities. We will create and advance equitable polices, practices and procedures, including, but not limited to County services, recruitment and retention, policies and practices, budgeting and procurement. We commit to being transparent and will continually evaluate and update our values when identified goals and objectives are not being achieved or sustained. Outagamie County will strive to create an inclusive environment where every community member feels like he/she/they belong.

OUTAGAMIE COUNTY IS AN EQUAL-OPPORTUNITY EMPLOYER. IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT, THE COUNTY WILL PROVIDE REASONABLE ACCOMMODATIONS TO QUALIFIED INDIVIDUALS WITH DISABILITIES AND ENCOURAGES BOTH PROSPECTIVE EMPLOYEES AND INCUMBENTS TO DISCUSS POTENTIAL ACCOMMODATIONS WITH THE EMPLOYER.

OUTAGAMIE COUNTY OFFERS A COMPREHENSIVE AND HIGHLY COMPETITIVE BENEFITS PACKAGE TO ITS EMPLOYEES.

LEVELS OF BENEFITS CAN VARY BASED ON EMPLOYMENT STATUS AND EMPLOYEE GROUP.

Medical Coverage

Outagamie County currently offers eligible employees a Low-Deductible Health Plan and a High Deductible Health Plan with a Health Savings Account (HSA). Each of these plans are available for single or family coverage at affordable rates.

Dental Coverage

Eligible employees may choose either single, limited family, or family coverage.

Vision Coverage

Outagamie County offers single, employee plus one, employee plus children, and family voluntary vision insurance for those that are benefit eligible. Vision insurance coverage provides an opportunity for employees to save money on routine vision exams, contacts, eyeglass frames, and lenses.

Life Insurance

Outagamie County provides group life insurance for full-time employees. The cost of this coverage is paid for in full by the County.

Voluntary Short-Term Disability Insurance

Short-Term Disability pays the employee a portion of his or her income for a specified period of time, as determined by the plan. The Short-Term Disability plan provides coverage for injuries and illnesses that occur outside of work. The premium for this coverage is paid entirely by the employee and is available to active employees that meet the hours threshold requirements.

Long-Term Disability Insurance

All regular, non-union full-time employees are eligible for long-term disability coverage. Premiums are fully paid by the County.

Wisconsin Retirement System

Wisconsin Retirement Program helps provide for financial security during retirement. Monthly annuity payments at retirement are calculated using years of creditable service, average earnings (based on three highest years of earnings), formula factors, age at retirement and selected annuity option.

The retirement plan consists of two parts: an employee-required portion and an employer-required portion. Outagamie County pays the employer portion, and employees are responsible for paying the employee-required portion, which is determined by the state each year. Enrollment is required for eligible employees. Eligibility is determined based on Wisconsin Retirement System plan rules.

Deferred Compensation

Deferred Compensation allows employees to set aside pre-tax earnings toward retirement. Employees can save up to 100% of their compensation, to a maximum of $23,500 annually, or as little as $10.00 per paycheck. The amount deferred reduces year-end state and federal income tax base. All the earnings will accrue tax-deferred until such time as the assets are withdrawn, generally at retirement, termination, or other special circumstances. There is also an after-tax 457 Roth contribution option.

Flexible Spending Account Plan

The Flexible Spending Account Plan saves money by allowing the employee to pay for certain medical related expenses and dependent care expenses on a pre-tax basis, reducing annual taxable income resulting in Federal, State, Social Security, and Medicare tax savings.

Employee Assistance Program

Outagamie County has an Employee Assistance Program (EAP). The services offered as part of the Countys plan are a benefit provided at no cost to its employees and their immediate family members to help deal with lifes stresses. EAP consists of caring individuals who are certified counselors. They offer professional support and direction towards resolving problems or concerns. They can also help by referring the employee to another resource if assistance is needed beyond the EAP.

Paid Time Off

Outagamie County offers several paid time off benefits that include: vacation, personal holidays, national holidays, sick leave, bereavement leave and military leave.

Employee and Family Clinic

Primary Health Services, Acute Health Care and Physical Therapy are available to employees and dependents ages 12 months and up (age 13 and up for physical therapy), who are covered on a county health plan. A Health Coach is available to all employees, and to dependents covered under a county health plan age 14 and older. There is an onsite location and a shared clinic site location.

Fitness Center

Located at the downtown campus, a brand new fitness center with treadmills and other gym equipment is available to all employees from 5am to 10pm daily.

Pet Insurance

Please note that the pet insurance offers are discounts offered to Outagamie County employees and are not programs sponsored by Outagamie County. Please contact the companies directly for any questions, concerns or service issues.

If you would like to learn more, please click below about the benefits.

Values of Excellence (Recognition Program)

A program designed to celebrate the big wins, the daily efforts and everything in between of our county employees, which such a great place to grow, work, and thrive together. Where anyone as a county employee can recognize someone for a job well done!

Continuing Education

Outagamie County encourages continuing education by offering Education Reimbursement. This reimbursement is intended to provide assistance to the employee for out-of-pocket expenses for continuing education for the mutual benefit of the employee and Outagamie County, not covered in the departmental budget.

Any Outagamie County employee in good standing, averaging twenty (20) hours or more per week during the six (6) months prior to the start of the course, is eligible to apply. This statement is not all-inclusive in regard to tuition reimbursement.

https://www.outagamie.gov/Our-County/Human-Resources/Employee-Benefits-Information

01

I understand the hiring range for this position is: $22.61-$25.45 per hour based on experience.

• Yes
• No

02

I understand all work will be done on-site. No remote work is available.

• Yes
• No

03

I understand the Flu Vaccination is required unless an Approved Religious or Medical Exemption is processed via the Outagamie County Human Resources Department prior to start date.

• Yes
• No

04

1. Please describe your experience in managing accounts receivable. Include the following: a. How you prioritize outstanding balances, monitor aging reports, follow up on unpaid claims or villager balances, identify and resolve billing issues. b. How you communicate with villagers, family members, insurance companies or other responsible parties to ensure timely payment.

05

Give one or two examples of how you handled and collected outstanding balances from Residents, family members or other responsible parties that were difficult to collect from.

06

Please describe your ability to work effectively with other departments and communicate information in a timely and professional manner. a. Provide an example of how you have collaborated with another department to resolve an issue, obtain needed information or meet a deadline. b. Provide an example of how you have successfully collaborated with another department or employee that was difficult to work with.

07

This position requires regular communication with Residents (Villagers) and family members or representatives regarding Medicaid, Medicare and other insurance benefits, eligibility, coverage, and billing requirements. Please describe your experience in explaining these topics to other people.

Required Question

Employer Outagamie County

Address 320 S. Walnut Street

Appleton, Wisconsin, 54911

Phone (920) 832-1669

Website https://www.outagamie.gov/Home