Accountant - Medicare

Company Name:
Department of Administration
Job Duties:
Under the general supervision of the Financial Management Supervisor, this position functions as the reimbursement specialist for the Wisconsin Veterans Home at King (WVHK). This position specializes in the Medicare accounting transactions for WVHK. The position manages, maintains and controls all revenue claims along with corresponding expenses, payments, account balances and logs for Medicare parts A and B recipients relating to a qualifying stay; will analyze and interpret Medicare financial information to assist upper management in the decision making processes regarding admissions, discharges, ancillary services and other pertinent data to make sound fiscal decisions; electronically submits claims for Medicare parts A and B as well as all other program revenue sources; and monitors accounts receivables to maintain reasonable levels by working with Medicare intermediaries, insurance providers and other sources of payment.
The duties of this position are complex as evidenced by new and ever-changing healthcare programs. This position interprets and keeps current on Medicare rules and regulations to include: billing requirements, protocols, and auditing procedures. This position works with various disciplines across the 721 bed, 4 building facility, to resolve difference in claim submissions and Minimum Data Set (MDS) transmission to avoid payments defaulting to a lower rate; to correctly track census and levels of care information to ensure proper financial accounting entries; and to prepare a variety of complex reconciliations, ledger and analytical reports.
Special Notes:
Must possess Professional training in accounting or auditing such as that which would be acquired by: earning a Bachelor's Degree in accounting or auditing from an accredited post-secondary college/university; Or Commensurate experience and training.
Must be able to pass a background check.
Job Knowledge, Skills and Abilities:
Knowledge of:
general accepted accounting principles, practices and theories.
automated accounting systems, principles and applications.
Medicare rules and regulations.
Intermediary rules and regulations.
Skilled Nursing Home billing practices.
Medicare Part A:
Billing for coinsurance & deductibles.
Electronic claim submission.
Demand bills.
Medicare secondary pay rules.
PPS RUGS groups and reimbursement levels.
Qualifying hospital stays.
Medicare Part B:
Billing for coinsurance & deductibles.
Electronic claim submission.
Fee screen.
Treatment caps, codes and reimbursement levels.
ICD-9 codes and prepared for ICD-10 conversion.
Skill in:
Written and verbal communication.
Customer service.
Use of general office equipment.
Problem solving.
Conflict resolution.
Organizing and prioritizing tasks and workflow.
Time management.
Computers, including the use of word processing, spreadsheet, database, and email software.
Ability to:
Interpret financial and legal documents.
Reconcile a variety of financial information.
Perform financial calculations with accuracy.
Work independently and as a team member.
How To Apply:
To be considered for this position, you will need to create an account and apply online. For instructions, refer to the following link: How do I apply on-line and take an on-line exam?
You will be required to complete a civil service examination. Your responses to the exam will be used to determine your eligibility for this vacancy. Resumes may not be substituted for answering these questions. Resumes are for supplemental purposes only and will not be reviewed at this time.
If you are unable to complete the materials due to a disability or have questions regarding the examination, please contact Paul Stahmer at or paul. sin . If you encounter technical issues or need assistance using the WiscJobs system, please contact the Office of State Employment Relations at or .
Application materials will be evaluated and the most qualified applicants will be invited to participate in the next step of the selection process.
County(ies): Waupaca
Type of Employment: Full Time (40 hrs/week)
Salary: The starting salary is $46,917 to $77,414 per year, plus an excellent benefits package. Pay Schedule/Range 07-03. A six month probationary period is required.
Special Qualifications: See Special Notes Section.
Contact: Paul Stahmer, Human Resources Specialist , paul. sin
Bargaining Unit: Non-Represented
Area of Competition: Open
Deadline to Apply: 1/6/2015 All application materials must be received by 11:59 p.m. on the deadline date.
Exam Information: 00263 - 111 ACCOUNTANT-JOURNEY
Classification Title: / JAC: ACCOUNTANT-JOURNEY 14-05797

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.