Remote: Billing Consultant - Molina Healthcare : Job Details

This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled visits with IRIS participants in their home and community.As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. You can learn more about the IRIS program on the Wisconsin Department of Health Services website here . Together, you will identify the long-term care goals of the people enrolled in IRIS, and find creative ways to achieve those goals.ICs play an important role in helping people of various backgrounds and abilities live the lives that they choose. Successful candidates for this position will be compassionate, genuine, resourceful partners with an eye for high quality work, and who are excited to work side-by side with people enrolled in IRIS.As an IC, you will connect people to the resources available in their community. You will also help them develop customized IRIS plans for achieving their goals related to employment, housing, health, safety, community membership, transportation, and lasting relationships. Find out more about the IRIS Consultant position by clicking on the link and then reviewing the job posting below.TMG is committed to maintaining a diverse and inclusive workforce and prioritizes helping staff have a good work/life balance. Even though the position is remote, you'll have lots of support from your TMG team and coworkers across the organization. During this time, participants will learn their rights and responsibilities as someone enrolled in the IRIS program, including verifying legal documents, completing employee paperwork and the responsible use of public dollars.Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans.Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, all while staying within the participant's IRIS budget and within the requirements of the IRIS program determined by the Department of Health Services (DHS).Responsible for documenting all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant.Research community resources and natural supports that will fit the individual outcomes for each participant and share that information with them as it becomes available.Responsible for documenting progress and changes as needed within the plan and the data system anytime a modification is requested by a participant.Being a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency is also a large part of the position, which includes assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest.Work collaboratively with other IRIS Consultant Agency staff in order to ensure a successful implementation of participants' plans.In addition, weekly IC and IRIS Consultant Supervisor phone check-ins may occur, along with other duties as assigned.Bachelor's degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree).1+ year of direct experience related to the delivery of social services to the target groups (individuals with intellectual or physical disabilities and older adults).

Ability to work independently, with minimal supervision and be self-motivated.Excellent time management and prioritization skills to focus on multiple projects simultaneously and adapt to change.to work with a diverse population, various personalities, and personal situations.Resourceful and have knowledge of community resources while being proactive and detail oriented.Ability to use a variety of technology including but not limited to, Outlook, Skype, Teams, PowerPoint, Excel, Word, online portals and databases.

17 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.