Member Share Coordinator

Join our award winning culture as we serve members in your area!   

Position Summary:

Under the general supervision of the Enrollment Manager, the Member Share Coordinator is responsible for the day-to-day monitoring, tracking, and calculation of member financial obligations including cost share, room and board, and patient liability for LCI members. In fulfilling these duties, the Member Share Coordinator works collaboratively with Lakeland Care, Inc.’s (LCI) Care Management (CM) staff, LCI Enrollment staff, LCI Accounting department, Guardians/payees and county Income Maintenance staff to ensure that we appropriately invoice members for obligations owed to Lakeland Care. 

Essential Competencies:

• Prepare invoice information for all member share obligations including cost share, room and board, and patient liability.
• Maintain database with relevant member and provider information to assure accuracy in member billing.
• Organize and oversee annual billing revisions due to adjustments such as with the HUD rate and cost of living.
• Prepare member share financial reports and reconciliation to assure accuracy in member billing and to support LCI operations. 
• Assist with year-end reconciliations, including participation in the member billing audit process either monthly or quarterly. 
• Ability to identify issues or concerns with current processes or issues that arise and provide solution focused recommendations for improvement.
• Participate in trainings or informational sessions to ensure familiarity with state and federal regulations updates or changes that may impact member obligations or Medicaid eligibility.
• Accurately calculate Room & Board obligation for members living in a residential placement using information from the change routing form completed by IDT staff or the CARES system to assure timely billing.  
• Provide feedback internally to the enrollment department and other departments within LCI when barriers or process gaps are identified that is impacting member billing.
• Assist in the development of workflows and processes related to member share. 
• Provide back-up to the other Member Share coordinators, when needed.
• Provide exceptional customer service to member’s regarding their member share obligations by answering questions or calls from members or LCI staff
• Ability to calmly handle difficult conversations with members and/or their representatives related to member obligations or past due balances.
• Provide support and education to members and LCI staff related to member obligations for cost share, patient liability and room and board.
• Work collaboratively with LCI’s CM and Enrollment staff, county Income Maintenance staff, and members to resolve discrepancies between LCI’s IT system, the state’s CARES system, and the state’s Forward Health Interchange.
• Maintain the confidentiality of client information and protected health information as required by State and Federal regulations, including the Health Insurance Portability and Accountability (HIPAA) Act of 1996. 
• Comply with applicable federal and state laws, administrative rules, established organizational procedures and accepted professional standards. 

• Associate degree in Accounting or Business-related field preferred, or equivalent combination of education and experience (includes knowledge, skills, and abilities).
• Three years’ relevant work experience in a business or government operation with demonstrated ability to analyze and work independently.  
• Knowledge or experience with the State of Wisconsin’s CARES or ForwardHealth systems is beneficial.
• Working knowledge of computers, computer programs, typing, and data entry to include working knowledge of Microsoft Excel and Microsoft Word.
• Ability to understand and use advisory data and information such as financial statements, technical operating manuals, procedures, guidelines, non-routine correspondence, and laws. 
• Strong listening, verbal, and written communication skills.
• Effective problem-solving and mediation skills.
• Effective organizational and time management skills. 
• Self-starter with strong desire to learn
• Excellent customer service skills demonstrated by pleasant, patient and professional interaction and customer care techniques.
• Current driver’s license, acceptable driving record and proof of adequate insurance required.

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Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin.

Our Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Our Vision

To create a world we all want to live in.

Our Core Values

Kindness – We believe kindness is always possible and that no compassionate act is ever wasted.

Inclusion – We believe that open hearts and open minds are the only path to a brighter future.

Trust – We believe that honesty is still in style and that promises still have power.

We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.