ACCOUNTING SPECIALIST - LONG TERM CARE
La Crosse County ‚Ä¢ West Salem, Wisconsin ‚Ä¢ Contractor ‚Ä¢ $49,899.2–$49,899.2 / year
Posted on Thu, Jun 18, 2026
Job Title: Accounting Specialist - Long Term Care FLSA: Non- Exempt Location: Lakeview Health Center & Assisted Living, West Salem, WI Starting Wage: $23.99 per hour Schedule: Monday-Friday, 65 hours per pay period This is an accounting/record keeping position for the Long-Term Care Campuses. Duties include processing resident admissions and discharge, billing for services, accounts receivable, accounts payable, receipting revenues, preparation of journal entries and spreadsheets, resident funds, petty cash, and other accounting and administrative duties. Essential Leadership Functions Act with Integrity and Build Trust
Demonstrate mutual respect, humility, and honesty in all interactions
Speak up appropriately, even when expressing unpopular viewpoints
Actively listen and remain open-minded to diverse perspectives
Drive for Results
Set clear goals and objectives to motivate self and others to achieve outcomes
Seek new opportunities to improve processes and drive sustainable results
Hold self and others accountable through consistent evaluation and monitoring
Develop Talent and Effective Teams
Foster a collaborative environment that encourages knowledge sharing and growth
Provide mentorship and support to help self and others reach full potential
Recognize and leverage diverse strengths within self and team
Lead with Vision and Strategy
Understand and communicate a compelling vision that aligns with organizational goals
Develop and execute comprehensive strategies to achieve long-term objectives
Connect daily work to the bigger picture, inspiring self and others to contribute meaningfully
Lead with Paradoxical, Critical, and Agile Thinking
Navigate complex situations by considering multiple perspectives
Adapt quickly to changes and uncertainties in the work environment
Make critical decisions using analytical skills, experience, and input from others
Build and Maintain Effective Relationships
Communicate and collaborate effectively with stakeholders across the organization
Influence others through coaching, consulting, and team-minded thinking
Develop and sustain partnerships that create positive outcomes for all stakeholders
Cultivate Community Engagement and Provide Excellent Service
Understand and address the needs and concerns of the community
Incorporate community perspectives into decision-making processes
Drive initiatives that create positive impacts beyond the organization
Demonstrate Emotional Intelligence
Show self-awareness and manage emotions effectively in challenging situations
Seek and respond constructively to feedback, even in the face of setbacks
Balance empathy with accountability when leading self and working with others
Essential Job Functions Prepares and submits monthly billings for resident care and other charges to several pay sources using various computer programs. Creates all reports associated with this process. Maintains and prepares General fund deposits, codes and posts payments to proper accounts. Posts cash receipts to Electronic Charting System (ECS) and Excel spreadsheets. Prepares accounts receivable aging monthly. Maintains donation funds by disbursing payments in accordance with proper authorization and receipts; determines proper account code; and prepares appropriate journal entries. Prepares journal entries for operating and County expenses, ancillary revenues, accounts payable, and miscellaneous accounts receivable. Performs accounting duties related to resident trust fund activity and petty cash, including deposits, withdrawals, allocations, statement generation and reconciliation.
Maintains resident admissions and discharge information, including entering data into ECS, Social Security reports, Insurance reports, Medicaid or Medicare eligibility paperwork, and other paperwork as needed. Reports and discusses delinquent accounts with the Fiscal Manager, attempts to collect delinquent accounts and files claims with probate. Processes Medical Assistance transmittals, termination reports, and other Medical Assistance paperwork processed and tracked. Enters general journal entries in New World System. Prepares routine accounting reports for management use/control. Documents and ensures keeping of valuables and items that residents ask to keep; maintains updated list and provides quarterly reports of items kept. Performs front desk receptionist duties as needed or assigned. Attends in-service education as provided or mandated. Supports all aspects of person-centered care. Respects and acknowledges individuality and uniqueness of residents. In this public service position, employee is required to be courteous, cooperative and respectful at all times, with the public and clients. Also establishes and maintains a courteous, cooperative and respectful working relationship with other employees, supervisors and public officials. Employee is expected to report to work when scheduled, with minimum use of sick leave, to build up sick leave balance for income protection for unexpected illness. Works safely and follows safety practices and standards of the facility; responsible for reporting or correcting any existing or potential safety or accident hazard.
Maintains residents' rights and confidentiality of resident information; reports all suspected cases of resident abuse to the supervisor or Administrator. Physical demands: Large percentage of time is spent sitting at desk, using verbal communication, judgment, hearing, near vision, fingering for keyboarding and calculators, reading, writing. Handles papers and manuals, etc., lifts files, copy paper and other office materials. Sits, stands, bends and reaches intermittently throughout the day. Occasionally moves about the office building and travels to other offices or sites for meetings. Related Job Functions Manages special projects as assigned. Provides back up for other staff as needed. This job description is not intended to encompass every job duty or responsibility but is only illustrative. This position is required to perform other duties as may be assigned or required. Knowledge, Skills and Abilities Knowledge of office procedures, ability to utilize equipment, such as calculators, computer, typewriter, multi-function device, telephone, etc. Ability to follow generally accepted accounting principles, La Crosse County Finance procedures, and Hillview Health Care Campus policies and guidelines. Ability to maintain accurate financial records utilizing electronic methods such as spreadsheets, databases, and other software applications. Ability to understand and carry out written and oral instructions. Ability to use computer to enter data rapidly and accurately on a consistent basis. Ability to maintain computer security and confidentiality. Training, Experience and Other Requirements Associate Degree in Accounting, Finance, Business or related. Experience in financial record-keeping including accounts payable, accounts receivable and cash receipting. Proven proficiency and expertise in using Excel spreadsheets, MS Word and MS Outlook. Strong preference for Medicare and Medicaid billing experience. Must pass a criminal background check as required by the Wisconsin Caregiver Law.
May consider other relevant combinations of education and experience that provides equivalent knowledge, skills and abilities.
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