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Quality Analyst I - MILWAUKEE, WI,

Job Information

Job Order ID :
WI3636527
# of Positions :
1
Minimum Education Level :
Bachelor's Degree
Experience Required :
Training :
Bachelors Degree
Duration :
Shift :
Unspecified
Hours per week:
40

Job Description

 
JOB REQUIREMENTS: Position Description: Every day, in ways both big and
small, the Medical College of Wisconsin (MCW) is impacting lives for the
better. MCW \... changemaking for a healthier Wisconsin. In the role of
Quality Analyst I you will be responsible for conducting financial
audits in relation to professional billing and the various payment
methods used to satisfy balances in three CPS billing systems. Audits
include validating electronic files posted will have corresponding
payments funded in the correct bank, ensure duplicate payments are
resolved, manual posting batches are accounted for, and all payment
activity is captured in an established reporting system. All job duties
contribute to reconciling payments received and funded to payments
posted in a billing system. Responsibilities: Using software that
exports electronic files, ensure each file is properly identified and
posted to the correct billing system. Communicate with FH and CW if the
export included payments that belong to their billing system. Access
appropriate banking portals to retrieve various payment information.
Format data as appropriate for reporting and verification purposes. When
information is missing to accurately post a payment, retrieve insurance
remits by accessing appropriate online portals. Match remit to
payment(s) and prepare for manual batching and posting of payment(s).
Determine whether insurance lockbox payments will be funded via EFT or
manual check payments. Such payments can change often. Therefore,
communicate changes with Cashiering Department for proper reporting and
batching. Match daily EFT payments to EDI files or manually received
remits. As appropriate, void/reverse payments posted incorrectly or
duplicated in the billing system. Track and report various payments and
fees not associated with a billing system. Such as, credit card service
fees and incentive payments received from an insurance carrier.
Depending upon the Tax ID, communicate findings to the correct finance
department. Track EDI and EFT payments when uncertain how files will be
received, or how payment will be made. Take appropriate action to
rectify reconciliation between the Remit/EDI and Check/EFT. Maintain
payment, batch, Ref/Check #s, Deposit/Post Date, Insurance/Self-Pay,
Insurance Category, and other criteria in a main Excel Spreadsheet.
Verify information daily and make appropriate changes when discrepancies
are found. Knowledge - Skills - Abilities Knowledge of commercial online
banking, EPIC billing system for Professional Billing, Recordkeeping,
Extensive knowledge of Microsoft Excel. Computer, technical,
interpersonal, oral\... For full info follow application link. EEO/AA
Minorities/Females/Vets/Disability The Medical College of Wisconsin is
an affirmative action/equal opportunity employer and does not
discriminate in hiring or employment on the basis of age, sex, race,
color, religion, national origin, veteran status, disability or sexual
orientation. \*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/2B7E0DB9EDF44AB8 Qualified females, minorities, and special
disabled veterans and other veterans are encouraged to apply.

Company Information

Name :
MCW: SARGEANT HEALTH CENTER

Application Information

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