WI3660340

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

40

JOB REQUIREMENTS: Position Description: Every great life-changing
discovery begins the same way-with new knowledge. It can change
everything, from a single life to the future of entire communities.
That\'s why academic medicine, and the continuous pursuit of knowledge,
is at the center of everything we do at the Medical College of Wisconsin
(MCW). As an Account Rep II you will submit, post, and secure maximum
allowable reimbursement from third-party carriers, government programs
and Health Maintenance Organizations in the areas of claims submission
and/or account follow-up. Requires extensive use of multiple internal
and external computer systems/applications and contact with the above
entities. Responsibilities: Apply extensive knowledge of multiple
contracts, agreements and government guidelines/regulations to submit,
post, research and/or resolve accounts or claims. Communicate via phone
with various representatives, both internally and externally is
necessary. Analyze multiple sources of remittance to determine proper
allocation of rejections, payments and/or adjustments, subject to
individual carrier guidelines and contractual fee schedules. Respond to
carrier requests for additional information or documentation. Review
carrier denials and/or unacceptable reimbursement to (a) challenge the
determination or (b) adjust appropriately. Review and update
registration to correspond with information received from payer. Copy
and forward remittance advice to appropriate team for follow-up.
Responsible for identifying and escalating contractual carrier issues to
the appropriate source. Assist training Clerks. Perform necessary
billing activities such as claims to maintain team goals or assist other
teams. Knowledge - Skills - Abilities Knowledge of quality control,
customer service standards, information management, procedural process,
and recordkeeping. Computer, technical, interpersonal, oral
communication, listening, and patience skills. Preferred Schedule:
Monday - Friday 8:00 am - 5:00 pm Position Requirements: Minimum
Qualifications: Appropriate experience may be substituted for education
on an equivalent basis Minimum Required Education: High school diploma
Minimum Required Experience: 3 years #LI-RT1 Why MCW? Outstanding
Healthcare Coverage, including but not limited to Health, Vision, and
Dental. Along with Flexible Spending options 403B Retirement Package
Competitive Vacation and Paid Holidays offered Tuition Reimbursement
Paid Parental Leave Pet Insurance On campus Fitness Facility, offering
onsite classes. Additional discounted rates on items such as: Select
cell phone\... 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/0E9DBD1345504148 Qualified females, minorities, and special
disabled veterans and other veterans are encouraged to apply.