WI3663481

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 on the Medicare Team, 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\... 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/72A7DA1B0AA748C2 Qualified females,
minorities, and special disabled veterans and other veterans are
encouraged to apply.