What are the responsibilities and job description for the Account rep position at Medical College of Wisconsin?
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.
Hybrid Position : 90% Remote & 10% Onsite
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 :
Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.
Position Requirements :
Minimum Qualifications :
Minimum Required Education : High school diploma
Minimum Required Experience : 3 years
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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 plans, local fitness facilities, Milwaukee recreation and entertainment etc.
Last updated : 2024-11-04
