Billing Follow Up Rep I

2 weeks ago


Milwaukee, Wisconsin, United States Advocate Health Full time

MAJOR RESPONSIBILITIES

  • Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.
  • Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources.
  • Ability to timely and accurately communicate with internal teams and external customers (ie; third party payors, auditors, other entity) and acts as a liaison with external third party representatives to validate and correct information.
  • Comprehends incoming insurance correspondence and responds appropriately. Identifies and brings patterns/trends to leaderships attentionre:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.
  • Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors.
  • Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.
  • Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.
  • Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH.
  • This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate accountinformation. Approval needed to write off balance's according to corporate policy. Issues outside normal scope of activity and responsibility.

MINIMUM EDUCATION AND EXPERIENCE REQUIRED

  • Level of Education: High School Diploma or General Education Degree (GED)
  • Years of Experience: Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES (KSA)

  • Must perform within the scope of departmental guidelines for productivity and quality standards.
  • Works independently with limited supervision.
  • Accountable and evaluated to organization behaviors of excellence
  • Basic keyboarding proficiency.
  • Must be able to operate computer and software systems in use at Advocate Aurora Health.
  • Able to operate a copy machine, facsimile machine, telephone/voicemail.
  • Ability to read, write, speak and understand English proficiently.
  • Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
  • Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
  • Ability to communicate well with people to obtain basic information (via telephone or in person).

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.



  • Milwaukee, Wisconsin, United States Sixteenth Street Community Health Centers Full time

    Proactively, warmly, and respectfully greet and/or direct patients upon arrival. Manages front desk responsibilities, including check-in and new patient registration. Uphold clinic guidelines and standards related to Patient Confidentiality (HIPPA). Review and/or obtains demographics and insurance information per protocol, collect copayments and balances due...

  • Revenue Cycle Manager

    13 hours ago


    Milwaukee, Wisconsin, United States Novir Full time

    Who We Are Novir is an emerging diagnostic biotechnology company with an unmatched team of professionals and trusted partners delivering smart, fast and flexible testing solutions supported by reliable, cost-effective screening products and best-in-class technology. What We Do We offer a variety of on demand health screening services. Most recently, we...


  • Milwaukee, Wisconsin, United States Zywave Full time

    DescriptionAre you a detail-oriented professional that can provide excellent customer service? Zywave is seeking an Accounting Operations Specialist that can adhere to processes while looking for ways to improve efficiencies. In this position, you will specialize in a variety of accounting functions including setting up billing, managing past due accounts,...


  • Milwaukee, Wisconsin, United States Froedtert Health Full time

    Froedtert & MCW Community Physicians is currently recruiting a full time Internal Medicine Physician for Sargeant Health Center in Milwaukee, Wisconsin. This is an excellent opportunity for a physician to join a collaborative community-based practice. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center...


  • Milwaukee, Wisconsin, United States VISTA Staffing Solutions, Inc. Full time

    We are actively recruiting for a NeuroHosptialist to join a robust neuroscience program near Milwaukee, Wisconsin.Highlights about this direct position are as follows: Employed Neuro-Hospitalist position * 7 on/7 off block schedule Well-supported team-based practice including Neuro ICU, neurosurgery and NIR Option to grow into outpatient clinic, if desired...


  • Milwaukee, Wisconsin, United States Textron Full time

    Textron Aviation has been inspiring the journey of flight for nine decades through the iconic and beloved Cessna and Beechcraft brands. We are passionate advocates of aviation, empowering people with the freedom of flight. As you join our legacy as a global leader in private aviation, you'll have opportunities to try new fields, expand your skills and...


  • Milwaukee, Wisconsin, United States Selby Jennings Full time

    Corporate Development AssociateCompany Summary: We are currently partnered with a high growth, private equity backed, residential services company looking to add a Corporate Development Associate to their growing team. This Corporate Development Associate will have the opportunity to join a roll up strategy with lots of acquisitions in the pipeline.Corporate...

  • Field Service Engineer

    15 hours ago


    Milwaukee, Wisconsin, United States Abbott Laboratories Full time

    Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.PLEASE...

  • Optician Sam's

    1 month ago


    Milwaukee, Wisconsin, United States Walmart Full time

    Position Summary . What you'll do . Provides Member service by acknowledging the Member, identifying their needs, assisting with purchasing decisions, locating merchandise, resolving issues and concerns, and promoting the Company's products and services. Maintains merchandise presentation by stocking merchandise, setting up, cleaning, and organizing product...

  • Production Runner

    1 month ago


    Milwaukee, Wisconsin, United States teamworkonline Full time

    Job Title: Production RunnerClass: Part-Time, HourlyPay: If you own a SUV or minivan: $22.00 per Hour If you will be renting a SUV or minivan: $20.00 per HourReports to: Production ManagerLocation: Arena and Entertainment DistrictThe Milwaukee Bucks are looking for dedicated people who accept diversity, equity & inclusion in a workplace where everyone feels...


  • Milwaukee, Wisconsin, United States Orangetheory Fitness Full time

    Be fit. Change lives. Have fun. If you mention fitness within moments of meeting you encourage friends and family to get off the couch and get you know and enthusiastically share the importance of fitness as a part of a healthy lifestyle -- well, we just may want you to turn your passion for fitness into a paying career. We're looking for enthusiastic...


  • Milwaukee, Wisconsin, United States Wisconsin Community Services Full time

    Job Responsibilities: YOUTH CARE WORKERWEEKEND PART-TIME POSITONS AVAILABLEJOIN OUR TEAM Wisconsin Community Services (WCS) Shelter Care Program - Youth Services Division Great opportunity for those committed to making a positive impact on the lives of youth. Share your creativity and interests, as well as collaborate on groups, activities, and...


  • Milwaukee, Wisconsin, United States Marquette University Full time

    Posting Number Position Title Arabic Culture and Language Assistant Instructor*State Oman (country)Employment Status Full TimePosition Status Limited TermIf Limited Term (End Date of Assignment, Project, or Grant) 08/03/2024Position Type StaffJob Family Operations and Administrative ServicesPosition OverviewThe summer 2024 Marquette University Project GO...


  • Milwaukee, Wisconsin, United States Ascension Full time

    Details Sign on Bonus: $10,000.00Department: Cath Lab Schedule: 1.0 FTE | 40 hours a week | Full-Time | Days, M-F Hospital: St. FrancisLocation: Milwaukee, WI Relocation Assistance of $5,000 available for full time positions. St. Francis is a Unionized hospital.Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits...

  • Scrum Master

    4 weeks ago


    Milwaukee, Wisconsin, United States Rockwell Automation Full time

    Rockwell Automation is a global technology leader focused on helping the world's manufacturers be more productive, sustainable, and agile. With more than 28,000 employees who make the world better every day, we know we have something special. Behind our customers - amazing companies that help feed the world, provide life-saving medicine on a global scale,...

  • Addiction Medicine

    1 month ago


    South Milwaukee, Wisconsin, United States Community Medical Services Full time

    Community Medical Services (CMS) is hiring a Medical Director responsible for the overall smooth operation of medical services provided by to the Community Medical Services site (or sites) that physician is assigned to. These sites include South Milwaukee, Madison and Fond du Lac, WI.​Schedule: Monday through Friday 8:00a - 4:00p​Position Summary:...


  • Milwaukee, United States Sixteenth Street Community Health Centers Full time

    Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (i.e., CPT, ICD-10 and HCPCS, NDC, revenue codes and medical terminology). - Will obtain necessary documentation from various resources. Ability to timely and accurately communicate with internal teams and external customers (i.e., third party payors,...

  • Account Rep Iii

    1 month ago


    Milwaukee, United States Medical College of Wisconsin Full time

    Account Rep III - Requisition ID #: 34064- Job Category: Medical Billing- Employment Type: Full Time- Experience Level: Experienced (non-manager)- City, State: Milwaukee, WI- Work Location: Research Park Center- Department: Clinical Practice Services- Education: High School DiplomaPosition Description: Every great life-changing discovery begins the same...


  • Milwaukee, United States Lakeside Manufacturing, Inc Full time

    Job DescriptionJob DescriptionRole DescriptionSummaryUnder the direction of the EVP of Sales, the Rep Manager is responsible for enhancing independent sales representative's effectiveness with sales and productivity. This encompasses the analysis and support of pricing, lead-times, and customer management. This role will interface our internal sales and...

  • Account Rep Ii

    4 weeks ago


    Milwaukee, United States Medical College of Wisconsin Full time

    Account Rep II - Medicaid - Requisition ID #: 34079- Job Category: Medical Billing- Employment Type: Full Time- Experience Level: Experienced (non-manager)- City, State: Milwaukee, WI- Work Location: Research Park Center- Department: Clinical Practice Services- Education: High School DiplomaPosition Description: Every great life-changing discovery begins the...


  • Milwaukee, United States Advocate Health Full time

    Major Responsibilities: Develops proficiency to answer customer inbound billing calls in a high-volume call center environment to service and retain customers. Responds to customers questions with the ability to resolve and process most concerns on the initial call. Learns to act using appropriate discretion, to address customer needs, resolve issues, and...


  • Milwaukee, United States Advocate Health Full time

    Major Responsibilities: Develops proficiency to answer customer inbound billing calls in a high-volume call center environment to service and retain customers. Responds to customers questions with the ability to resolve and process most concerns on the initial call. Learns to act using appropriate discretion, to address customer needs, resolve issues, and...


  • Milwaukee, United States Hiring Winners Full time

    Regional Sales Manager - F&I ProductsCapstone Dealer Solutions is among the fastest-growing providers of Finance & Insurance products to Automobile, Powersport and RV dealerships. Capstone Dealer Solutions has an excellent reputation in the industry for providing outstanding customer service and income generation. We are expanding fast and in search of...


  • Milwaukee, United States Jefferson Wells International Full time

    Jefferson Wells is partnering with our Construction Client to find Contract Construction Billing and Collections Accountants. The ideal candidate will be responsible for managing the billing and collections processes within our construction company, ensuring accuracy, timeliness, and efficiency in all financial transactions. This role requires a keen eye for...


  • Milwaukee, United States Jefferson Wells International Full time

    Jefferson Wells is partnering with our Construction Client to find Contract Construction Billing and Collections Accountants. The ideal candidate will be responsible for managing the billing and collections processes within our construction company, ensuring accuracy, timeliness, and efficiency in all financial transactions. This role requires a keen eye for...

  • Sales Rep

    4 weeks ago


    Milwaukee, United States Milwaukee RTS Full time

    Job DescriptionJob DescriptionBest Opportunity in MilwaukeeYou should look for 4 things in a Sales Career:The right product or serviceA strong customer baseExceptional customer after-careLeadership that cares about you as a human being not just a statisticClick to apply for details and a one on one interview!Milwaukee RTS offers it all! Ask anyone about Jim...


  • Milwaukee, United States Hiring Winners Full time

    Regional Sales Manager - F&I Products Capstone Dealer Solutions is among the fastest-growing providers of Finance & Insurance products to Automobile, Powersport and RV dealerships. Capstone Dealer Solutions has an excellent reputation in the industry for providing outstanding customer service and income generation. We are expanding fast and in search of...

  • THC Sales Rep

    7 days ago


    Milwaukee, United States Wild Mind Ales Full time

    Job Summary: Wild Mind Ales is seeking an experienced THC Sales Rep for our fast growing WLD WTR cannabis beverage brand to cover the Milwaukee, WI market area. The THC Sales Rep is responsible for working closely with our on and off premise accounts, being a creative force in helping activate both on and off premise accounts and developing effective long...

  • Billing Specialist

    2 weeks ago


    Milwaukee, United States United Community Center Full time

    Job DetailsLevel Entry Job Location Human Services - Milwaukee, WI Position Type Full Time Education Level High School Job Category Professional Services DescriptionPOSITION SUMMARY: The Billing Specialist is responsible for tasks related to preparing and entering billing of Milwaukee County contracted services and insurances and obtaining prior...


  • Milwaukee, United States Extension, Inc Full time

    Extension is seeking a Billing Clerk/Accounting Clerk for a Direct Hire opportunity with one of our clients located in Pewaukee, WI. What You’ll Impact at Our Client As the Billing Assistant, you will be responsible for supporting in the warehousing and fulfillment area. Handling shipments from UPS, determining freight costs, inventory, shipping of...


  • Milwaukee, United States Truity Partners, LLC Full time

    **RESPONSIBILITIES** - Generate and issue accurate and timely invoices for services rendered to clients. - Compare original to actual billing proposal related to time and expenses in Concur. - Maintain up-to-date billing documentation, including contracts and purchase orders. - Work closely with project managers and techs to resolve any billing discrepancies...


  • Milwaukee, United States Cavalier Workforce, Inc. Full time

    Duties: The Patient Access Service Rep (PASR), follows the Froedtert and the Medical College Performance Excellence Customer Service Standards. Greets and arrives patients. Verifies and updates demographic information. Collects monies for copays, supplies, and services rendered. Balances daily cash collections. Obtains patient signatures. Assists patients...


  • Milwaukee, United States Cavalier Workforce, Inc. Full time

    Duties: The Patient Access Service Rep (PASR), follows the Froedtert and the Medical College Performance Excellence Customer Service Standards. Greets and arrives patients. Verifies and updates demographic information. Collects monies for copays, supplies, and services rendered. Balances daily cash collections. Obtains patient signatures. Assists patients...


  • Milwaukee, United States ARCH SOLAR C&I INC Full time

    INTRODUCTION The purpose of this procedure is to define the authorities, responsibilities, principle duties, reporting relationships, and measures of performance for the role of Project Manager at Arch Solar C&I, Inc. POSITION DATA Position Title - Project Manager Salary wages $70,000 - $100,000 (commensurate on experience/abilities) Fair Labor...

  • PATIENT SRVCS REP I

    1 week ago


    Milwaukee, WI 53201, USA, United States Ascension Health Full time

    Details* Department: Rehabilitation* Schedule: Full Time, 36 hours, 630am to 3pm, Monday to FridayHoliday and Weekend rotation required* Hospital: Saint Francis* Location: Milwaukee, WIBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee...

  • PATIENT SRVCS REP I

    1 week ago


    Milwaukee, WI 53208, USA, United States Ascension Health Full time

    **Details**+ **Department:** Rehabilitation+ **Schedule:** Full Time, 36 hours, 630am to 3pm, Monday to FridayHoliday and Weekend rotation required+ **Hospital:** Saint Francis+ **Location:** Milwaukee, WI**Benefits**Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term &...