Account Rep Ii

3 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 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).

**Responsibilities**:

- Communicate via phone with various representatives, both internally and externally is necessary.
- 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 plans, local fitness facilities, Milwaukee recreation and entertainment etc.
- Eastern Wisconsin is_ a vibrant, diverse metropolitan area. MCW is intent on attracting, developing, and retaining a diverse workforce and faculty body that reflects the community we serve. We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine. MCW is a welcoming campus community with a strong culture of collaboration, partnership, and engagement with our surrounding community_**_._**

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination

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