Revenue Cycle Analyst
3 weeks ago
The Medical College of Wisconsin is a vibrant and diverse community of healthcare professionals dedicated to delivering exceptional patient care and advancing medical research. Our revenue cycle department is committed to excellence and innovation, and we are seeking a talented Clinical Reimbursement Specialist to join our team.
Job DescriptionThis full-time role involves submitting, posting, and securing maximum allowable reimbursement from third-party carriers, government programs, and Health Maintenance Organizations. You will also be responsible for analyzing multiple sources of remittance, communicating with various representatives, and identifying and escalating contractual carrier issues.
Key Responsibilities- Apply extensive knowledge of multiple contracts, agreements, and government guidelines/regulations to submit, post, research, and/or resolve accounts or claims.
- Respond to carrier requests for additional information or documentation.
- Review carrier denials and/or unacceptable reimbursement to challenge the determination or adjust appropriately.
- A minimum of 3 years of experience in clinical reimbursement or a related field.
- High school diploma or equivalent required; associate's or bachelor's degree preferred.
- Excellent communication and analytical skills, with the ability to work in a fast-paced environment.
- Estimated annual salary: $65,000 - $85,000.
- Ongoing training and development opportunities to enhance your skills and knowledge.
- A comprehensive benefits package, including health, dental, and vision coverage, as well as a 403(b) retirement plan.
- Tuition reimbursement and paid parental leave.
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