Medical Billing Specialist
5 days ago
The Medical College of Wisconsin (MCW) is a renowned institution dedicated to advancing the field of academic medicine. Our mission revolves around fostering knowledge and innovation, with a focus on delivering exceptional patient care.
About the Role
We are seeking an experienced Account Rep II to join our team as a Medical Billing Specialist. As a key member of our revenue cycle department, you will be responsible for ensuring maximum allowable reimbursement from third-party carriers, government programs, and Health Maintenance Organizations.
Job Description
- 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, as 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 challenge the determination or adjust appropriately.
- Review and update registration to correspond with information received from payers.
- Copy and forward remittance advice to appropriate teams 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.
Required Skills and Qualifications
- Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.
- Computer, technical, interpersonal, oral communication, listening, and patience skills.
Estimated Salary: $60,000 - $80,000 per year
Benefits
- Outstanding healthcare coverage, including health, vision, and dental plans, 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.
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