Account Representative II
2 weeks ago
At the Medical College of Wisconsin, we are seeking a highly skilled and detail-oriented Account Representative II to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and accurate reimbursement from third-party carriers, government programs, and Health Maintenance Organizations.
Key Responsibilities:- Submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs, and Health Maintenance Organizations.
- Apply extensive knowledge of multiple contracts, agreements, and government guidelines/regulations to submit, post, research, and/or resolve accounts or claims.
- Communicate effectively with various representatives, both internally and externally, to resolve issues and ensure timely reimbursement.
- 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 payer.
- Copy and forward remittance advice to appropriate team for follow-up.
- Identify and escalate contractual carrier issues to the appropriate source.
- Assist in training Clerks and perform necessary billing activities to maintain team goals or assist other teams.
- High school diploma
- Minimum 3 years of experience in a related field
- Strong knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping
- Excellent computer, technical, interpersonal, oral communication, listening, and patience skills
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Collaborative and dynamic work environment
- Recognition and rewards for outstanding performance
We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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