Account Representative II

2 weeks ago


Milwaukee, Wisconsin, United States Medical College of Wisconsin Full time
Account Representative II

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.
Requirements:
  • 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
Why Join Our Team?
  • 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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