Account Representative II
5 days ago
Join the Medical College of Wisconsin (MCW) team as an Account Representative II, where you will play a crucial role in submitting, posting, and securing maximum allowable reimbursement from third-party carriers, government programs, and Health Maintenance Organizations.
Key Responsibilities:- 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, and review carrier denials and/or unacceptable reimbursement to challenge the determination or adjust accordingly.
- Review and update registration to correspond with information received from payers, and copy and forward remittance advice to the appropriate team for follow-up.
- Identify and escalate contractual carrier issues to the appropriate source, and assist in training Clerks as needed.
- Perform necessary billing activities, such as claims, to maintain team goals or assist other teams.
- Minimum Required Education: High school diploma
- Minimum Required Experience: 3 years
- Appropriate experience may be substituted for education on an equivalent basis
- Outstanding Healthcare Coverage, including 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
For a full list of positions, see www.mcw.edu/careers. For a brief overview of our benefits, see https://www.mcw.edu/departments/human-resources/benefits.
MCW is an Equal Opportunity Employer and Commitment to Non-Discrimination. We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine.
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