Account Representative II Medicaid

6 hours ago


WI United States MCW: SARGEANT HEALTH CENTER Full time
Job Title: Account Representative II Medicaid

At MCW: SARGEANT HEALTH CENTER, we are seeking a highly skilled Account Representative II Medicaid to join our team. As an Account Representative II Medicaid, you will play a critical role in submitting, posting, and securing maximum allowable reimbursement from third-party carriers, government programs, and Health Maintenance Organizations.

Responsibilities:
  • 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, to ensure seamless communication.
  • 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 appropriately.
  • Review and update registration to correspond with information received from payer, and copy and forward remittance advice to appropriate team for follow-up.
  • Identify and escalate contractual carrier issues to the appropriate source, and assist in training Clerks.
  • Perform necessary billing activities, such as claims, to maintain team goals or assist other teams.
Requirements:
  • High school diploma
  • Minimum 3 years of experience
  • Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping
  • Computer, technical, interpersonal, oral communication, listening, and patience skills
Why Join Our Team?

At MCW: SARGEANT HEALTH CENTER, we offer a comprehensive benefits package, including health, vision, and dental coverage, flexible spending options, 403B retirement package, competitive vacation and paid holidays, tuition reimbursement, paid parental leave, pet insurance, and on-campus fitness facility with onsite classes.

We are an affirmative action/equal opportunity employer and do not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, veteran status, disability, or sexual orientation.



  • , MD, United States The Amynta Group Full time

    Job Description SummaryWe are seeking a highly skilled and detail-oriented individual to support our Account Representatives II and III in various functions, including submission entry, policy checking, issuing of certificates, and presentation preparation.The successful candidate will be responsible for ensuring the accuracy and efficiency of these...

  • Accountant II

    4 weeks ago


    WEST ALLIS, WI, United States Blast Cleaning Technologies, Inc Full time

    Blast Cleaning Technologies, Inc. (BCT) is proud to be the leader in shot blast innovation! We are dedicated to our customers, resulting in impressive company growth year over year.Why Work at BCT?Highly Competitive Pay and Benefit Plans: We recognize skill and dedication with superior compensation and benefits.Medical Insurance: ZERO DOLLAR MONTHLY PREMIUM...


  • Parsippany, NJ, United States Cognizant Full time

    About Us: Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...


  • Parsippany, NJ, United States Cognizant Full time

    About Us: Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...


  • , NH, United States Meduit Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medicaid Eligibility Specialist to join our team at Meduit. As a key member of our healthcare team, you will be responsible for conducting financial fact-finding interviews with patients, completing Medicaid and other applicable applications/releases, and ensuring all supporting documents are...


  • , UT, United States State of Utah Full time

    Job Title: Medicaid Eligibility Lead WorkerWe are seeking a highly motivated and organized individual to fill the role of Medicaid Eligibility Lead Worker. As a key member of our team, you will be responsible for monitoring and evaluating the performance of staff, preparing and processing documents, and maintaining accurate records.Key...


  • , OH, United States Southwest General Full time

    Job SummaryWe are seeking a highly skilled Access Representative II to join our team in the Emergency Department. This role is responsible for accurately identifying and registering Emergency Department patients, adhering to EMTALA regulations.Key ResponsibilitiesCapture complete and accurate patient informationCorrectly file insurance and assign guarantors...

  • Accountant II

    2 months ago


    Oklahoma City, OK, United States LIVINGSTON PROPERTIES LLC Full time

    The Accountant II will perform routine accounting activities which may include preparing and processing receivable payments, client statements and reports, accounts payable invoices and journal entries in accordance with established guidelines and procedures.Essential Functions:Assist in the preparation of monthly financial statements, ensuring accuracy and...


  • , TX, United States Guidehouse Full time

    About the RoleWe are seeking a highly skilled Patient Account Representative to join our team at Guidehouse. As a Patient Account Representative, you will play a critical role in resolving account balances and providing exceptional customer service to patients and insurance companies.Key ResponsibilitiesHeavy outbound calling to patients and insurance...

  • Staff Accountant II

    2 weeks ago


    , TX, United States Virtual Full time

    {"h1": "Staff Accountant II", "p": "We are seeking a highly skilled Staff Accountant II to join our team at Vaco. As a Staff Accountant II, you will be responsible for owning the month-end close processes for assigned areas, including daily interaction with internal business partners and external auditors. You will also prepare and review monthly journal...

  • Staff Accountant II

    5 minutes ago


    Washington, DC, United States Howard University Hospital Full time

    Join Our Team as a Staff Accountant IIHoward University Hospital is seeking a highly skilled Staff Accountant II to join our team. As a Staff Accountant II, you will play a critical role in ensuring the accuracy and integrity of our financial records.Key Responsibilities:Perform balance sheet and income statement reconciliationsPrepare and post standard...


  • , IL, United States NorthShore University HealthSystem Full time

    Job SummaryWe are seeking a highly skilled Patient Access Representative II to join our team at Northwest Community Hospital. As a key member of our patient access department, you will play a critical role in ensuring the smooth registration and admission process for our patients.Key ResponsibilitiesVerify patient demographic and insurance information to...


  • , KS, United States Account Recovery Specialists, Inc Full time

    Job OverviewAccount Recovery Specialists, Inc. is seeking a highly skilled Client Service Representative to join our team in Dodge City. As a key member of our team, you will be responsible for providing exceptional customer service, resolving account balances, and working closely with consumers to deliver outstanding results.ResponsibilitiesProvide...


  • , IL, United States NorthShore University HealthSystem Full time

    Job SummaryWe are seeking a highly skilled Patient Access Representative II to join our team at Northwest Community Hospital. As a key member of our patient access department, you will play a critical role in ensuring the smooth registration and admission process for our patients.Key ResponsibilitiesVerify patient demographics, insurance, and financial...


  • , IL, United States NorthShore University HealthSystem Full time

    Transformative Patient ExperiencesWe are seeking a skilled Patient Access Representative II to join our team at NorthShore University HealthSystem. As a key member of our healthcare delivery system, you will play a vital role in providing access to quality care for our patients.Key Responsibilities:Act as an internal/external resource for all customer...


  • Madison, WI , USA, United States Exact Sciences Full time

    Help Us Change LivesAt Exact Sciences, we're revolutionizing the way the world prevents, detects, and guides treatment for cancer. We empower patients and clinicians with the clarity needed to make confident decisions when it matters most. As a Client Service Representative II, you'll play a vital role in our mission by establishing professional and...


  • , IL, United States NorthShore University HealthSystem Full time

    Job SummaryWe are seeking a highly skilled Patient Access Representative II to join our team at Northwest Community Hospital in Arlington Heights, IL. As a key member of our patient access team, you will be responsible for interacting with patients and their representatives to perform patient access registration and pre-registration intake, as well as direct...


  • , TX, United States City of Houston, TX Full time

    Job Title: Airport Service Representative IIJoin the City of Houston, TX team as an Airport Service Representative II and play a vital role in delivering exceptional customer service to international and domestic passengers.Job Summary:We are seeking a highly skilled and multilingual individual to provide customer assistance using bilingual skills. The...

  • Account Representative

    12 hours ago


    , TN, United States Love's Travel Stops Full time

    Job Title: Account RepresentativeWe are seeking a highly skilled Account Representative to join our team at Love's Travel Stops & Country Stores. As an Account Representative, you will be responsible for providing exceptional customer service to our clients, resolving issues, and building strong relationships with our internal teams.Key...

  • Accountant II Position

    17 hours ago


    Tallahassee, FL, United States State of Florida Full time

    Job SummaryWe are seeking a highly skilled Accountant II to join our team in the Department of Financial Services. As a key member of our Risk Management division, you will be responsible for performing daily Cash Receipts operations within the Trust Fund Management Section.Key ResponsibilitiesProcess cash receipts and review for accuracyDetermine...