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Account Resolution Rep I PB

extra parental leave
Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

High School diploma or GED required., 2 years of experience in health care revenue cycle operations., Working knowledge of medical terminology, ICD-10, and CPT., Excellent verbal and written communication skills..

Key responsabilities:

  • Review and resolve Professional Billing outpatient service insurance denials.
  • Follow up on claims for third party payers and state programs.
  • Respond to questions from patients, parents, and clinic staff regarding billing issues.
  • Work independently and maintain effective relationships with coworkers and management.

Children's Wisconsin logo
Children's Wisconsin Large https://www.childrenswi.org/
1001 - 5000 Employees
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Job description

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Reviews and resolves Professional Billing outpatient service insurance denials as well as following up on claims timely for third party payers, state programs and contracted organizations for Children's Wisconsin.

  • High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).

  • Requires 2 years of experience in health care revenue cycle operations including comprehension of insurance EOB's.

  • Pediatric experience a plus.

  • Exhibits guiding behaviors that reflect Children's values and support our mission and vision.

  • Working knowledge of medical terminology, ICD-10 and CPT.

  • Excellent verbal and written communication skills. 

  • Ability to work independently with minimal supervision.

  • Interpersonal skills necessary to efficiently respond to questions from patients, parents, clinic staff and insurance companies to effectively resolve billing issues.

  • The ability to multi-task and function effectively in a team environment and maintain effective relationships with coworkers, patients, physicians, management staff and other customers.

  • Proficient in Microsoft Office applications and technology skills required to perform duties.

*Fully remote position

Hours: 8A-4:30P (flex schedule after 90-days)

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Multitasking
  • Social Skills
  • Teamwork
  • Communication

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