Offer summary

Qualifications:

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

Key responsabilities:

Review and resolve outpatient service insurance denials for professional billing.

Follow up on claims for third party payers and state programs in a timely manner.

Respond to inquiries from patients, parents, and insurance companies to resolve billing issues.

Work independently and collaboratively in a team environment to maintain effective relationships.

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.
Normal office environment where there is no reasonable potential for exposure to blood or other high risk body fluids.
Remote office environment.
Prior experience in a large health system working with professional billing claims and functions preferred.
Medical billing experience preferred.
Dental billing experience preferred.
Mental Behavioral Health billing experience preferred.
Registration experience preferred.
Experience in Epic Resolute preferred.

*Remote position

Hours:

First shift, flexible hours

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