As an Account Rep II on the Commercial team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs, and health maintenance organizations. The role focuses on claims submission and/or account follow-up and requires extensive use of internal and external systems as well as communication with payers and other stakeholders.
This position offers a hybrid work arrangement with 90% remote and 10% onsite work. Candidates must reside in the metro Milwaukee, WI area.
Primary responsibilities include release of information, claims follow-up, denial resolution, reimbursement review, registration updates, remittance processing, and support for billing activities to help meet team goals.
Qualifications
- High school diploma required
- 3 years of experience required
- Customer service and/or medical billing experience preferred
- EPIC experience preferred
Knowledge and skills
- Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping
- Strong computer, technical, interpersonal, oral communication, listening, and patience skills
Key responsibilities
- Respond to requests for information from insurance companies
- Pull and submit medical records to support claims payment
- Apply knowledge of contracts, agreements, and government guidelines to submit, post, research, and resolve claims or accounts
- Communicate by phone with internal and external representatives
- Analyze remittance to determine allocation of rejections, payments, and adjustments
- Respond to carrier requests for additional documentation
- Review denials and reimbursement issues and challenge or adjust as appropriate
- Update registration information based on payer updates
- Assist with training clerks
- Perform billing activities and other duties as assigned
Benefits
- Health, vision, and dental coverage
- Flexible spending options
- 403(b) retirement package
- Competitive vacation and paid holidays
- Tuition reimbursement
- Paid parental leave
- Employee and Family Assistance Program (EFAP)
- Pet insurance
- On-campus fitness facility with onsite classes
- Discounted rates on select cell phone plans, local fitness facilities, and Milwaukee recreation and entertainment
Location
Wisconsin, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago