Account Resolution Rep I PB

Posted 2 Days Ago
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West Allis, WI
Junior
Healthtech
The Role
The Account Resolution Rep I at Children's Wisconsin resolves insurance billing denials and follows up on claims for outpatient services. Key responsibilities include understanding insurance EOBs, effective communication with patients and providers, and utilizing Microsoft Office for record-keeping.
Summary Generated by Built In

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:

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The Company
Milwaukee, WI
4,392 Employees
On-site Workplace
Year Founded: 1894

What We Do

Children’s Wisconsin is the region’s only independent health care system dedicated solely to the health and well-being of children. We offer a wide range of care and support for children of all ages. Our services include medical care, dental care, child and family counseling, foster care, adoption, social services, child advocacy and injury prevention

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