JOB REQUIREMENTS: Position Description: Every great life-changingdiscovery begins the same way-with new knowledge. It can changeeverything, from a single life to the future of entire communities.That\'s why academic medicine, and the continuous pursuit of knowledge,is at the center of everything we do at the Medical College of Wisconsin(MCW). As an Account Rep II on the Medicaid Team, you will submit, post,and secure maximum allowable reimbursement from third-party carriers,government programs and Health Maintenance Organizations in the areas ofclaims submission and/or account follow-up. Requires extensive use ofmultiple internal and external computer systems/applications and contactwith the above entities. Responsibilities: * Apply extensive knowledgeof multiple contracts, agreements and government guidelines/regulationsto submit, post, research and/or resolve accounts or claims. *Communicate via phone with various representatives, both internally andexternally is necessary. * Analyze multiple sources of remittance todetermine proper allocation of rejections, payments and/or adjustments,subject to individual carrier guidelines and contractual fee schedules.* Respond to carrier requests for additional information ordocumentation. * Review carrier denials and/or unacceptablereimbursement to (a) challenge the determination or (b) adjustappropriately. * Review and update registration to correspond withinformation received from payer. * Copy and forward remittance adviceto appropriate team for follow-up. * Responsible for identifying andescalating contractual carrier issues to the appropriate source. *Assist training Clerks. * Perform necessary billing activities such asclaims to maintain team goals or assist other teams. Knowledge -Skills - Abilities Knowledge of quality control, customer servicestandards, information management, procedural process, andrecordkeeping. Computer, technical, interpersonal, oral communication,listening, and patience skills. Preferred Schedule: PositionRequirements: Specifications Minimum Qualifications: Appropriateexperience may be substituted for education on an equivalent basisMinimum Required Education: High school diploma Minimum RequiredExperience: 3 years #LI-NK1 Why MCW? Outstanding Healthcare Coverage,including but not limited to Health, Vision, and Dental. Along withFlexible Spending options 403B Retirement Package Competitive Vacationand Paid Holidays offered Tuition Reimbursement Paid Parental Leave Fora full list of positions see: For a brief overview of our benefits see:Eastern Wisconsin is a... For full info follow application link. EEO/AAMinorities/Females/Vets/Disability The Medical College of Wisconsin isan affirmative action/equal opportunity employer and does notdiscriminate in hiring or employment on the basis of age, sex, race,color, religion, national origin, veteran status, disability or sexualorientation. ***** APPLICATION INSTRUCTIONS: Apply Online:ipc.us/t/C5081C0F6C0044ED Qualified females, minorities, and specialdisabled veterans and other veterans are encouraged to apply.