Account Resolution Rep Sr

Posted 12 Days Ago
Be an Early Applicant
Summit, NJ
Mid level
Healthtech
The Role
The Sr. Account Resolution Rep is responsible for reviewing, following up, and collecting government, HMO, and commercial insurance accounts receivable. The role involves ensuring claims are processed appropriately for cash collections, primarily dealing with inpatient, surgical, and oncology accounts, while also assisting with other patient claims as needed.
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/

The Sr. Account Resolution Rep is responsible for the review, follow-up and collection of Government, HMO, and Commercial insurance accounts receivable. This role performs comprehensive follow-up activities that facilitates cash collections and ensures that claims are paid according to contract or at the accepted reimbursement dollar amount. The Sr. Account Resolution Rep is generally responsible for inpatient, surgical, and oncology accounts but may be called on to assist with other patient claims.

  • High school diploma or equivalent required plus three or more years experience of claims follow up , HCFAs and/or UB-04's (preferably in a hospital setting) including insurance reimbursement procedures and comprehension of insurance EOB's is required.

  • General pediatric and/or pediatric subspecialty experience is a plus.

  • Working knowledge of medical terminology, ICD-9, CPT and HCPCS level II codes.

  • Prior EPIC, QSI or IDX experience is strongly preferred.

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:

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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