Top 42 Billing representative Jobs in Milwaukee Wi

Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
Registration Services Representative - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Milwaukee, WI
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Paid parental leave
- Paid holidays
Quick Apply
Account Resolution Representative Senior
Children's Wisconsin —West Allis, WI
- Full-time
- Bilingual
- Research
- Mid-level
Account Rep Ld Follow-up
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Bilingual
- Mid-level
- Finance
Patient Service Representative - Urology Clinic Phone Room
Advocate Aurora Health —Milwaukee, WI
- $19.80 - $29.70 an hour
- Full-time
- High school diploma or GED
- Clinic
- 1 year
3h
Member Accounting Specialist
Community Care, Inc. —Brookfield, WI
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
12d
Customer Service Representative
Allstate Insurance Agency - David Kelley —Milwaukee, WI
- $55,000 - $80,000 a year
- Full-time
- Computer literacy
- Office
- High school diploma or GED
- Paid training
- 401(k)
Quick Apply
Billing Insurance Follow-up
Sixteenth Street Community Health Centers —Milwaukee, WI
- Full-time
- Computer literacy
- English
- Mid-level
Quick Apply
Billing & Collections Analyst
Steele Solutions —Milwaukee, WI
- Full-time
- Computer literacy
- Basic math
- Research
Quick Apply
Pat Access Rep I, .5 FTE, 3rd shift
Children's Wisconsin —Milwaukee, WI
- Part-time
- Hospital
- Computer literacy
- Windows
Clinic Service Representative - Bayshore
Children's Wisconsin —Fox Point, WI
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
Insurance Verification Representative
Novir —Milwaukee, WI
- Seasonal
- Customer service
- Medical office experience
- HIPAA
Quick Apply
8d
Patient Service Representative 1- Hospital
Advocate Aurora Health —Grafton, WI
- $20.80 - $31.20 an hour
- Part-time
- CPR Certification
- Hospital
- Computer literacy
5d
Medical Billing Payment Poster- Pewaukee
ORTHOPAEDIC ASSOCIATES OF WISCONSIN —Pewaukee, WI
- Part-time
- Hybrid work
- Basic math
- Mid-level
- Office
Quick Apply
Supervisor, Hospital Billing (Remote)
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Data analysis skills
- Mid-level
- Analysis skills
Credit & Collections Specialist
FCA Packaging —Brookfield, WI
- $22 - $25 an hour
- Full-time
- Basic math
- Mid-level
- Office
Quick Apply
3d
Customer Service- Call Center for Medical Bil
Fusion Anesthesia Solutions —Brookfield, WI
- $20 - $23 an hour
- Full-time
- Bilingual
- Communication skills
- Entry level
Quick Apply
Patient Relations Representative III - Neuropsychology
The Medical College of Wisconsin, Inc. —Milwaukee, WI
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Paid parental leave
- Paid holidays
Quick Apply
Pat Access Rep I, Casual
Children's Wisconsin —New Berlin, WI
- Part-time
- Hospital
- Computer literacy
- Windows
Director of Revenue Cycle
Outreach Community Health Centers —Milwaukee, WI
- Management
- Writing skills
- Bachelor's degree
- Dental insurance
- Employee discount
Quick Apply

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Account Resolution Representative

Children's Wisconsin -
West Allis, WI

Apply Now

Job Details

Full-time

Benefits

Flexible schedule

Qualifications

High school diploma or GED
Medical explanation of benefits reviews

Full 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/

Job Summary
The Account Resolution Representative is responsible for obtaining fiscal resolution of Government, Medicaid HMO, and Commercial insurance claims. Fiscal resolution is accomplished through following governmental regulations and guidelines & commercial insurance contractual agreements to ensure facility is receiving proper payment for services rendered. The Account Resolution Representative is responsible for investigation of claims denials, insurance processing errors, & open no response claims; in addition to verification accounts are with the correct payer liability and balance. The role also requires follow up on previously actioned on denials, escalation of stalled claims, and identification of payer specific trends to escalate with the Hospital Billing leadership team.

Essential Functions

Utilizes Hospital computer billing system(s) (Epic) to follow-up on unpaid, underpaid, and credit balance claims ensuring timely filing guidelines are followed.
Verifies accounts are with the correct payer liability and balance with the payer by utilizing payer websites and electronic eligibility clearinghouses to verify the accuracy of the patient insurance information. Ensures timely claim submission(s).
Performs comprehensive collection actions including contacting patients/parents, insurance companies, correcting and resubmitting claims. Documents activities in the appropriate system.
Responsible for responding to and resolving claim denials by filing appeals in accordance with individual payer requirements.
Identifies and escalates denials to RN Auditors per applicable departmental policies and procedures.
Analyzes payer errors and/or denials to identify trends. Escalates trends and high volume issues to Lead and Management to lessen impact on Cash flow.
Validates and facilitates release of information (ROI) requests for patient medical records from external requestors (insurance payers and third-party vendors) in a timely and efficient manner. Partners with Release of Information team and vendor to ensure deadlines related to release of information are met to avoid denials and financial risks to Children’s Wisconsin. Ensures accuracy and quality of the medical records processed and released.
Investigates credit balances to include research of EOB’s and verification of accurate contractual discounts. Review written requests for refunds from insurance companies and other payers to protect CHW’s financial interests and completes appropriate paperwork for management authorization.
Maintains current knowledge of all payer contracts and third party payer billing/ reimbursement policies for all lines of business (Government, HMO and Commercial).
Reviews and enters adjustment requests as appropriate using departmental specific adjustment codes.

Legacy Essential Functions

Works with Lead to resolve complex claims issues using all available departmental resources.
Complies with productivity standards while maintaining quality levels. Documents all work in accordance with departmental standards.
Responsible for understanding and adhering to the Children’s Organizational Code of Ethics and for ensuring that personal actions comply with the policies, regulations and laws applicable to Children's business.
Utilizes appropriate tools and resources to assist in the processing and follow up of claims, such as Adobe, RightFax and payer and vendor websites.

Education:

High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) Required
Associate's Degree or higher in Medical Billing and Coding, in Health information Management, Healthcare Services Management, Health Information Technology Preferred or
Associate's Degree in a business related field Preferred

Experience:

2+ years experience in claims follow up , HCFAs and/or UB-04’s (preferably in a hospital setting) including insurance reimbursement procedures and comprehension of insurance EOB’s Required
General pediatric and/or pediatric subspecialty experience Preferred
Prior Epic experience Preferred

Knowledge, Skills and Abilities:

Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Basic knowledge and understanding of medical terminology and human anatomy and disease processes.
Basic knowledge of ICD-10, CPT and HCPCS level II codes.
Demonstrates accuracy and attention to detail.
Demonstrated strong problem solving skills including the ability to handle difficult situations.
Ability to prioritize, organize and meet deadlines.
Excellent verbal and written communication skills.
Ability to work independently with minimal supervision.
Comfortable in both making decisions and acting.
Ability to multi-task and function effectively in a team environment and maintain effective relationships with coworkers, vendors and payers.
Advanced computer skills including in using Microsoft Office products, Adobe, electronic mail and/or electronic health information records systems and proficient keyboarding skills.

Required for All Jobs:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
Employment is at-will. This document does not create an employment contract, implied or otherwise.

Remote Position!
Flexible schedule
Epic preferred
2+ years in claims follow‑up with HCFAs/UB‑04s and insurance reimbursement/EOB comprehension required
Pediatric or pediatric subspecialty experience preferred
Prior Epic experience 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:

Apply Now

Refine Your Search

billing representative jobs in milwaukee wi

Account Resolution Representative

Registration Services Representative - Clinical Practice Services

Account Resolution Representative Senior

Account Rep Ld Follow-up

Patient Service Representative - Urology Clinic Phone Room

Member Accounting Specialist

Customer Service Representative

Billing Insurance Follow-up

Billing & Collections Analyst

Pat Access Rep I, .5 FTE, 3rd shift

Clinic Service Representative - Bayshore

Insurance Verification Representative

Patient Service Representative 1- Hospital

Medical Billing Payment Poster- Pewaukee

Supervisor, Hospital Billing (Remote)

Credit & Collections Specialist

Customer Service- Call Center for Medical Bil

Patient Relations Representative III - Neuropsychology

Pat Access Rep I, Casual

Director of Revenue Cycle

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