Top 43 Claims representative Jobs in West Allis, Wi

Account Representative II, HMO - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Milwaukee, WI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Quality control
- Paid parental leave
- Paid holidays
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12d
Field Claim Representative
Germantown Mutual Insurance Company —Germantown, WI
- Full-time
- Hybrid work
- Customer service
- Mid-level
- 3 years
- Profit sharing
- Paid holidays
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8d
Account Rep II, Medicare - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Wauwatosa, WI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Quality control
- Paid parental leave
- Paid holidays
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Member Service Representative- Dental
Dental Associates Ltd —Wauwatosa, WI
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Paid holidays
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Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
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)
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Director of Revenue Cycle
Outreach Community Health Centers —Milwaukee, WI
- $88,666.67 - $104,540.00 a year
- Management
- Writing skills
- Bachelor's degree
- Dental insurance
- Employee discount
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Farmers Insurance Sales Representative
Zachary Perez Farmers Insurance —Hartland, WI
- $60,000 - $80,000 a year
- Full-time
- Business development
- Communication skills
- Marketing
- Paid training
- Paid holidays
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Intake Specialist
Wellpoint Care Network —Milwaukee, WI
- Online Application
- Vital signs
- Microsoft Outlook
- Medical office experience
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Customer Service Representative - State Farm Agent Team Member
Joe Tamm - State Farm Agent —Greenfield, WI
- $40,000 - $55,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
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Pat Financial Svc Rep I
Children's Wisconsin —West Allis, WI
- Full-time
- High school diploma or GED
- Children
- Computer skills
Customer Service Field Representative
Amtraco —Milwaukee, WI
- $52,900 - $54,000 a year
- Full-time
- Word processing
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
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Customer Service Representative - State Farm Agent Team Member
Andy Lesar - State Farm Agent —Hales Corners, WI
- $50,000 - $60,000 a year
- Full-time
- Sales
- Office
- Communication skills
- Paid holidays
- Health insurance
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Multi-Line Representative - State Farm Agent Team Member
Andy Lesar - State Farm Agent —Hales Corners, WI
- $65,000 - $75,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid holidays
- Health insurance
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Customer Service Representative - State Farm Agent Team Member
Adam Chamorro - State Farm Agent —Germantown, WI
- $50,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
Insurance Verification Representative
Novir —Milwaukee, WI
- Seasonal
- Customer service
- Medical office experience
- HIPAA
Quick Apply
Billing Insurance Follow-up
Sixteenth Street Community Health Centers —Milwaukee, WI
- Full-time
- Computer literacy
- English
- Mid-level
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Account Resolution Representative Senior
Children's Wisconsin —West Allis, WI
- Full-time
- Bilingual
- Research
- Mid-level
Customer Service Representative - State Farm Agent Team Member
Laura Ashley - State Farm Agent —Milwaukee, WI
- $40,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
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Field Customer Service
Amtraco —Milwaukee, WI
- $52,900 - $54,000 a year
- Full-time
- Word processing
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Quick Apply

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Account Representative II, HMO - Clinical Practice Services

The Medical College of Wisconsin, Inc. -
Milwaukee, WI

Quick Apply

Job Details

Full-time
12 days ago

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
Tuition reimbursement
Parental leave
Vision insurance
403(b)
Pet insurance

Qualifications

High school diploma or GED

Full Job Description

Summary

As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or account follow-up. Requires extensive use of multiple internal and external computer systems/applications and contact with the above entities.

Hybrid position: 90% Remote, 10% Onsite, must live in Metro Milwaukee, WI area.

Primary Responsibilities

Release of information: Reply to requests for information from insurance companies. Pull the appropriate medical records to submit for claims payment and ensure all proper documentation is present and accurate.
Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts or claims.
Communicate via phone with various representatives, both internally and externally is necessary.
Analyze multiple sources of remittance to determine proper allocation of rejections, payments and/or adjustments, subject to individual carrier guidelines and contractual fee schedules.
Respond to carrier requests for additional information or documentation.
Review carrier denials and/or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately.
Review and update registration to correspond with information received from payer.
Copy and forward remittance advice to appropriate team for follow-up.
Responsible for identifying and escalating contractual carrier issues to the appropriate source.
Assist training Clerks.
Perform necessary billing activities such as claims to maintain team goals or assist other teams.
Other duties as assigned.

Knowledge – Skills – Abilities

Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.
Computer, technical, interpersonal, oral communication, listening, and patience skills.

Qualifications

Minimum Required Education: High school diploma

Minimum Required Experience: 3 years

Preferred Experience: Medical Billing and/or EPIC experience preferred.

#LI-RT1

Why MCW?

Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
Paid Parental Leave
Employee & Family Assistance Program (EFAP)
Pet Insurance
On campus Fitness Facility, offering onsite classes
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview

For a full list of positions see: MCW Careers

At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring – Collaborative – Curiosity – Inclusive – Integrity – Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

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Refine Your Search

claims representative jobs in west allis, wi

Account Representative II, HMO - Clinical Practice Services

Field Claim Representative

Account Rep II, Medicare - Clinical Practice Services

Member Service Representative- Dental

Account Resolution Representative

Customer Service Representative

Director of Revenue Cycle

Farmers Insurance Sales Representative

Intake Specialist

Customer Service Representative - State Farm Agent Team Member

Pat Financial Svc Rep I

Customer Service Field Representative

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Insurance Verification Representative

Billing Insurance Follow-up

Account Resolution Representative Senior

Customer Service Representative - State Farm Agent Team Member

Field Customer Service

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Summary

Primary Responsibilities

Knowledge – Skills – Abilities

Qualifications

Why MCW?

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

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