Jobs
>
Milwaukee

    Billing Follow Up Rep I - Milwaukee, United States - Advocate Health

    Advocate Health
    Advocate Health Milwaukee, United States

    1 week ago

    Default job background
    Regular, Full time
    Description

    MAJOR RESPONSIBILITIES

    • Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.
    • Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources.
    • Ability to timely and accurately communicate with internal teams and external customers (ie; third party payors, auditors, other entity) and acts as a liaison with external third party representatives to validate and correct information.
    • Comprehends incoming insurance correspondence and responds appropriately. Identifies and brings patterns/trends to leaderships attentionre:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.
    • Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors.
    • Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.
    • Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.
    • Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH.
    • This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate accountinformation. Approval needed to write off balance's according to corporate policy. Issues outside normal scope of activity and responsibility.

    MINIMUM EDUCATION AND EXPERIENCE REQUIRED

    • Level of Education: High School Diploma or General Education Degree (GED)
    • Years of Experience: Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.

    MINIMUM KNOWLEDGE, SKILLS AND ABILITIES (KSA)

    • Must perform within the scope of departmental guidelines for productivity and quality standards.
    • Works independently with limited supervision.
    • Accountable and evaluated to organization behaviors of excellence
    • Basic keyboarding proficiency.
    • Must be able to operate computer and software systems in use at Advocate Aurora Health.
    • Able to operate a copy machine, facsimile machine, telephone/voicemail.
    • Ability to read, write, speak and understand English proficiently.
    • Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
    • Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
    • Ability to communicate well with people to obtain basic information (via telephone or in person).

    This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

  • The Bartolotta Restaurants

    Maintenance Tech

    1 day ago

    The Bartolotta Restaurants Milwaukee, United States

    : · **_ · Job Summary:_** · The Maintenance Technician provides service for all onsite installation, repair, and maintenance needs within The Bartolotta Restaurants. · **_ Supervisory Responsibilities:_** · - None · **_ Duties/Responsibilities:_** · - Properly troubleshoots, diag ...

  • BRADY WORLDWIDE INC

    Technical Support Representative

    1 week ago

    BRADY WORLDWIDE INC Milwaukee, United States

    **Who we are**: · **Why work at Brady**: · A career at Brady means working for a global company that has thrived for over 100 years, and whose innovative spirit drives our future growth. · Brady offers competitive pay and great benefits, supported by a culture that encourages col ...

  • MILWAUKEE CENTER FOR INDEPENDENCE INC

    Receptionist-whcg

    14 hours ago

    MILWAUKEE CENTER FOR INDEPENDENCE INC Milwaukee, United States

    **Job Purpose**: This is a professional position that performs a variety of clerical/support activities that create efficient and effective communication within the organization. · **Reporting Relationships** · **Reports To**: Whole Health Clinical Group (WHCG) Front Office Manag ...

  • Bliffert Lumber

    Inside Counter Sales

    14 hours ago

    Bliffert Lumber Cudahy, United States

    Inside/Counter Sales Associate · Primary Objectives of the Inside/Counter Sales Associate · - Provide sales and customer service support to both retail and contractor customers utilizing knowledge of sales techniques and company product and service knowledge. Assist customers wit ...

  • nVent

    Customer Service Representative

    4 days ago

    nVent New Berlin, United States

    We're looking for people who put their innovation to work to advance our success - and their own. Join an organization that ensures a more secure world through connecting and protecting our customers with inventive electrical solutions. · nVent, Located in New Berlin, WI is addin ...

  • Performance Foodservice

    Transportation Router

    1 week ago

    Performance Foodservice Oak Creek, United States

    **Company Description** · Performance Foodservice, PFG's broadline distributor, maintains a unique relationship with a variety of local customers, including independent restaurants and hotels, healthcare facilities, schools, and quick-service eateries. A team of sales reps, chefs ...

  • Performance Foodservice

    Transportation Supervisor

    1 week ago

    Performance Foodservice Oak Creek, United States

    **Company Description** · Performance Foodservice, PFG's broadline distributor, maintains a unique relationship with a variety of local customers, including independent restaurants and hotels, healthcare facilities, schools, and quick-service eateries. A team of sales reps, chefs ...

  • Modine Manufacturing Company

    Call Center Supervisor

    5 days ago

    Modine Manufacturing Company Racine, United States

    Position Description · The Call Center Supervisor has overall ownership for the aftersales Call Center group including hiring and training of Quality/Service Specialists, establishing goals for call center and techs, and establishing processes to resolve and document any customer ...

  • Enerpac Tool Group Corp

    Director of Marketing, Americas Commercial

    6 days ago

    Enerpac Tool Group Corp Menomonee Falls, United States

    Overview: · **ENERPAC TOOL GROUP - Who we are?** · Enerpac Tool Group Corp. is a premier industrial tools, services, technology, and solutions provider serving a broad and diverse set of customers in more than 100 countries. The Company makes complex, often hazardous jobs possibl ...

  • Milwaukee Repertory Theater

    Bartender

    5 days ago

    Milwaukee Repertory Theater Milwaukee, United States

    Job Type · Part-time · Description · Milwaukee Repertory Theater, a LORT theater located in the heart of Wisconsin's largest metropolitan area, is currently seeking applicants for part-time Bartenders for the 2022/23 Season . If you are responsible, efficient and a team player, ...

  • Milwaukee Repertory Theater

    Associate Director of Development

    5 days ago

    Milwaukee Repertory Theater Milwaukee, United States

    Job Type · Full-time · Description · Milwaukee Repertory Theater is seeking an experienced, outgoing, and organized Associate Director of Development, Events & Stewardship to plan and execute institutional donor cultivation and stewardship events, including Milwaukee Rep's Annu ...

  • Lakeside Manufacturing, Inc

    Rep Manager: Foodservice Division

    1 day ago

    Lakeside Manufacturing, Inc Milwaukee, United States

    Job Description · Job DescriptionRole Description · Summary · Under the direction of the EVP of Sales, the Rep Manager is responsible for enhancing independent sales representative's effectiveness with sales and productivity. This encompasses the analysis and support of pricing, ...

  • Zurn Elkay Water Solutions

    Regional Sales Manager

    3 days ago

    Zurn Elkay Water Solutions Milwaukee, United States

    Regional Sales Manager - South Central (Plumbing & Mechanical)The CompanyZurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. We're a fast growing, publicly traded company (NYSE: ZWS), with an enduring reputation for integ ...

  • Cavalier Workforce, Inc.

    Patient Access Service Rep- FCH

    5 days ago

    Cavalier Workforce, Inc. Milwaukee, United States

    Duties: · The Patient Access Service Rep (PASR), follows the Froedtert and the Medical College Performance Excellence Customer Service Standards. Greets and arrives patients. Verifies and updates demographic information. Collects monies for copays, supplies, and services rendere ...

  • Wild Mind Ales

    THC Sales Rep

    2 days ago

    Wild Mind Ales Milwaukee, United States

    Job Summary: Wild Mind Ales is seeking an experienced THC Sales Rep for our fast growing WLD WTR cannabis beverage brand to cover the Milwaukee, WI market area. The THC Sales Rep is responsible for working closely with our on and off premise accounts, being a creative force in he ...

  • Lakeshirts

    Sales Representative I Blue 84 Resort Division

    3 days ago

    Lakeshirts Milwaukee, United States

    Job Description · Job DescriptionWOW OUR CUSTOMERS & SELL. THOSE. TEES...AND HATS...AND STICKERS...AND SOCKS... · THE OPPORTUNITY: We launched our company in 1984, servicing the apparel needs of resorts around our home of Detroit Lakes in northern Minnesota. Fast forward to today ...

  • Adecco USA

    Client History Interviewer

    1 week ago

    Adecco USA Milwaukee, United States

    Client History Interviewer · $19.00 · Hours: 10:40 a.m. - 7:10 p.m. · So, you're looking for a Customer Service / Clerical position in the Milwaukee area. Adecco's got one that adds up to a great career opportunity for you. If you're a motivated professional with a customer ...

  • Quad/Graphics, Inc.

    Estimator

    1 week ago

    Quad/Graphics, Inc. West Allis, United States

    > As a global marketing experience company, Quad's goal is to help our clients win every day. We use our data-driven integrated marketing and manufacturing platform to streamline solutions for our clients, reduce friction and enhance their marketing spend effectiveness. We've bui ...

  • Milwaukee Repertory Theater

    Next Narrative Monologue Competition

    1 week ago

    Milwaukee Repertory Theater Milwaukee, United States

    Job Type · Part-time · Description · POSITION SUMMARY · The Next Narrative Monologue Competition (NNMC) Program Coordinator is responsible for recruitment, training, and supporting all administrative functions of the Milwaukee Regionals for this national competition. This is a ...

  • TEKsystems

    REMOTE Bilingual

    4 days ago

    TEKsystems Milwaukee, United States

    -Must be Fluent in Spanish/English for this role and have 3+ years of call center experience. Good tenure (at least 2+ years in your previous roles are preferred) · Description: · Responsible for conducting client history telephone interviews by interview type and can handle mode ...