Account Research Rep II

Position Description:
Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW … changemaking for a healthier Wisconsin.

In the role of Account Research Rep II you will provide support to Account Research area of the billing office especially in the Oracle system. Audit patient accounts for appropriate reimbursement, adhering to CPS refund policies, governmental regulations and guidelines, and multiple MCW contractual agreements with various insurance carriers.

Responsibilities:

  •  Process refund information extracted from IDX BAR system by Account Research staff into the Oracle system.

  •  Analyze patient accounts to retrieve appropriate payment copy information for Account Research Team.

  •  Reconcile special reports generated within team.

  •  Produce monthly Oracle reports for MCW Finance Department.  Work Charge Error and Do Not Bill Reports.

  •  Audit and verify incorrect payment allocation, duplicate payment of service, and payments made to MCW in error.  Re-allocate, correct, or refund upon completion of audit.

  •  Apply all CPS refund policies, governmental guidelines, and MCW contractual agreements to determine appropriate action in each situation.

  •  Possess a complete knowledge of the AES refund application in order to process refunds within IDX.

  •  Audit the accuracy of a money move or miscellaneous write-off requests to ensure that the correct level of authorization was provided.

  •  Provide assistance to the Accounting team and the Posting team as required. 

Knowledge – Skills – Abilities:
Medical insurance billing, reimbursement procedures, and payment allocation. IDX software application and CPT-4 and ICD-9 coding regulations knowledge. Computer knowledge in Windows and Microsoft applications.

Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.

Computer, technical, interpersonal, oral communication, listening, and patience skills.

Preferred Schedule:

Position Requirements:

Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis

Minimum Required Education:                High school diploma

Minimum Required Experience:              3 years

#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
• 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 full list of positions see: www.mcw.edu/careers  

For a brief overview of our benefits see: https://www.mcw.edu/departments/human-resources/benefits

Eastern Wisconsin is a vibrant, diverse metropolitan area.  MCW is intent on attracting, developing, and retaining a diverse workforce and faculty body that reflects the community we serve. We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine.  MCW is a welcoming campus community with a strong culture of collaboration, partnership, and engagement with our surrounding community. For more information, please visit our institutional website at https://www.mcw.edu/departments/office-of-diversity-and-inclusion . 

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 a diverse 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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