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:

Researches and resolves Professional Billing complex service insurance denials and ensures that claims are paid at maximum reimbursement from third party payers, state programs and contracted organizations for Children's Wisconsin.

• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).

• Requires 3 years of experience in claims follow up in health care revenue cycle operations including reimbursement procedures and comprehension of insurance EOB's.

• Exhibits guiding behaviors that reflect Children's values and support our mission and vision.

• Working knowledge of medical terminology, ICD-10, CPT and HCPCS level II codes.

• Strong understanding of payer guidelines, policies and procedures. Excellent verbal and written communication skills.

• Ability to work independently with minimal supervision.

• Strong analytical skills and ability to perform noncomplex arithmetic calculations when determining contractual allowances.

• Must have working knowledge of account reconciliation and third party reimbursements from Commercial, Medicaid and Medicare Carriers.

• Interpersonal skills necessary to efficiently respond to questions from patients, parents, clinic staff and insurance companies to effectively resolve billing issues.

• The ability to multi-task and function effectively in a team environment and maintain effective relationships with coworkers, patients, physicians, management, staff and other customers.

• Proficient in Microsoft Office applications and technology skills required to perform duties.

• Normal office environment where there is no reasonable potential for exposure to blood or other high risk body fluids.

• Prior experience in a hospital system working with professional billing claims and functions preferred. Inpatient and surgical medical billing experience preferred

• Mental Behavioral Health billing experience preferred.

• Experience in Epic Resolute preferred.

• Remote office environment.

This position can be performed fully remote once the first week of onsite training is complete.

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.

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