Account Rep IV - Medicare

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 Rep IV you will be working in Clinical Practice Services (CPS). This role provides support for supervisor in the areas of claims submission, posting, account follow-up, and review. Assists the supervisor to monitor, review and direct daily workflow. Assists establishing and implementing team goals, policies and procedures. Develops training plan and monitor training needs for the team. Resolves escalated billing issues.

Hybrid Position: 90% Remote & 10% Onsite

Responsibilities:

• Analyze, prioritize, and delegate tasks to all team members to ensure operational effectiveness and efficiency in meeting organizational goals and deadlines.
• Assist the supervisor in establishing training and quality assurance processes for new and existing staff. Identify problems in operations or personnel and make recommendations. Assist in team planning (goals and objectives). Assist writing and implementing policies and/or procedure changes.
• Resolve issues presented by Account Representative II and III's. Assume responsibility for the team in the supervisor's absence on a short-term basis.
• Maintain knowledge of contracts associated with MCW and regulations and changes in the healthcare industry.
• Train and mentor senior level staff as required on all system functions and changes and assist in the training of employees as needed.
• Monitor trends in activity and provide reports to supervisor.
• Participate in external and internal meetings and/or committees.
• Establish and maintain external and internal communications.
• Assist team in daily work activities to maintain established work goals.
• Perform necessary billing activities to maintain team goals.

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.

Preferred Schedule:



Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.

Position Requirements:

Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis

Minimum Required Education: Associate's degree

Minimum Required Experience: 5 years

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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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