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MCW: SARGEANT HEALTH CENTER Reimbursement Manager in MILWAUKEE, Wisconsin

JOB REQUIREMENTS: Position Description: Every great life-changing discovery begins the same way-with new knowledge. It can change everything, from a single life to the future of entire communities. That\'s why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). Purpose The role of Reimbursement Manager serves as physician and staff resource to maximize professional billings and reimbursements. Partner with Clinical Practice Services (CPS) Billing and Collection staff and related Children\'s and Froedtert clinics and ancillary areas to improve processes and maximize collections for the department of Emergency Medicine, within regulatory guidelines. Acts as liaison and integrates systems related to patient registration, managed care referrals/authorizations, charge capture, medical records, coding/billing, insurance companies, denials process, reimbursement team activities and collection department activities in order to maximize charge capture and collections. Performs physician and staff training with respect to billing and collection. Primary Functions Work closely with Clinical Practice Services (CPS) team. Monitors the appropriateness of coding, documentation and charge capture process. Assists with the resolution of problems with respect to coding and documentation. Coordinate and monitor activities with respect to: clinic charge capture reconciliation, offsite charge capture, pre-authorization activity, insurance updates, encounter forms etc. Reimbursement Manager acts as a resource for insurance and/or coding questions. Act as liaison with affiliate hospitals\' registration, charge entry staff, reimbursement team, collections department, physicians and medical records to ensure maximum charge capture, billing and collections for services. Attends meetings, discusses issues as needed and assists with resolution of interdepartmental billing problems as needed. Assists in the development of improvement initiatives for any issues that are identified. Monitor and follow-up on invoices through review, investigation and communication with the reimbursement team, billing specialists and other departments. Prepare monthly reports as decided upon by the department, monthly write-off reports and ad hoc reports and physician logs. Conduct audits when necessary. Monitor weekly charge/payment reports to ensure appropriate work and cash flow for the services. Monitor trends and assist with the resolution of billing problems in order to decrease the number of write-offs and increase collections. Provide on-going training/education... For full info follow application link. EEO/AA Minorities/Females/Vets/Disability The Medical College of Wisconsin is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, veteran status, disability or sexual orientation. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/80AA8C1448C24E55 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.

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