Patient Relations Rep III
Medical College of Wisconsin
- Milwaukee, WI
- Permanent
- Full-time
- Facilitates accurate authorizations and referrals by using insurance processes and regulations, Neuropsychology data and procedural coding.
- Maintain working knowledge of MCW and affiliate computerized scheduling systems (i.e., Epic,). Utilize appropriate on-line system to verify insurance and government aid eligibility.
- Work with financial team and patient to ensure payment for services rendered based on situation.
- Identifies eligibility by interpreting contract provisions and processes.
- Communicates approval and denial results to internal and external customers.
- Develops and maintains policies and procedures.
- Works with team on regular basis to conduct training for contract evaluation and management and to identify workflow and process improvements.
- Provides support to physicians, clinical and administrative staff regarding pre-authorization appeals and disputes.
- In person or via telephone, check patients in for their appointment, schedule patient new and follow up appointments, update patient accounts, collect patient demographic and insurance information and answer routine questions regarding medical billing.
- Independently exercise judgment to resolve more complex customer concerns. Transfer concerns to more appropriate personnel when required.
- Documents in electronic medical record and other software tools that are essential to the clinic.
- Coordinate multiple appointments for patients participating in our multi-disciplinary clinics.
M-F 8-4:30 or 830-500Position Requirements:Appropriate experience may be substituted on equivalent basisMinimum Required Education: High school diploma
Minimum Required Experience: 3 years
Preferred Experience: Knowledge of Insurance verification process and portals, EPICWhy 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.
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..