JOB REQUIREMENTS: 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 be working in the Clinical Practice Services (CPS) department. The Credit Resolution team is responsible to review all unresolved credits and provider level adjustment on professional billing invoices. The department is also responsible to complete internal/external account charge correction requests. All tasks are to be facilitated in accordance with CPS refund policies, governmental regulations, and guidelines, and multiple MCW contractual agreements with various insurance carriers.Responsibilities: Audit and verify incorrect payment allocation, duplicate payment of service, and payments made to MCW & CP in error. Re-allocate, correct, or refund upon completion of audit. Review credits on patient account invoices and utilize internal and external resources and/or call insurance company to retrieve appropriate remittance advice (EOB) for further credit review and determination. Reconcile refund request reports generated within team. Post and link refund request letters to corresponding invoice Review Provider Level Adjustment WQ (PLB) for account/remittance resolution. Complete Epic charge corrections on patient accounts based upon request from internal and external departments. Apply all CPS refund policies, governmental guidelines, and MCW contractual agreements to determine appropriate action in each situation. Provide assistance to the Accounting team and the Posting team as required. Complete special projects as assigned by Supervisor. Knowledge - Skills - Abilities: Medical insurance billing, reimbursement procedures, and payment allocation. Epic 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, and oral communication 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: High school diploma Minimum Required Experience: 2 years #LI-RT1 Why MCW? Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental.... 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/45518FD0A1774572 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.