Job details

Credit Resolution Rep

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: https://www.instagram.com/lifeatcw/The Credit Resolution Rep will be responsible for researching and resolving all Professional Billing credit balances. This role will also be responsible for reviewing insurance underpayments to ensure claims are paid at maximum reimbursement from third party payers, state programs and contracted organizations for Children’s Wisconsin and Children’s Specialty Group. This role is also responsible for following-up on customer inquiries related to credit balances.• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).• Requires 3 years of experience in health care revenue cycle operations including comprehension of insurance EOB’s.• Pediatric experience a plus.• Exhibits guiding behaviors that reflect Children’s values and support our mission and vision.• Working knowledge of medical terminology, ICD-10 and CPT.• Excellent verbal and written communication skills.• Ability to work independently with minimal supervision.• Interpersonal skills necessary to efficiently respond to questions from patients, parents, clinic staff and insurance companies to effectively resolve billing issues.• Proficient in Microsoft Office applications and technology skills required to perform duties.• 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.• Normal office environment where there is no reasonable potential for exposure to blood or other high risk body fluids.• Normal hybrid office environment.• Prior experience in a large health system working with professional billing claims and functions preferred.• Prior hospital billing experience preferred.• Medical billing experience preferred.• Prior credit resolution/payment posting experience preferred.• Experience in Epic Resolute preferred.This job will be hybrid and include onsite and virtual work.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.Certifications/Licenses:

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CEO of Children's Wisconsin

Peggy Troy

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What You Should Know About Credit Resolution Rep, Children's Wisconsin

Join the team at Children's Wisconsin as a Credit Resolution Rep in beautiful Summit, NJ! At Children’s Wisconsin, we believe that every child deserves the best care, and we’re dedicated to achieving our vision of the healthiest kids in the country. As a Credit Resolution Rep, you will play a pivotal role in managing and resolving Professional Billing credit balances while ensuring that our insurance claims are maximizing reimbursements from third-party payers. You'll collaborate with various teams, engage with patient inquiries, and utilize your expertise in healthcare revenue cycle operations. We are looking for someone who has strong communication skills and can thrive in a dynamic environment, all while aligning with our core values of respect and inclusion. If you possess a high school diploma or GED, have three years of relevant healthcare experience, and familiarity with medical billing practices, we consider you a perfect fit. Experience in pediatric care and proficiency in medical terminology will certainly give you an edge. Plus, consider the benefits of a hybrid work environment that balances both onsite and virtual work. Ready to make a difference in the lives of children and families while advancing your career in healthcare? We encourage you to apply today for this rewarding opportunity at Children’s Wisconsin!

Frequently Asked Questions (FAQs) for Credit Resolution Rep Role at Children's Wisconsin

What are the main responsibilities of a Credit Resolution Rep at Children's Wisconsin?

As a Credit Resolution Rep at Children’s Wisconsin, you will be tasked with researching and resolving Professional Billing credit balances. Your responsibilities will also include reviewing and addressing insurance underpayments to ensure that we maximize reimbursements from third-party payers. Additionally, you will handle customer inquiries regarding credit balances, which is crucial for maintaining effective patient relationships.