Account Resolution Rep II PB - Remote

CHS Children's Hospital and Health System, Inc.(1 month ago)

RemoteFull TimeMedior$98,611 - $131,691 (estimated)Revenue Cycle

About this role

The role focuses on researching and resolving complex professional billing insurance denials to ensure claims are paid at maximum reimbursement from third-party payers, state programs, and contracted organizations. The position supports the health system’s revenue cycle by maintaining knowledge of payer contracts and billing guidelines and by managing follow-up actions and appeals to obtain appropriate payment. This role contributes to accurate claim resolution and collaborates with coding and leadership teams as needed.

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Required Skills

Claims Follow-Up
Insurance Denials
CPT Coding
ICD-10
Appeals Management
Account Reconciliation
Payer Guidelines
Epic Resolute
Microsoft Office
Analytical Skills

+1 more

Qualifications

High School Diploma or GED

About CHS Children's Hospital and Health System, Inc.

childrenswi.org

Children’s Wisconsin is a leading pediatric health system dedicated to providing expert care for children and teens. The organization prioritizes the physical, mental, and social well-being of its young patients through comprehensive medical services and support programs. With a focus on innovation and research, Children’s Wisconsin strives to improve health outcomes and enhance the overall experience for families and healthcare professionals. It is recognized for its commitment to compassionate care and advancing pediatric medicine in the region.

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