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Job Title: Insurance Verification Rep - Pediatric Psychology & Developmental Medicine (Part-time)
Location: Milwaukee, WI United States
Position Type: Full Time
Post Date: 09/23/2021
Expire Date: 11/23/2021
Job Categories: Healthcare, Other
Job Description
Insurance Verification Rep - Pediatric Psychology & Developmental Medicine (Part-time)
POSITION TITLE Part-Time Insurance Verification Representative

We’re looking for those individuals—the creative thinkers and innovation seekers—who are content with nothing short of changing the world. Discover the endless opportunities within the Medical College of Wisconsin and be inspired by the work we can do together to improve health, and make a positive, daily impact in our communities.

In the role of a part-time 20 hours per week Insurance Verification Representation working in Brookfield, Wisconsin. The Insurance Verification Representation will under general supervision, perform routine and some advanced administrative duties requiring general knowledge of insurance verification policies and procedures.


Contact insurance companies and utilize online tools to verify insurance benefits for outpatient and inpatient visits at the Child Development Center.
Complete and process prior authorizations as directed. Monitor number of patient visits per authorization. Complete pre-certifications.
Perform data entry of billing information into Epic.
Answer and resolve telephone inquiries regarding billing and insurance issues.
Assist callers with inquiries requesting estimates for services.
Advise providers regarding insurance changes and be familiar with CPT, DSM-5 and ICD-10 coding.
Coordinate self-pay arrangements for patient families.
Monitor monthly patient activity reports.
Receive and verify new patient referrals from PCPs. Contact provider or parents to assist with CDC referral process.
Provide assistance as needed to the Patient Scheduling Reps.
Perform other duties as assigned.

Knowledge – Skills – Abilities

Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping. Knowledge of medical billing and coding including CPT, DSM-5 and ICD-10. Computer, technical, interpersonal, oral communication, listening, and patience skills.

Preferred Schedule:
Part-Time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.

Qualifications & Requirements
Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis

Minimum Required Education: High school diploma
Minimum Required Experience: 1 year

Preferred Experience: Previous experience with medical billing and coding

Why MCW?

Outstanding Healthcare Coverage, including but not limited to Health, Vison, and Dental. Along with Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
On campus Fitness Facility, offering onsite classes.
Additional discounted rates on things as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.
For a full list of positions see: www.mcw.edu/careers

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination
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.

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Company Description:
Commitment to Diversity MCW is one of the largest healthcare employers in Wisconsin. We are committed to creating an inclusive and welcoming workplace that includes individuals with diverse backgrounds and experiences. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. We strive to integrate our human and social differences into MCW’s functioning, strategies and culture to create a diverse and equitable workplace. If you believe embracing individuality and working together makes us stronger, then MCW is the place for you. People of color, women, LGBTQIA+, veterans and persons with disabilities are encouraged to apply. About MCW The Medical College of Wisconsin (MCW) is one of the largest healthcare employers in Wisconsin. We are a distinguished leader and innovator in the education and development of the next generation of physicians, scientists, pharmacists and health professionals; we discover and translate new knowledge in the biomedical and health sciences; we provide cutting-edge, collaborative patient care of the highest quality; and we improve the health of the communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. We are the second largest Medical College in the state of Wisconsin that also is a leader in research and employs a large amount of providers for Southeastern Wisconsin.
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