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MCW: SARGEANT HEALTH CENTER Quality Analyst I in MILWAUKEE, Wisconsin

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 Quality Analyst I you will be responsible for conducting financial audits in relation to professional billing and the various payment methods used to satisfy balances in three CPS billing systems. Audits include validating electronic files posted will have corresponding payments funded in the correct bank, ensure duplicate payments are resolved, manual posting batches are accounted for, and all payment activity is captured in an established reporting system. All job duties contribute to reconciling payments received and funded to payments posted in a billing system. Responsibilities: Using software that exports electronic files, ensure each file is properly identified and posted to the correct billing system. Communicate with FH and CW if the export included payments that belong to their billing system. Access appropriate banking portals to retrieve various payment information. Format data as appropriate for reporting and verification purposes. When information is missing to accurately post a payment, retrieve insurance remits by accessing appropriate online portals. Match remit to payment(s) and prepare for manual batching and posting of payment(s). Determine whether insurance lockbox payments will be funded via EFT or manual check payments. Such payments can change often. Therefore, communicate changes with Cashiering Department for proper reporting and batching. Match daily EFT payments to EDI files or manually received remits. As appropriate, void/reverse payments posted incorrectly or duplicated in the billing system. Track and report various payments and fees not associated with a billing system. Such as, credit card service fees and incentive payments received from an insurance carrier. Depending upon the Tax ID, communicate findings to the correct finance department. Track EDI and EFT payments when uncertain how files will be received, or how payment will be made. Take appropriate action to rectify reconciliation between the Remit/EDI and Check/EFT. Maintain payment, batch, Ref/Check #s, Deposit/Post Date, Insurance/Self-Pay, Insurance Category, and other criteria in a main Excel Spreadsheet. Verify information daily and make appropriate changes when discrepancies are found. Knowledge - Skills - Abilities Knowledge of commercial online banking, EPIC billing system for Professional Billing, Recordkeeping, Extensive knowledge of Microsoft Excel. Computer, technical, interpersonal, oral... 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/2B7E0DB9EDF44AB8 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.

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