Froedtert Health

Discover. Achieve. Succeed. #BeHere

Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.

This job is fully REMOTE.

FTE: 1.000000

Standard Hours: 40

Shift: 1st

Shift Details: Standard office hours are 8am - 4:30pm but there is flexibility with your schedule.

Job Summary:

Responsible for collecting, analyzing, and distributing denial and write off data for federal, state and commercial payers. Identifies trends and issues related to denials and write offs. Works with other departments including Admitting, Health Information Management (HIM), Case Management, clinical staff, Resource Management and Patient Financial Services (PFS) to implement process improvements for denial and write off reduction strategies. Other duties as assigned.

EXPERIENCE:

• Minimum of five years of hospital billing office, or utilization review or coding experience in a hospital setting is required.
• Experience in denial management is preferred.

EDUCATION:

• Bachelor's Degree is required.
• In lieu of degree equivalent relevant hospital experience is required. Relevant experience would include: team lead or supervisor experience in a hospital billing office, extensive experience leading denial management activities including report writing, leading workgroup activities related to denials, implementing denial reduction tactics, and tracking of outcomes over time. Prior job history should include experience that would be commonly gained through bachelors degree education including writing competency and public presentation.

SPECIAL SKILLS:

• Analysis and Project management for Denials and Claims, Report writing knowledge, and comfortable presenting In front of C-level executives.
• Microsoft Office applications, Document Imaging , Midas, Patient Accounting systems, Knowledge of medical terminology and coding.
• Knowledge of the revenue cycle, payer claim adjudication process and payer denial reasons.
• Knowledge of managed care contracts and government billing (Medicare & Medicaid) as it applies to reimbursement and denials, appropriate medical necessity documentation in the medical record, ICD-9 codes that apply to CMS's LCD and NCD coverage, CMS and commercial payor regulations and medical necessity criteria for inpatient and outpatient LOC.

Compensation, Benefits & Perks at Froedtert Health

Pay is expected to be between: (expressed as hourly) $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.