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MEDICAL COLLEGE OF WISCONSIN INC Practice Service Liaison in MILWAUKEE, Wisconsin

JOB REQUIREMENTS: Position Description: 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 (MCW) 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 Practice Service Liaison, you will be working in Clinical Practice Services (CPS). The Practice Services Liaison collaborates with Department Administration, Providers, CPS Billing and Collection staff, and related Froedtert clinics and ancillary areas to improve processes and maximize collections for the assigned specialties following regulatory and compliance requirements. Manages claims\' matters related to front-end and back-end revenue cycle processes such as patient registration, managed care referrals/ prior authorizations, charge capture, medical record documentation, coding and billing, claims adjudication and accounts receivable (AR) follow-up for payment and denial resolution. Utilizes coding principles and specific coding knowledge to identify opportunities to improve reimbursement. Analyzes AR and monthly financial reports to track key indicators to keep clinical department faculty and CPS informed of financial statistics. Safeguards or strengthens existing relationships. Responsibilities: Assist Clinical Department(s) and/or CPS seeking to learn more or resolve a suspected concern, generally of a clinical and/or financial nature. Lead the follow up with others along with requesting and analyzing relevant data. Pursue understanding of the relevant charge capture processes within the affected Clinical Department(s) and CPS. Includes relevant charge and documentation interfaces, fee schedule and contracts. Augment normal CPS claims analysis and appeal procedures through follow-up on self-generated reports and other current standard system reports to identify appeal tactics and escalation measures. Prepare appeal defense and submit appeals consistent with the AR follow up team protocols. Report findings of positive and negative trends. Offer suggestions for improvement and develop action plan. Prepare supporting documentation that illustrates the impact on the revenue cycle or improvement to an existing process within CPS or the Clinical Department(s). Act as the point-of-contact for communications to and from the assigned Department(s) including, but not limited to being a resource to the department management and faculty on questions on codes, coding, billing, documentation, denials, reimbursement, and payer... 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/9796F25809724ECD Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.

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