Representative

• Schedule, cancel, and reschedule appointments via phone for multiple specialties and locations
• Provide directions, instructions, and other appointment information
• Triage calls, determine caller needs, respond to inquiries, and route calls, messages, and requests
• Encourage patients to sign up for MyChart and the Froedtert & MCW App and assist with activation
• Complete full patient registration, insurance setup, and verification of registration and coverage information
• Run electronic eligibility checks and verify insurance acceptance
• Complete MSP questionnaires with Medicare patients
• Work through referral queues, faxes, email, and correspondence to schedule appointments and create and track referrals
• Communicate with referring physicians when unable to schedule patients
• Refer patients to community clinics or in-network physicians when appropriate
• Manage web appointment requests for the assigned team
• Monitor email and Epic InBasket throughout the day
• Develop knowledge of clinic and affiliate facility locations to provide directions
• Follow detailed protocols and enterprise scheduling tools
• Anticipate customer needs and resolve problems to ensure a positive customer experience

Appointment Services Representative

• Follow up with third party payers and patients on outstanding account balances, including credit balances
• Facilitate prompt resolution of outstanding account balances
• Verify patient coverage information
• Update patient registration as required
• Complete required training between 8am–5pm, Monday–Friday
• Work periodically onsite at 7974 UW Health Ct. in Madison, Wisconsin

Reimbursement Representative

• Support personnel for Credentialing and Provider Informatics
• Aid provider data management and provider credentialing needs
• Maintain accurate provider information across all lines of business
• Support provider onboarding, credentialing, recredentialing, provider data integrity, regulatory compliance, and provider inquiries
• Maintain accurate provider demographic, contract and credentialing data across systems
• Coordinate and aid in credentialing, recredentialing and ongoing monitoring needs
• Research and resolve provider data discrepancies
• Respond to provider inquiries via email, phone, and other channels
• Support NCQA, CMS, delegation and audit requirements
• Maintain credentialing policies, desk references and process documentation
• Partner with internal departments and provider offices to resolve issues
• Identify and implement process improvements and automation opportunities
• Protect confidential information and comply with organizational security policies
• Perform additional duties as assigned

Provider Integration Representative

• Obtain initial and renewal authorizations
• Perform insurance verification and follow-up
• Monitor patient insurance coverage compliance
• Act as communication liaison between team members, third-party payers, patients, and billing
• Obtain convert-to-purchase authorizations
• Follow up on rental compliance, convert-to-purchase, and renewal prescriptions
• Communicate with patients by phone and letters about compliance and financial responsibility
• Answer questions about insurance coverage of services
• Check insurance eligibility and verify qualifications for insurance changes
• Monitor and forward payer-requested documentation for reimbursement
• Review monthly Brightree reports for insurance changes and Medicare eligibility
• Stay familiar with legislation affecting service delivery and billing
• Review and complete WIPS and assigned tasks
• Attend workshops, meetings, and seminars regarding legislative, regulatory, and industry changes
• Provide peer-review input on selected employee performance reviews
• Follow infection-control and safety procedures
• Report errors or near misses through the occurrence reporting system
• Obtain and maintain federally required documents
• Perform other duties as assigned

Representative jobs in Wisconsin

Appointment Services Representative

Reimbursement Representative

Provider Integration Representative

Authorization Representative