Summary As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in ...
Summary As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in ...
Summary As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in ...
Summary As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in ...
Insurance Clerk
Baldwin, WI · On-site
... HMO's), Point-of-Service Plans (PPO's), as well as Medicare and Medicaid in a RHC/CAH setting. All of this is done to support the organization's mission while living our values.
Insurance Clerk
Baldwin, WI · On-site
... HMO's), Point-of-Service Plans (PPO's), as well as Medicare and Medicaid in a RHC/CAH setting. All of this is done to support the organization's mission while living our values.
Insurance Clerk
Baldwin, WI · On-site
... HMO's), Point-of-Service Plans (PPO's), as well as Medicare and Medicaid in a RHC/CAH setting. All of this is done to support the organization's mission while living our values.
Insurance Clerk
Baldwin, WI · On-site
... HMO's), Point-of-Service Plans (PPO's), as well as Medicare and Medicaid in a RHC/CAH setting. All of this is done to support the organization's mission while living our values.
Insurance Clerk
Baldwin, WI · On-site
... HMO's), Point-of-Service Plans (PPO's), as well as Medicare and Medicaid in a RHC/CAH setting. All of this is done to support the organization's mission while living our values.
Insurance Clerk
Baldwin, WI · On-site
... HMO's), Point-of-Service Plans (PPO's), as well as Medicare and Medicaid in a RHC/CAH setting. All of this is done to support the organization's mission while living our values.
Dentist
Appleton, WI · On-site
$150K - $300K/yr
PPO/Fee For Service No Medicaid or HMO * Patient-Care Centric practice * Comprehensive benefits package including health insurance, retirement plan, company-paid professional liability insurance ...
Dentist
Appleton, WI · On-site
$150K - $300K/yr
PPO/Fee For Service No Medicaid or HMO * Patient-Care Centric practice * Comprehensive benefits package including health insurance, retirement plan, company-paid professional liability insurance ...
PPO/FFS (No Medicaid or HMO) Office Information: * Operatories: 6 * Charting Software: Dentrix (completely digital practice) Technology and Equipment: * Digital X-rays, Panoramic, and iTero scanner
PPO/FFS (No Medicaid or HMO) Office Information: * Operatories: 6 * Charting Software: Dentrix (completely digital practice) Technology and Equipment: * Digital X-rays, Panoramic, and iTero scanner
Senior Center Program and Volunteer Coordinator
Stoughton, WI · On-site
$23/hr
Review the GHC HMO Summary of Benefits and Coverage (SBC) document for coverage details or contact GHC directly. HEALTH INSURANCE Coverage is effective the day after hire; premiums are deducted ...
Senior Center Program and Volunteer Coordinator
Stoughton, WI · On-site
$23/hr
Review the GHC HMO Summary of Benefits and Coverage (SBC) document for coverage details or contact GHC directly. HEALTH INSURANCE Coverage is effective the day after hire; premiums are deducted ...
Primarily Fee-for-Service and high-tier PPO (No Medicaid/HMO). * Technology: State-of-the-art office equipped with advanced digital technology * Support Staff: Work alongside a highly trained ...
Primarily Fee-for-Service and high-tier PPO (No Medicaid/HMO). * Technology: State-of-the-art office equipped with advanced digital technology * Support Staff: Work alongside a highly trained ...
Account Resolution Representative
$14.25 - $19.50/hr
Job Summary The Account Resolution Representative is responsible for obtaining fiscal resolution of Government, Medicaid HMO, and Commercial insurance claims. Fiscal resolution is accomplished ...
Account Resolution Representative
$14.25 - $19.50/hr
Job Summary The Account Resolution Representative is responsible for obtaining fiscal resolution of Government, Medicaid HMO, and Commercial insurance claims. Fiscal resolution is accomplished ...
Responsible for the review, follow-up and collection of Government, HMO, and Commercial insurance accounts receivable. This role performs comprehensive follow-up activities that facilitates cash ...
Responsible for the review, follow-up and collection of Government, HMO, and Commercial insurance accounts receivable. This role performs comprehensive follow-up activities that facilitates cash ...
Account Resolution Representative
West Allis, WI · On-site
$14.25 - $19.50/hr
Job Summary The Account Resolution Representative is responsible for obtaining fiscal resolution of Government, Medicaid HMO, and Commercial insurance claims. Fiscal resolution is accomplished ...
Account Resolution Representative
West Allis, WI · On-site
$14.25 - $19.50/hr
Job Summary The Account Resolution Representative is responsible for obtaining fiscal resolution of Government, Medicaid HMO, and Commercial insurance claims. Fiscal resolution is accomplished ...
Responsible for the review, follow-up and collection of Government, HMO, and Commercial insurance accounts receivable. This role performs comprehensive follow-up activities that facilitates cash ...
Responsible for the review, follow-up and collection of Government, HMO, and Commercial insurance accounts receivable. This role performs comprehensive follow-up activities that facilitates cash ...
Family Caregiver (Get Paid to Care for Your Loved One)
Racine, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Quick apply
Family Caregiver (Get Paid to Care for Your Loved One)
Racine, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Family Caregiver (Get Paid to Care for Your Loved One)
Milwaukee, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Family Caregiver (Get Paid to Care for Your Loved One)
Milwaukee, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Family Caregiver (Get Paid to Care for Your Loved One)
Milwaukee, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Family Caregiver (Get Paid to Care for Your Loved One)
Milwaukee, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Family Caregiver (Get Paid to Care for Your Loved One)
Racine, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Family Caregiver (Get Paid to Care for Your Loved One)
Racine, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
SPEAST - 2026-27 Building Teacher Substitute
Sun Prairie, WI · On-site
$268/day
HMO Single Cost to employee is $89.50 per month * Access to our Employee Wellness Clinic : * Low or no cost/co-pay visits for employee and their family even if family is not on district health ...
New
SPEAST - 2026-27 Building Teacher Substitute
Sun Prairie, WI · On-site
$268/day
HMO Single Cost to employee is $89.50 per month * Access to our Employee Wellness Clinic : * Low or no cost/co-pay visits for employee and their family even if family is not on district health ...
New
Family Caregiver (Get Paid to Care for Your Loved One)
Milwaukee, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Quick apply
Family Caregiver (Get Paid to Care for Your Loved One)
Milwaukee, WI · On-site
$12.50/hr
Managed Health Services (MHS HMO) * iLife / IRIS Program Requirements: * Must have your own client (family member or loved one) * Ability to provide care in the client's home * Willingness to ...
Hmo information
See Wisconsin salary details
$9 - $11.41
6% of jobs
$11.41 - $13.83
6% of jobs
$15.04 is the 25th percentile. Wages below this are outliers.
$13.83 - $16.24
25% of jobs
The median wage is $18.31 / hr.
$16.24 - $18.66
15% of jobs
$18.66 - $21.07
5% of jobs
$21.07 - $23.49
9% of jobs
$25.42 is the 75th percentile. Wages above this are outliers.
$23.49 - $25.90
10% of jobs
$25.90 - $28.32
7% of jobs
$28.32 - $30.73
4% of jobs
$30.73 - $33.15
6% of jobs
$33.15 - $35.56
5% of jobs
$8
$21
$35
How much do hmo jobs pay per hour?
As of Aug 19, 2026, the average hourly pay for hmo in Wisconsin is $21.08, according to ZipRecruiter salary data. Most workers in this role earn between $15.36 and $25.68 per hour, depending on experience, location, and employer.
What is an HMO?
An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.
What are the typical responsibilities of an HMO medical officer on a daily basis?
As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.
What are the key skills and qualifications needed to thrive in the HMO position, and why are they important?
To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.
What are the most commonly searched types of Hmo jobs in Wisconsin?
The most popular types of Hmo jobs in Wisconsin are:
What are popular job titles related to Hmo jobs in Wisconsin?
For Hmo jobs in Wisconsin, the most frequently searched job titles are:
- Ecw Medical Billing
- Remote Medical Billing Specialist
- Temporary Medical Billing
- Work From Home Medical Billing Specialist
- Remote Medicare Specialist
- Temporary Medical Billing Specialist
- Entry Level Medical Billing Specialist
- No Experience Medical Billing Coding Willing To Train
- Work From Home Medical Insurance Verification Specialist
- Medical Billing Coding Specialist
What job categories do people searching Hmo jobs in Wisconsin look for?
The top searched job categories for Hmo jobs in Wisconsin are:
- Medical Billing Verification
- Medical Billing And Collections Specialist
- Medical Billing Payment Posting
- Best Paying Medical
- 360 Medical Billing Solutions
- Billing
- Work From Home Medical Billing Payment Poster
- Evening Aia Billing Specialist
- Highest Paying Associate Degree
- Remote Medical Billing Accounts Receivable
Account Representative II, HMO - Clinical Practice Services
Milwaukee, WI • On-site
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 14 days ago
Medical College Of Wisconsin rating
7.7
Based on 28 frontline employees who took The Breakroom Quiz
260th of 619 rated colleges and universities
Job description
Summary
As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or account follow-up. Requires extensive use of multiple internal and external computer systems/applications and contact with the above entities.
Hybrid position: 90% Remote, 10% Onsite, must live in Metro Milwaukee, WI area.
Primary Responsibilities
Knowledge - Skills - Abilities
Qualifications
Minimum Required Education: High school diploma
Minimum Required Experience: 3 years
Preferred Experience: Medical Billing and/or EPIC experience preferred.
#LI-RT1
Why MCW?
For a brief overview of our benefits see: Benefits Overview
For a full list of positions see: MCW Careers
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. 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. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.
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 an inclusive 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.
As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or account follow-up. Requires extensive use of multiple internal and external computer systems/applications and contact with the above entities.
Hybrid position: 90% Remote, 10% Onsite, must live in Metro Milwaukee, WI area.
Primary Responsibilities
- Release of information: Reply to requests for information from insurance companies. Pull the appropriate medical records to submit for claims payment and ensure all proper documentation is present and accurate.
- Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts or claims.
- Communicate via phone with various representatives, both internally and externally is necessary.
- Analyze multiple sources of remittance to determine proper allocation of rejections, payments and/or adjustments, subject to individual carrier guidelines and contractual fee schedules.
- Respond to carrier requests for additional information or documentation.
- Review carrier denials and/or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately.
- Review and update registration to correspond with information received from payer.
- Copy and forward remittance advice to appropriate team for follow-up.
- Responsible for identifying and escalating contractual carrier issues to the appropriate source.
- Assist training Clerks.
- Perform necessary billing activities such as claims to maintain team goals or assist other teams.
- Other duties as assigned.
Knowledge - Skills - Abilities
- Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.
- Computer, technical, interpersonal, oral communication, listening, and patience skills.
Qualifications
Minimum Required Education: High school diploma
Minimum Required Experience: 3 years
Preferred Experience: Medical Billing and/or EPIC experience preferred.
#LI-RT1
Why MCW?
- Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
- 403B Retirement Package
- Competitive Vacation and Paid Holidays offered
- Tuition Reimbursement
- Paid Parental Leave
- Employee & Family Assistance Program (EFAP)
- Pet Insurance
- On campus Fitness Facility, offering onsite classes
- Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.
For a brief overview of our benefits see: Benefits Overview
For a full list of positions see: MCW Careers
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. 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. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.
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 an inclusive 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.
What Medical College Of Wisconsin employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Medical College of Wisconsin
Sourced by ZipRecruiter
The Medical College of Wisconsin (MCW) is an industry-leading educational institution located in Milwaukee, WI, US. Being part of the medical and health services sector, MCW's primary mission is to educate and train the next generation of healthcare professionals. MCW offers a wide array of degrees and programs within medical and health sciences, covering everything from medical, graduate, pharmacy and health sciences studies, to continuing professional developments and community engagement initiatives. Founded in 1893, MCW boasts a rich, well-entrenched history in shaping the medical education landscape locally and globally. The institution's core values of knowledge-changing life underline its dedication to incorporating innovative approaches in education and research, commitment to diversity and inclusion, service to the community, integrity, stewardship, and collaboration.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Milwaukee, WI, US
Year founded
1893