Night Shift Remote Rater Jobs in Wisconsin (NOW HIRING)

Assistsleadership with workflows, quality audits,training,ad hoc reporting, complex research, delegating work, and team member coaching.

Regularlyperformsnon-routine tasks independently that significantlyimpactthe organization.

Delegates assignments from vendor, audit, and compliance projects, ensuring completion within theappropriate timeframe.

Conducts high-level analysis of other team members' transactions before releasing them to payees or for next-level approval.

Ensurescontinuous improvement by applying various experiences to look beyond issues and uncover the underlying causes of problems, credits, and refunds.

Demonstrates a sense of ownership by providing solutions to critical issues andregularlyengaging with peers and external partners as needed.

Demonstrates expert-level knowledge of the Refund/Adjustment processes andutilizessystems/applications proficiently to resolve credit balances and process refunds appropriately.

Approaches high-level problems from different angles,identifiesways to mitigate risks, anddevelopsconcrete solutions with little or no precedent.

Leads efforts to reduce all credit balances and refunds for all AdvocateHospital Billing entities and Professional Billing within multiplepatientaccounting systems, ensuringappropriate contractreimbursement calculation rates are applied.

Recommends and implements process enhancements,monitorsaccount follow-up, and ensurestimelyprocessing of credits and refunds while acting as a resource to all team members and external partners.

Works with leadership, level II's, operations, and the Revenue Cycle Process Designer as needed to update or draft workflow updates.

Reads, interprets, and understands insurance correspondence including both explanation and coordination of benefits.

Provides individual contributions to meet or exceed department goals by consistently meeting individual productivityand qualitystandards and targeted error ratios in processing credit balances

Assistswith patient accounting activities and functions typically performed by other Revenue Cycle positions during periods of high volume or impending deadlines.

Coordinates to resolve issues requiring in-depth follow-up with leadership, physicians' offices, insurance companies, attorneys' offices, or other internal departmentswhilemaintainingknowledge of insurance regulations and payer policies.

Strong skill set in problem-solving across various settings, with critical analytical and investigation skills.

Ability to motivate and direct team members' work and activities, including effective delegation.

Demonstrates strong verbal, written, and interpersonal communication, with excellent grammar and spelling.

Sets the climate for performance expectations and fosters a positive team environment.

Paysattention to detail andmaintainsa high degree of accuracy.

Exceptional time management and project management techniques, working efficiently under strict deadlines.

Willingly accepts responsibility and appliesappropriate leadershiptechniques in an operational setting.

Proficient understanding of Microsoft Office.

Strong knowledge of Managed Care payer contract terms and Medicare/Medicaid payer guidelines.

Upholds ethical conduct in all activities.

Regular and reliable attendance.

Must be able tositthe majority ofthe workday.

Operates allequipmentnecessary to perform the job.