Qureos Mentor

Medical College of Wisconsin

<div><div><div><h3 class="jobSectionHeader"><b>Summary</b></h3></div><div><p>
The Public Safety Officer (PSO) is a uniformed, first responder position within Public Safety that provides emergency and public safety services to the Medical College of Wisconsin (MCW) community.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Primary </b><b>Responsibilities</b></h3></div><div><ul><li><p>
Employ a variety of proactive patrol techniques and strategies to ensure the safety and security of all MCW-affiliated persons and property. Engage in community oriented problem solving and crime prevention measures.</p></li><li><p>
Decisively respond to assigned calls for service, emergent situations, and critical incidents occurring during shift. Employ principles of Incident Command System (ICS) when addressing developing events.</p></li><li><p>
Assist and/or provide support for various types of investigations. Conduct initial interviews, collect evidence, and secure crime scenes. Document findings and prepare written case reports.</p></li><li><p>
Act as a first responder to all fire and life safety incidents. Provide initial assessment of situation and make determination of appropriate response. Administer first aid and life support (e.g., AED and CPR) to victims.</p></li><li><p>
As assigned, monitor the Department&rsquo;s communications and surveillance center. Answer all incoming calls on service and emergency lines; log all activities via Computer-Aided Dispatch software. Coordinate radio communications between center and field-bas</p></li><li><p>
Assist in associate and executive protection details, investigations, special events security, surveillance activities, and other unique assignments as a member of various departmental task forces.</p></li><li><p>
Perform a number of community service functions including, but not limited to, conduct safety escorts to and from requested on campus locations; complete inspections and reports regarding safety hazards; and enforce MCW policies and procedures.</p></li><li><p>
Upon request, deliver community based personal safety and security awareness training to students, staff, and faculty. Assist in the preparation of informational material including brochures, handouts, and multimedia presentations.</p></li><li><p>
Other duties as assigned.</p></li></ul></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Knowledge</b><b> &ndash; Skills &ndash; Abilities</b></h3></div><div><ul><li><p>
Knowledge of safety practices, emergency procedures, operations and maintenance, risk management, planning and evaluation.</p></li><li><p>
Task management, coordination, and problem solving, investigation, restraint and self-defense skills.</p></li></ul></div><p></p><div><div><b><br>
Schedule:
</b></div><p>Second shift. This position follows a 5-on, 2-off rotation, with two consecutive days off during the week and working weekends and holidays being required for this role.</p><div><br>
</div></div></div><div><h3 class="jobSectionHeader"><b>
Qualifications</b></h3></div><div><p><i>
Appropriate experience may be substituted for education on an equivalent basis.</i></p></div><div><p><b>
Minimum Required Education:</b> Associate's Degree</p></div><div><p><b>
Minimum Required Experience:</b> 2 years</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Physical Requirements</b></h3></div><div><p>
Work requires occasionally lifting moderate weight materials, standing, or walking continuously.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Work Environment</b></h3></div><div><p>
Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Sensory Acuity</b></h3></div><div><p>
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.</p></div><p></p><h3 class="jobSectionHeader"><b>
Why MCW?</b></h3><ul><li><p>
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options</p></li><li><p>
403B Retirement Package</p></li><li><p>
Competitive Vacation and Paid Holidays offered</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Paid Parental Leave</p></li><li><p>
Employee &amp; Family Assistance Program (EFAP)</p></li><li><p>
Pet Insurance</p></li><li><p>
On campus Fitness Facility, offering onsite classes</p></li><li><p>
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.</p></li></ul><p></p><p>
For a brief overview of our benefits see: Benefits Overview</p><p></p><p>
For a full list of positions see: MCW Careers<br>
<br>
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring &ndash; Collaborative &ndash; Curiosity &ndash; Inclusive &ndash; Integrity &ndash; 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.</p><h3 class="jobSectionHeader"><b><br>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:</b></h3><p></p><p>
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.</p></div><p></p>

Public Safety Officer - 2nd Shift

<div><h3 class="jobSectionHeader"><b>Summary</b></h3><p>
Perform coding and related duties using established billing office policies in an accurate and timely manner. Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinates professional service billings for selected clinical departments.</p><p></p><p><b>
All remote work must be performed within one of the MCW registered payroll states, which currently includes: WI, DE, FL, GA, IL, MN, NC, TN, &amp; TX.</b></p><p></p><h3 class="jobSectionHeader"><b>
Primary Responsibilities</b></h3><p><b>
CHARGE PROCESSING</b></p><ul><li><p>
Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. (Inpatient/Emergency Department abstraction, ambulatory coding and/or surgical/procedural coding)</p></li><li><p>
Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements &ndash; CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.</p></li><li><p>
Charge Entry as needed.</p></li></ul><p></p><p><b>
RECONCILIATION OF CHARGES:
</b></p><ul><li><p>Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate change flow.</p></li><li><p>
Work with clinic staff and physicians regarding missing or unclear information that is required for billing.</p></li></ul><p></p><p><b>
CLAIM DENIALS / BILLING ISSUES</b></p><ul><li><p>
Identify, report, and resolve coding and reimbursement issues.</p></li><li><p>
Working with physicians, department administrators and other billing office staff, including reimbursement staff.</p></li><li><p>
Identify opportunities to reduce denials and enhance revenue.</p></li></ul><p></p><p><b>
PROTOCOLS</b></p><ul><li><p>
Develop and maintain all protocols related to their assigned areas.</p></li></ul><p></p><p><b>
PROVIDER EDUCATION</b></p><ul><li><p>
Maintain understanding all Teaching Physician and provider documentation policies.</p></li><li><p>
Actively participate in new provider orientations.</p></li><li><p>
Note and address trends in provider documentation that may impact coding and billing.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Knowledge &ndash; Skills &ndash; Abilities</b></h3><ul><li><p>
Working knowledge of CPT and ICD-10 CM coding.</p></li><li><p>
Understanding of medical insurance guidelines and governmental policies.</p></li><li><p>
Progressive computer skills.</p></li><li><p>
Detail oriented.</p></li><li><p>
Ability to establish and maintain effective working relationships with the team and department staff (including administrative staff and faculty).</p></li><li><p>
Meet or exceed established production rate and performance standards.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><p><b>
Minimum Required Education: </b>High School Diploma</p><p><b>
Minimum Required Experience:</b> 2 years<b>
</b></p><p><b>Required Certification/Licensure(s):</b> Coding certification (CPC, CPC-A, CCS-P, or CCA) and/or Health Information Management credential (RHIT, RHIA)
</p><p></p><p>#LI-RT1</p><p></p><h3 class="jobSectionHeader"><b>
Physical Requirements</b></h3><p>
Work requires occasionally lifting moderate weight materials, standing, or walking continuously.</p><p></p><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><p>
Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.</p><p></p><h3 class="jobSectionHeader"><b>
Sensory Acuity</b></h3><p>
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.</p><p></p><p>
Target salary range for this position is between $52,300.00 and $64,900.00 annually. The final offered salary will depend on the applicant&rsquo;s education, experience, skills, and knowledge, as well as considerations of internal equity and market alignment.
</p><p></p><h3 class="jobSectionHeader"><b>Why MCW?</b></h3><ul><li><p>
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options</p></li><li><p>
403B Retirement Package</p></li><li><p>
Competitive Vacation and Paid Holidays offered</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Paid Parental Leave</p></li><li><p>
Employee &amp; Family Assistance Program (EFAP)</p></li><li><p>
Pet Insurance</p></li><li><p>
On campus Fitness Facility, offering onsite classes</p></li><li><p>
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.</p></li></ul><p></p><p>
For a brief overview of our benefits see: Benefits Overview</p><p></p><p>
For a full list of positions see: MCW Careers<br>
<br>
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring &ndash; Collaborative &ndash; Curiosity &ndash; Inclusive &ndash; Integrity &ndash; 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.</p><h3 class="jobSectionHeader"><b><br>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:</b></h3><p></p><p>
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.</p></div><p></p>

Coding Specialist II - Inpatient Abstraction

<div><h3 class="jobSectionHeader"><b>Summary</b></h3><p>
Serves as an expert resource for multi-specialty documentation, coding and billing. Assist in performing medical coding audits on clinicians and/or coding staff as needed within multi-specialty physician practices to identify deficiencies and ensure coding remains compliant with coding guidelines as well as government and third-party payer regulations and guidelines. Responsible for new and existing clinician and coder education, as well as team and/or clinical department educational sessions.</p><p></p><p><b>
All remote work must be performed within one of the MCW registered payroll states, which currently includes: </b><b>WI, AZ, DE, FL, GA, IL, IN, MD, MI, MN, MO, NC, TN, TX, and UT</b><b>.
</b></p><p></p><h3 class="jobSectionHeader"><b>Primary Responsibilities
</b></h3><ul><li><p>Expert resource of multispecialty coding, charge capture and reimbursement which may include surgical, inpatient, emergency and/or ambulatory coding; assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation.</p></li><li><p>
Participate in workgroups to evaluate, produce and/or update policies and procedures related to internal process in relation to documentation, coding, and billing.</p></li><li><p>
Educate/train new and existing employees in multispecialty clinical areas, include government documentation and coding regulations. Assist lead/CS IV team in educational session, include coding/charge capture process and Epic related changes.</p></li><li><p>
Onboard/educate new and existing physicians and APP&rsquo;s on documentation and coding rules and regulations.</p></li><li><p>
Perform documentation and coding audits on clinicians and coding specialist staff for coding accuracy.</p></li><li><p>
Support Charge Capture Team in analyzing coding denial trends and troubleshooting solutions such as front-end system edits and/or front-end education to minimize reimbursement delays.</p></li><li><p>
Assist in the training of coworkers, coding staff, clinicians as appropriate to provide evaluation, education and/or orientation adhering to CPT, ICD-10CM and Government documentation and coding regulations.</p></li><li><p>
Subject Matter Expert for Encoder Pro.</p></li><li><p>
Participates in new employee orientation to acquaint them with the charge capture process.</p></li><li><p>
Maintain current knowledge of medical terminology, procedure codes, modifiers, diagnosis codes, coding requirements and practices. Communicates changes to appropriate persons.</p></li><li><p>
Review payer policy publications, notices and websites for coding and policy information to assist in appeal writing or to support other action determinations.</p></li><li><p>
Responsible for the day-to-day prioritization and the execution of various projects.</p></li><li><p>
Perform other duties or projects as assigned.</p></li><li><p>
Other duties as assigned.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Knowledge &ndash; Skills &ndash; Abilities</b></h3><ul><li><p>
Ability to interact with people effectively.</p></li><li><p>
Expert knowledge of medical billing and collections revenue cycle as it specifically relates to professional medical coding, reimbursement, contracting and processing payments.</p></li><li><p>
Strong written and oral communication skills.</p></li><li><p>
Ability to take initiative and to exercise independent judgment, decision making and problem-solving skills.</p></li><li><p>
Proficient in Excel and Word, Medical terminology, CPT, HCPCS, ICD-10CM coding, CMS coding requirements, and coding tools.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><p><i>
Appropriate experience may be substituted for education on an equivalent basis.</i></p><p><b>
Minimum Required Education:</b> Bachelor&rsquo;s Degree</p><p><b>
Minimum Required Experience:</b> 6 years</p><p><b>
Preferred Experience:</b> Front end professional coding, Epic, Encoder Pro</p><p><b>
Required Certification/Licensure(s):</b> Coding certification (CPC, CCS-P) and/or Health Information Management credential (RHIT, RHIA).
</p><p></p><p>#LI-RT1</p><p></p><h3 class="jobSectionHeader"><b>
Physical Requirements</b></h3><p>
Work requires occasionally lifting moderate weight materials, standing, or walking continuously.</p><p></p><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><p>
Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.</p><p></p><h3 class="jobSectionHeader"><b>
Sensory Acuity</b></h3><p>
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.</p><p></p><p>
Target salary range for this position is between $74,500.00 and $94,900.00 annually. The final offered salary will depend on the applicant&rsquo;s education, experience, skills, and knowledge, as well as considerations of internal equity and market alignment.
</p><p></p><h3 class="jobSectionHeader"><b>Why MCW?</b></h3><ul><li><p>
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options</p></li><li><p>
403B Retirement Package</p></li><li><p>
Competitive Vacation and Paid Holidays offered</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Paid Parental Leave</p></li><li><p>
Employee &amp; Family Assistance Program (EFAP)</p></li><li><p>
Pet Insurance</p></li><li><p>
On campus Fitness Facility, offering onsite classes</p></li><li><p>
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.</p></li></ul><p></p><p>
For a brief overview of our benefits see: Benefits Overview</p><p></p><p>
For a full list of positions see: MCW Careers<br>
<br>
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring &ndash; Collaborative &ndash; Curiosity &ndash; Inclusive &ndash; Integrity &ndash; 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.</p><h3 class="jobSectionHeader"><b><br>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:</b></h3><p></p><p>
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.</p></div><p></p>

Coding Quality Analyst

<div><h3 class="jobSectionHeader"><b>Summary</b></h3><p>
As an <b>Account Rep II, </b>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.</p><p></p><p><b>
Hybrid Position: 90% Remote, 10% Onsite</b></p><p></p><h3 class="jobSectionHeader"><b>
Primary Responsibilities
</b></h3><ul><li><p>Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts or claims.</p></li><li><p>
Communicate via phone with various representatives, both internally and externally is necessary.</p></li><li><p>
Analyze multiple sources of remittance to determine proper allocation of rejections, payments and/or adjustments, subject to individual carrier guidelines and contractual fee schedules.</p></li><li><p>
Respond to carrier requests for additional information or documentation.</p></li><li><p>
Review carrier denials and/or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately.</p></li><li><p>
Review and update registration to correspond with information received from payer.</p></li><li><p>
Copy and forward remittance advice to appropriate team for follow-up.</p></li><li><p>
Responsible for identifying and escalating contractual carrier issues to the appropriate source.</p></li><li><p>
Assist training Clerks.</p></li><li><p>
Perform necessary billing activities such as claims to maintain team goals or assist other teams.</p></li><li><p>
Other duties as assigned.</p></li></ul><h3 class="jobSectionHeader"><b>
Knowledge &ndash; Skills &ndash; Abilities</b></h3><ul><li><p>
Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.</p></li><li><p>
Computer, technical, interpersonal, oral communication, listening, and patience skills.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><p><b>
Minimum Required Education:</b> High school diploma</p><p><b>
Minimum Required Experience:</b> 3 years
</p><p></p><p>#LI-RT1</p><p></p><h3 class="jobSectionHeader"><b>
Why MCW?</b></h3><ul><li><p>
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options</p></li><li><p>
403B Retirement Package</p></li><li><p>
Competitive Vacation and Paid Holidays offered</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Paid Parental Leave</p></li><li><p>
Employee &amp; Family Assistance Program (EFAP)</p></li><li><p>
Pet Insurance</p></li><li><p>
On campus Fitness Facility, offering onsite classes</p></li><li><p>
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.</p></li></ul><p></p><p>
For a brief overview of our benefits see: Benefits Overview</p><p></p><p>
For a full list of positions see: MCW Careers<br>
<br>
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring &ndash; Collaborative &ndash; Curiosity &ndash; Inclusive &ndash; Integrity &ndash; 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.</p><h3 class="jobSectionHeader"><b><br>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:</b></h3><p></p><p>
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.</p></div><p></p>

Account Rep II, UHC/HMO - Clinical Practice Services

<div><h3 class="jobSectionHeader"><b>Summary</b></h3><p>
As an <b>Account Rep II, </b>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.</p><p></p><p><b>
Hybrid Position: 90% Remote, 10% Onsite</b></p><h3 class="jobSectionHeader"><b>
Primary Responsibilities
</b></h3><ul><li><p>Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts or claims.</p></li><li><p>
Communicate via phone with various representatives, both internally and externally is necessary.</p></li><li><p>
Analyze multiple sources of remittance to determine proper allocation of rejections, payments and/or adjustments, subject to individual carrier guidelines and contractual fee schedules.</p></li><li><p>
Respond to carrier requests for additional information or documentation.</p></li><li><p>
Review carrier denials and/or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately.</p></li><li><p>
Review and update registration to correspond with information received from payer.</p></li><li><p>
Copy and forward remittance advice to appropriate team for follow-up.</p></li><li><p>
Responsible for identifying and escalating contractual carrier issues to the appropriate source.</p></li><li><p>
Assist training Clerks.</p></li><li><p>
Perform necessary billing activities such as claims to maintain team goals or assist other teams.</p></li><li><p>
Other duties as assigned.</p></li></ul><h3 class="jobSectionHeader"><b>
Knowledge &ndash; Skills &ndash; Abilities</b></h3><ul><li><p>
Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.</p></li><li><p>
Computer, technical, interpersonal, oral communication, listening, and patience skills.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><p><b>
Minimum Required Education:</b> High school diploma</p><p><b>
Minimum Required Experience:</b> 3 years
</p><p></p><p>#LI-RT1</p><p></p><h3 class="jobSectionHeader"><b>
Why MCW?</b></h3><ul><li><p>
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options</p></li><li><p>
403B Retirement Package</p></li><li><p>
Competitive Vacation and Paid Holidays offered</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Paid Parental Leave</p></li><li><p>
Employee &amp; Family Assistance Program (EFAP)</p></li><li><p>
Pet Insurance</p></li><li><p>
On campus Fitness Facility, offering onsite classes</p></li><li><p>
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.</p></li></ul><p></p><p>
For a brief overview of our benefits see: Benefits Overview</p><p></p><p>
For a full list of positions see: MCW Careers<br>
<br>
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring &ndash; Collaborative &ndash; Curiosity &ndash; Inclusive &ndash; Integrity &ndash; 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.</p><h3 class="jobSectionHeader"><b><br>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:</b></h3><p></p><p>
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.</p></div><p></p>

Account Rep II, Medicaid - Clinical Practice Services

<div><div><div><h3 class="jobSectionHeader"><b>Summary</b></h3></div><div><p>
To provide community based medical case management social work services to people living with HIV receiving care in the Froedtert Infectious Disease Clinic. Medical social work services may include care coordination, benefits access, treatment adherence, basic health literacy education, prevention, and counseling. To participate as a member of a multidisciplinary team serving a specialized population of HIV patients.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Primary </b><b>Responsibilities</b></h3></div><div><ul><li><p>
Provide medical case management of high acuity people living with HIV, who receive their medical care at Froedtert Milwaukee HIV clinics.</p></li><li><p>
Navigate social service support systems for people with complex medical and psychosocial needsProvide as needed medical social work services (non-case management needs) to individuals with a diverse range of socially and medically complex needs</p></li><li><p>
Triage of emergent situations, phone conversations, and the ability to negotiate healthcare and social service systems</p></li><li><p>
Complete intake assessments and develop appropriate service plans. Utilize referrals as needed</p></li><li><p>
Interface with multidisciplinary care team including medical providers across health care system</p></li><li><p>
Provide basic HIV education including disease progression, treatment and prevention to patient&rsquo;s and their support systems.</p></li><li><p>
Engage in outreach and linkage to care activities to ensure that patients transitioning between health care systems, remain linked to care.</p></li><li><p>
Complete documentation requirements for all services provided and participate in clinical supervision/consultation in compliance with all county, state and federal rules.</p></li><li><p>
Serves as a team member on multidisciplinary medical care team, communicating with team members to ensure comprehensive and quality wrap-around support.</p></li></ul></div><div><h3 class="jobSectionHeader"><b><br>
</b></h3></div><div><h3 class="jobSectionHeader"><b>
Knowledge</b><b> &ndash; Skills &ndash; Abilities</b></h3></div><div><ul><li><p>
Knowledge of HIV disease progression and treatment practices, including HIV medications. Understanding of benefits available to HIV-positive patients, pregnant women, children and families and a broad range social service system. Ability to provide mental health screening and appropriate referral, as well as crisis triage and management. Ability to practice as an active participate in an interdisciplinary team member. Sociocultural sensitivity. Ability to respond to clinical and administrative emergencies. Education and/or experience in outpatient interventions in community social service and mental health settings.</p></li><li><p>
Knowledge of biology, clinical judgment, medicine, cultural awareness, and consulting.</p></li><li><p>
Medical documentation, interpersonal, practice-based learning and improvement, empathy, and decision making skills.</p></li></ul></div><div><h3 class="jobSectionHeader"><b><br>
</b></h3></div><h3 class="jobSectionHeader"><b>
Qualifications</b></h3></div><div><p><i>
Appropriate experience may be substituted on </i><i>equivalent</i><i> basi</i><i>s.</i></p></div><p></p><div><p><b><br>
Minimum Required Education:</b> Bachelor&rsquo;s degree</p></div><p></p><div><p><b>
Minimum Required Experience:</b> 3 years social work experience<b>
</b></p></div><p></p><div><p><b>Required </b><b>Certification</b><b>/Licensure</b><b>s</b><b>:</b> Certified social worker (State of Wisconsin) required; Certification in Screening and Brief Intervention and Referral (SBIRT), required within one year of hire</p><p></p><p><b>
Preferred Experience:</b> Spanish speaker strongly preferred; Bachelor&rsquo;s degree in Social Work, Counseling or other Mental Health related field; experience with coordination and care navigation health care systems; experience working with people living with HIV and/or experience in an outpatient clinic setting strongly preferred; certification in Motivational Interviewing.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Physical Requirements</b></h3></div><div><p>
Work requires occasionally lifting moderate weight materials, standing, or walking continuously.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Work Environment</b></h3></div><div><p>
Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.</p></div><p></p><div><h3 class="jobSectionHeader"><b><br>
Sensory Acuity</b></h3></div><div><p>
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.</p><p></p><p>
#LI-AC1</p></div><p></p><h3 class="jobSectionHeader"><b>
Why MCW?</b></h3><ul><li><p>
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options</p></li><li><p>
403B Retirement Package</p></li><li><p>
Competitive Vacation and Paid Holidays offered</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Paid Parental Leave</p></li><li><p>
Employee &amp; Family Assistance Program (EFAP)</p></li><li><p>
Pet Insurance</p></li><li><p>
On campus Fitness Facility, offering onsite classes</p></li><li><p>
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.</p></li></ul><p></p><p>
For a brief overview of our benefits see: Benefits Overview</p><p></p><p>
For a full list of positions see: MCW Careers<br>
<br>
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring &ndash; Collaborative &ndash; Curiosity &ndash; Inclusive &ndash; Integrity &ndash; 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.</p><h3 class="jobSectionHeader"><b><br>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:</b></h3><p></p><p>
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.</p></div><p></p>

HIV Social Worker I - Department of Medicine

<div><p>The Medical College of Wisconsin&rsquo;s Department of Surgery is seeking a Nurse Practitioner or Physician Assistant to provide specialty medical care within Trauma and Acute Care Surgery in the Wound Care Center. The Advanced Practice Provider (APP) works as a member of a multidisciplinary health care team who will contribute to excellence in program administration, patient care, patient safety, research, quality improvement, and teaching.</p><p></p><h3 class="jobSectionHeader"><b>
Position Highlights:</b></h3><ul><li><p>
The Advanced Practice Provider (APP) will work as part of a multidisciplinary health care team, providing a broad range of diagnostic and therapeutic services for the patients of the blended services as a member of the Department of Trauma and Acute Care Surgery, Wound Care Program.</p></li><li><p>
The APP will have a strong foundation in evidence- based practice and ensure an environment of safe quality care.</p></li><li><p>
Care of the Wound patient will be in accordance with the Scope and Standards of Practice as defined by the Wound, Ostomy, and Continence Nursing Society.</p></li><li><p>
Collaborates with interdisciplinary health care teams in diagnosis and treatment of conditions requiring medical or surgical intervention in blended environment as a member of the Wound Care Program.</p></li><li><p>
Writes accurate and timely progress notes, procedure notes, and/or admission and transfer orders.</p></li><li><p>
Order, perform, and interpret screening and diagnostic procedures and tests, and appropriately communicates and documents information.</p></li><li><p>
Privileged to perform procedures beyond core as identified by the Wound Care services.</p></li><li><p>
Facilitates and communicates with patient, family and staff to promote continuity of care across the continuum of care.</p></li><li><p>
Attend required training and meets key regulatory requirements, including those of the privileging institution, CMS, and the Joint Commission.</p></li><li><p>
Evaluates quality outcomes for the patients receiving care of this team through participation in the development of quality indicators and outcomes dashboard.</p></li><li><p>
Acquires information on the most current development and trends in the Nurse Practitioner or Physician Assistant field, through educational programs, in-services, professional associations, and current literature.</p></li><li><p>
Management of the wound patient during hospitalization, both short term and long-term episodic and maintenance care.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Schedule:</b><b>
</b></h3><ul><li><p>This is an Optional Part Time position.</p></li><li><p>
Scheduling flexibility is part of this role, designed to provide coverage when full-time staff is on leave, education, or PTO.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Preferred Qualifications:</b></h3><ul><li><p>
Doctorate in Nursing Practice, Wound/Ostomy Advanced Practice Certification, other Wound Care Certification</p></li><li><p>
Two years of experience</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Minimum Education:</b></h3><ul><li><p><b>
Advanced Practice Nurse: </b>Master&rsquo;s Degree or higher in Nursing from a nationally accredited organization.</p></li><li><p><b>
Physician Assistant: </b>Bachelor&rsquo;s Degree or higher in Physician Assistant Studies from an ARC-PA-accredited organization.</p></li><li><p>
Board Certification in Wound Care</p></li></ul><h3 class="jobSectionHeader"><b>
Minimum Requirements: </b><b><i>*or eligible*</i></b></h3><ul><li><p><b>
Advanced Practice Nurse/ Advanced Practice Nurse Practitioner</b>
</p><ul><li><p>Wisconsin RN License</p></li><li><p>
Wisconsin Advanced Practice Nurse Prescriber License</p></li><li><p>
Certification Requirements</p><ul><li><p>
American Heart Association Advanced Cardiac Life Support (ACLS)</p></li><li><p>
American Heart Association Basic Life Support (BLS)</p></li><li><p>
Advanced Trauma Life Support (ATLS) required within 6 months of start date</p></li></ul></li><li><p>
DEA registration<i>
</i></p></li><li><p>Nurse Practitioner Certification from a nationally accredited professional nursing organization<i>
</i></p><ul><li><p>Adult-Gerontology Acute Care NP (AGACNP)</p></li><li><p>
Adult-Gerontology Primary Care NP (AGPCNP)</p></li><li><p>
Family NP (FNP)</p></li></ul></li></ul></li><li><p><b>
Physician Assistant</b></p><ul><li><p>
Wisconsin Physician Assistant License</p></li><li><p>
Certification by National Commission on Certification of Physician Assistants (NCCPA)
</p></li><li><p>Certification Requirements:</p><ul><li><p>
American Heart Association Advanced Cardiac Life Support (ACLS)</p></li><li><p>
American Heart Association Basic Life Support (BLS)</p></li><li><p>
Advanced Trauma Life Support (ATLS) required within 6 months of start date</p></li></ul></li><li><p>
DEA registration</p></li></ul></li></ul><p>
Learn about Advanced Practice Providers</p><p></p><h3 class="jobSectionHeader"><b>
Medical College of Wisconsin</b></h3><p></p><p>
The Medical College of Wisconsin (MCW) is the state&rsquo;s only private medical school and health sciences graduate school. MCW consists of a School of Medicine with campuses in Milwaukee, Green Bay and Central Wisconsin, a School of Graduate Studies, and a School of Pharmacy. MCW is a major national research center ranking in the top third of U.S. medical schools in NIH funding and is the second largest research institution in Wisconsin. Academic medicine is at the core of everything we do at MCW, bringing together scientists, clinicians, students and community members to solve the most complex challenges in health and society. MCW is a diverse group of thought leaders collaborating to pioneer pathways to a healthier world. Every study we conduct and every patient we see leads to new learning and a continuous cycle of life-changing knowledge and innovation.</p><p></p><p><br>
Approximately 1,780 MCW physicians and approximately 905 advanced practice providers care for more than 484,000 patients of all ages annually at Froedtert Hospital, Zablocki VA Medical Center, Children&rsquo;s Wisconsin, and many other hospitals and clinics throughout eastern Wisconsin, representing more than 5.1 million patient visits annually.</p><p></p><p><br>
The beautiful, safe and modern campus of the Milwaukee Regional Medical Center (MRMC) houses Froedtert Hospital, Children&rsquo;s Wisconsin, Curative Care Network, Versiti Blood Research Institute and the Milwaukee County Behavioral Health Division. These member entities share a common mission of excellence in patient care, medical education, biomedical research and community service.</p><p></p><p><b><br>
Commitment to MCW Values</b></p><p>
All of our endeavors at MCW, from our internal operations to our interactions with our partners, are driven by our shared organizational values: acting in Caring ways &ndash; engaging in Collaborative efforts &ndash; approaching our world with Curiosity &ndash; advancing Inclusive practices &ndash; demonstrating Integrity in all we do &ndash; treating everyone with 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.</p><p></p><p><b><br>
Milwaukee, </b>the largest city in Wisconsin, is located on Lake Michigan&rsquo;s western shore. A metropolitan area with more than 1.6 million people, Milwaukee is an affordable, comfortable place to live, work, and play, big enough to be exciting and uncongested enough to get around easily. Milwaukee&rsquo;s many neighborhoods have incredible charm, accommodating a variety of lifestyles, from high-rise apartments to small farms. Nestled along a magnificent bluff overlooking Lake Michigan, Milwaukee&rsquo;s downtown is home to botanical gardens, lakefront museums, a theater district, the world champion Milwaukee Bucks, the Milwaukee Brewers, bustling nightlife, and award-winning restaurants. The lake and its harbors are skirted by scenic parklands and provide first-class opportunities for recreation, including hiking, cycling, boating, and more. A recent study ranked Milwaukee as the 15th most walkable of the 50 largest US cities. Milwaukee has all the advantages of a large, vibrant city but without the stress or cost.</p><p></p><h3 class="jobSectionHeader"><b>
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination</b></h3><p></p><p>
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.</p></div><p></p>

Advanced Practice Provider – Wound Care Program

Join Medical College of Wisconsin and explore 9   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.