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Ascension Health Audit and Appeal Specialist in Stevens Point, Wisconsin

We Are Hiring

Spclst-Charge - Recovery Audit Compliance 001 - Part-Time,Day - MHC Stev Point Lands End - Stevens Point,WI

Why Join Ascension?

In Wisconsin, Ascension operates 24 hospitals and hundreds of related healthcare facilities that together employ more than 23,500 associates. Across the state, Ascension provided more than $230 million in community benefit and care of persons living in poverty in fiscal year 2016. Serving Wisconsin for 169 years, Ascension is a faith-based healthcare organization committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. Ascension is the largest non-profit health system in the U.S. and the world’s largest Catholic health system, operating 2,500 sites of care – including 141 hospitals and more than 30 senior living facilities – in 24 states and the District of Columbia. Visit www.ascension.org/wisconsin. We’re looking for talented associates to join us as we continue advancing healthcare across Wisconsin.

What You Will Do

As an Associate with Ascension-WI, you will have the opportunity to coordinate the review, analysis and organization of charge master activities.

Responsibilities:

  • Utilizes clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve complex billing inconsistencies.

  • Collaborates with managed care department to code billable items for reimbursement. Collaborates with appropriate staff to secure information for billable items.

  • Analyzes content of reports and software edits and makes recommendation for revisions with appropriate departments.

  • Identifies opportunities to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts. Coordinates the resulting project and/or audit.

  • Serves as support for both complex and routine operations and administrative issues.

  • Educates and advises staff and other departments regarding payer changes and denial/appeal process.

What You Will Need

Licenses/Certifications/Registration:

  • Required Credential(s):

  • None required.

Education:

  • Diploma

  • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required

Work Experience:

  • 3 years of experience preferred.

Equal Employment Opportunity

Ascension Wisconsin is an equal opportunity employer and will not discriminate against employees or prospective employees on basis of age, race, creed, color, religion, marital status, sex, national origin, ancestry, citizenship, sexual orientation, disability, arrest and/or conviction record, military status, protected veteran status, or any other characteristic or status protected by law.

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

M/F/Disabled/Vet

EEO is the Law Poster Supplement

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccpeeosupplementfinaljrfqa508c.pdf

REQNUMBER: 314021-1A

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