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JOB REQUIREMENTS: Position Description: As a Patient Relations Representative III in Neurology you will conduct routine and advanced insurance prior-authorizations, requiring knowledge of insurance companies, verification policies and procedures to ensure proper reimbursement for all clinical care. This role will also independently provide check-in and scheduling for the front desk of the clinic on a rotating basis with colleagues. This work will be conducted in the MCW Adult Neuropsychology Clinic. Primary Functions: Prior Authorizations & Insurance Facilitates accurate authorizations and referrals by using insurance processes and regulations, Neuropsychology data and procedural coding. Maintain working knowledge of MCW and affiliate computerized scheduling systems (i.e., Epic,). Utilize appropriate on-line system to verify insurance and government aid eligibility. Work with financial team and patient to ensure payment for services rendered based on situation. Identifies eligibility by interpreting contract provisions and processes. Communicates approval and denial results to internal and external customers. Develops and maintains policies and procedures. Works with team on regular basis to conduct training for contract evaluation and management and to identify workflow and process improvements. Provides support to physicians, clinical and administrative staff regarding pre-authorization appeals and disputes. Primary Functions: Front Desk and Scheduling In person or via telephone, check patients in for their appointment, schedule patient new and follow up appointments, update patient accounts, collect patient demographic and insurance information and answer routine questions regarding medical billing. Independently exercise judgment to resolve more complex customer concerns. Transfer concerns to more appropriate personnel when required. Documents in electronic medical record and other software tools that are essential to the clinic. Coordinate multiple appointments for patients participating in our multi-disciplinary clinics. 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. #LI-SN1 Preferred Schedule: M-F 8-4:30 or 830-500 Position Requirements: Appropriate experience may be substituted on equivalent basis Minimum Required Education: High school diploma Minimum Required Experience: 3 years Preferred Experience: Knowledge of Insurance verification process and portals, EPIC Why... For full info follow application link. EEO/AA Minorities/Females/Vets/Disability The Medical College of Wisconsin is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, veteran status, disability or sexual orientation. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/B83E0CF1D7C04200 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.