
5001 - 10000 employees
Founded 1889
🛡️ Insurance
💼 Consulting
🏨 Hospitality
Insurance • Consulting • Hospitality
Mercyhealth Wisconsin and Illinois is a regional integrated health system providing hospitals, outpatient clinics, urgent care, specialty care (cardiology, oncology, orthopedics, neurosurgery, etc. ), pharmacies, home health and hospice services across northern Illinois and southern Wisconsin. It operates MercyCare Health Plans (commercial health insurance), offers graduate medical education and fellowship/residency programs, runs a foundation and community health initiatives, and provides patient-facing resources such as MyChart, online scheduling, and wellness programs.
🔥 0 minutes ago
🧀 Wisconsin – Remote
💵 $17 - $26 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
💸 Financial Planning and Analysis (FP&A)
👻 Ghost score 0%
Where this job comes from
Posted on Mercyhealth Wisconsin and Illinois's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

5001 - 10000 employees
Founded 1889
🛡️ Insurance
💼 Consulting
🏨 Hospitality
Insurance • Consulting • Hospitality
Mercyhealth Wisconsin and Illinois is a regional integrated health system providing hospitals, outpatient clinics, urgent care, specialty care (cardiology, oncology, orthopedics, neurosurgery, etc. ), pharmacies, home health and hospice services across northern Illinois and southern Wisconsin. It operates MercyCare Health Plans (commercial health insurance), offers graduate medical education and fellowship/residency programs, runs a foundation and community health initiatives, and provides patient-facing resources such as MyChart, online scheduling, and wellness programs.
• Process and submit accurate medical claims electronically and manually • Use available technology and claims-processing reports to produce clean claims • Maintain accurate demographic information for billing • Verify coding and documentation for proper claim billing • Request and attach required clinical documentation • Review failed claims and resolve claim edits and billing errors • Use patient accounting systems, biller files, and payer databases to locate missing or incorrect information • Coordinate with management and external departments to resolve unbilled accounts • Recommend process redesign initiatives for long-term root-cause resolution • Participate in hospital and physician educational programs • Maintain awareness of insurance company updates and federal and state guidelines • Meet productivity goals assigned by the Revenue Cycle Director • Complete special projects as assigned
• High school diploma or equivalent • Microsoft Excel required • Ability to analyze coding to assure proper billing of claims • Ability to maintain current knowledge of regulatory billing requirements and payer guidelines • Ability to request and attach required clinical documentation according to third-party requirements • Ability to analyze and resolve claim edits, billing errors, and missing or incorrect information • Ability to coordinate with management and external departments • Ability to meet assigned productivity goals • Ability to work effectively with others to impact change • Healthcare billing experience preferred • 40 hours per week
• Medical, Dental, Vision • Life & Disability Insurance • FSA/HSA Options • Generous, accruing paid time off • Paid Parental and caregiver leave • Career advancement and educational opportunities • Tuition and certification reimbursement • Certification Reimbursement • Well-being Programs • Employee Discounts • On-Demand Pay • Financial Education • Annual recognition/awards events • Partner appreciation days • Family entertainment/attractions discount • Community service/improvement opportunities
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