Children's Wisconsin

Role Description Children’s Wisconsin has an exciting opportunity for a Senior Application/Systems Analyst – Epic (Ambulatory/Beacon) to join our team! Location: Remote What you will do: - Provides support, analysis, configuration, development, testing and implementation services for assigned Epic module (Ambulatory/Beacon). - Identified as an application expert and primary contact in a defined Epic core module. - Performs work that is complex and cross functional in nature. - Analyzes, develops, tests and implements solutions while adhering to Change Control and Testing methodologies and all other related CW documentation standards. Essential Functions - Ensures the stability, reliability and performance of the applications or modules for which they provide support by having a thorough understanding of the applications, operational workflows, integration points and technical components. - Develops and maintains working relationships with application vendor(s), aware of contracted SLA’s, and establishes appropriate prioritization of requests and issues. - Performs issue resolution, user requirement gathering for changes/enhancements, updates/upgrades and new functionality. - Meets or exceeds service level agreements in relation to resolution of customer issues, including collaboration with third party resources, operations and other IS teams. - Responds quickly and appropriately to customer service requests. - Collaborates with both internal and external resources to develop solutions to a variety of problems with large scope and complexity and measures impact of each solution. - Works is performed without appreciable direction, assignments are often self-initiated, and applies considerable latitude in determining technical objectives of work. - Clearly understands integration points with other applications and downstream systems, able to use advanced tools to run requested reports, able to translate user requirements into system specifications. - Works with internal teams to develop workflows and applies best practices. - Supports organizational and departmental changes and demonstrates expertise to apply change management principles. - Supports the holistic interrelationships that exist within and across health care systems, demonstrates support of the health systems strategic initiatives, and participates in the development of team and departmental goals. - Collaborates with leadership, project managers and peers in the planning, development and deployment of new solutions/enhancements. - Leads multiple medium to large sized initiatives following established project management methodologies. - Documents workflow processes, application support knowledge, and project related activity. - Proactively communicates new release features, changes and critical issues to users, staff, and leadership. - Recognized as an expert resource for the team within the organization. - Coaches others to promote and maintain a diverse, inclusive and stimulating work environment. Qualifications - Requires a Bachelor's Degree or equivalent demonstrated knowledge. - Minimum of 5-7 years of relevant experience. - Epic certified in Ambulatory and another Epic module. Must continue to maintain certification. - Strong project management skills as demonstrated by leading medium or large projects. - Demonstrated strong analytical skills. Requirements - Full knowledge of industry practices and standards. - Proficient with Microsoft Office tools and applications. - Mentors others by sharing knowledge, skills, and experience to help others develop and grow. - Proven ability to multi-task and set priorities on numerous competing initiatives of varying complexity. - Excellent written and verbal communication skills that is adaptable to varying audiences. - Independent with the development and accomplishment of personal goals. - Demonstrates skill with the following competencies: manage conflict, business insight, being resilient and resourcefulness. Company Description Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Role Description Supports Hospital Billing Supervisor and provides leadership and direction to the Account Resolution Representatives. Is the primary resource for training of new team members and continued training of current staff. Lead will assist in the coordination and implementation of new procedures and protocols within the department. They will be a resource for escalated insurance issues. The lead may also be required to perform Account Resolution Rep duties in addition to the Lead essential functions. This role will participate in the evaluation and measurement of staff quality and productivity. This role will review staff work such that it facilitates cash collections and ensures that claims are paid according to contract or at the accepted reimbursement dollar amount. Essential Functions - Trains, orients and provides resource support for the assigned follow-up work group, including information related to departmental operations and computerized systems. - Responsible for set-up and upgrades of computerized systems to include entry, testing and training of staff. - On a daily basis, reviews the denial, follow-up, credit, and variance work-queue claims volumes to assess follow-up needs and identify shortfalls. - Monitors and reviews Epic A/R reports and Workqueues to ensure that claims are followed up on within each payer’s timely filing guidelines/requirements. - Coordinates the high dollar claim review process to ensure that timely and effective follow up is being performed by staff. - Conducts staff audits to measure the quality of work being done by staff as well as staff adherence to department standards. - Assists with productivity reporting as needed and along with the Supervisor. - Maintains issues list for staff meetings to ensure documentation and follow up occurs on identified issues and problems. - Assists the supervisor with development of department processes and procedures as needed. - Receives, investigates and responds to problems and/or questions from staff, insurance companies, families and other departments. - Provides support to assigned follow-up work group team and assists staff in the resolution of complex accounts. - Identify and resolve outstanding claim deficiencies resulting from aged billing, denials or under/overpayments using EPIC work queues and reporting tools within the time frame given by management. Legacy Essential Functions - Maintains current knowledge of managed care payer contracts and third party payer billing/reimbursement policies for all lines of business (Government, HMO and Commercial). - Maintains a thorough understanding of A/R functions, Department policies and procedures, information systems and business relationships. Education - High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) Required. - Associate's Degree in medical billing, finance or accounting preferred. - Bachelor's Degree in medical billing, finance or accounting preferred. Experience - 2+ years experience in health care revenue cycle operations including insurance reimbursement procedures and comprehension of insurance EOB’s. Pediatric experience a plus. - Prior Epic experience is strongly preferred. Knowledge, Skills and Abilities - Excellent verbal and written communication skills. Bilingual a plus. - Strong analytical skills and ability to perform non-complex arithmetic calculations when determining contractual allowances. - Ability to work independently with minimal supervision. - Ability to demonstrate leadership skills. - Proficient in Microsoft Office applications and technology skills required to perform duties. - Professional certification in claims processing through HFMA or AHAAM is a plus. - The ability to multi-task and function effectively in a team environment and maintain effective relationships with coworkers, patients, physicians, management, staff, and other customers. Required for All Jobs This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. Employment is at-will. This document does not create an employment contract, implied or otherwise. Fully Remote Work Opportunity! Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Title: Profee Surgical Coding Specialist III - REMOTE Location: USA Job Description: time type Full time job requisition id R15025 At Children’s Wisconsin, we believe kids deserve the best. Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/ The Profee Surgical Coding Specialist III (Pediatric Urology and ENT) will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture. Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics. - 100% Remote - Full time: Monday-Friday (40 hrs per week) Experience: - 3 years of experience of Profee coding in a healthcare position required - Specialty surgical coding knowledge in Pediatric Urology and Pediatric ENT preferred Knowledge, Skills and Abilities: - Knowledge of ICD10, CPT and HCPCS coding guidelines. - Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance. - Prior use of an Electronic Health Record. - Epic experience preferred. - Excellent communication (oral and written) skills. - Ability to work independently, exercise independent judgment and solve problems effectively. Licenses and Certifications: Certification: one of the following: - CPC-Certified Professional Coder - American Board of Professional Coders - CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association - CCS-Certified Coding Specialist - American Health Information Management Association - RHIT-Registered Health Information Technician - American Health Information Management Association Essential Functions: Assigns or verifies CPT, ICD-10 CM coding and modifiers based upon documentation. Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding. Ensures compliance with official coding guidelines. Education: High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses: + one of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association

Role Description Join Children’s Wisconsin as a Remote Senior Applications Analyst – Epic Hospital Billing, where you will serve as a subject matter expert in Resolute Hospital Billing, leading complex, cross-functional solutions that optimize billing systems and support high-quality patient care operations. What you will do: - Provides support, analysis, configuration, development, testing and implementation services for Epic Resolute Hospital Billing, including other related applications: Resolute Professional Billing, Claims. - Identified as an application expert and primary contact in Resolute Hospital Billing. - Performs work that is complex and cross functional in nature. - Analyzes, develops, tests and implements solutions while adhering to Change Control and Testing methodologies and all other related CHW documentation standards. Essential Functions: - Ensures the stability, reliability and performance of the applications or modules for which they provide support by having a thorough understanding of the applications, operational workflows, integration points and technical components. - Develops and maintains working relationships with application vendor(s), aware of contracted SLA’s, and establishes appropriate prioritization of requests and issues. - Performs issue resolution, user requirement gathering for changes/enhancements, updates/upgrades and new functionality. - Meets or exceeds service level agreements in relation to resolution of customer issues, including collaboration with third party resources, operations and other IS teams. - Responds quickly and appropriately to customer service requests. - Collaborates with both internal and external resources to develop solutions to a variety of problems with large scope and complexity and measures impact of each solution. - Works is performed without appreciable direction, assignments are often self-initiated, and applies considerable latitude in determining technical objectives of work. - Clearly understands integration points with other applications and downstream systems, able to use advanced tools to run requested reports, able to translate user requirements into system specifications, works with internal teams to develop workflows, and applies best practices. - Supports organizational and departmental changes, demonstrating expertise to apply change management principles, processes, behaviors and skills necessary to effectively prepare an impacted audience for a sustainable change. - Supports the holistic interrelationships that exist within and across health care systems, demonstrates support of the health systems strategic initiatives, and participates in the development of team and departmental goals. - Represents the team as a primary contact on projects. - Collaborates with leadership, project managers and peers in the planning, development and deployment of new solutions/enhancements. - Leads multiple medium to large sized initiatives following established project management methodologies. - Documents workflow processes, application support knowledge, and project related activity. - Proactively communicates new release features, changes and critical issues to users, staff, and leadership. - Recognized as an expert resource for the team within the organization. - Coaches others to promote and maintain a diverse, inclusive and stimulating work environment where others are treated with dignity and respect, valued for their differences in thought, background, experience, perspectives and empowers others to succeed. Qualifications - Requires a Bachelor's Degree or equivalent demonstrated knowledge. - Minimum of 5-7 years of relevant experience. - Epic certified in module Resolute Hospital Billing. Must continue to maintain certifications. - Strong project management skills as demonstrated by leading medium or large projects. - Experience with Microsoft Office tools and applications. - Demonstrated strong analytical skill. Requirements - Full knowledge of industry practices and standards. - Proficient with Microsoft Office tools and applications. - Mentors others by sharing knowledge, skills, and experience to help others develop and grow. - Proven ability to multi-task and set priorities on numerous competing initiatives of varying complexity. - Excellent written and verbal communication skills that is adaptable to varying audiences. - Independent with the development and accomplishment of personal goals. Seeks opportunities to pursue professional growth. - Demonstrates skill with the following competencies: manage conflict, business insight, being resilient and resourcefulness. Company Description Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Role Description Join Children’s Wisconsin as a Remote Applications Analyst – Epic Billing, where you will support, configure, and implement solutions within Epic Resolute Billing to enhance revenue cycle performance and drive high-quality patient care operations. What you will do: - Provides support, analysis, configuration, development, testing and implementation services for Resolute Billing Epic module(s). This may also include other related applications. - Analyzes, develops, tests and implements solutions while adhering to Change Control and Testing methodologies and all other related CHW documentation standards. Essential Functions: - Ensures the stability, reliability and performance of the assigned applications by having a basic understanding of the operational workflow, integration points and technical components. - Maintains working relationships with application vendor(s), aware of contracted SLA’s, and establishes appropriate prioritization of requests and issues. - Performs issue resolution, user requirement gathering for enhancements, updates/upgrades and new functionality. - Meets or exceeds service level agreements in relation to resolution of customer issues, including collaboration with third party resources, operations and other IS teams. Responds quickly and appropriately to customer service requests. - Problem solving: develops solutions to a variety of problems with moderate scope and complexity. - Discretion/latitude: works under general direction, participates in determining objectives of assigned work, and reviews work for overall adequacy in meeting objectives. Plans, schedules, and arranges own activities to accomplish work. - Analytical insight: aware of integration points with other applications and downstream systems, able to use basic tools to run requested reports, works with internal teams to develop workflows, and applies best practices. Documents application build, workflows, and vendor information for team resource. - Systems thinking: with guidance, identifies and works toward the accomplishment of personal, department, and organizational goals. Demonstrates awareness of the holistic interrelationships that exist within and across health care systems. Supports the strategic initiatives of the health system. - Collaboration/liaison: works in partnership with multi-disciplinary teams to achieve optimal and realistic outcomes. Leads small to medium sized initiatives following established project management methodologies. Recognized by others as a resource for the team within the department. - Response to diversity: understands/recognizes that each individual is unique, demonstrates appreciation of individual differences and seeks to understand different perspectives and cultures. Qualifications - Requires a Bachelor's Degree or equivalent demonstrated knowledge. - Minimum of 2 years of relevant experience. - Epic Resolute Billing certification preferred. Must continue to maintain certifications. - Strong Project Management skills as demonstrated by leading small or medium projects. - Experience with Microsoft Office tools and applications. Demonstrated analytical skills. Requirements - Basic knowledge of industry practices and standards. - Demonstrated analytical skills. - Proven ability to meet timelines. - Ability to multi-task and set priorities of defined work appropriately to meet deadlines. - Strong written and verbal communication skills that is adaptable to varying audiences. - Identifies personal goals and seeks opportunities to pursue professional growth. - Demonstrates skill with the following competencies: managing ambiguity, optimizing work processes, managing complexity, decision quality and ability to plan and align. Required for All Jobs - This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. - Employment is at-will. This document does not create an employment contract, implied or otherwise. - Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses

Title: Treatment Foster Care Worker - Fulltime Location: Madison, WI Work Type: Remote, Full Time Job ID: R14862 Job Description: At Children’s Wisconsin, we believe kids deserve the best. Every child deserves a safe and loving home. When parents are unable to provide this on their own, intervention is needed to ensure these children are free of abuse and neglect. We provide child well-being services to help children live in a safe and nurturing environment. We provide services to parents needing education and guidance to improve their parenting skills so their children can remain with them. We also provide services to children who are placed with foster families until they can return home or become part of an adoptive family. Our experienced professionals provide the following services to families in Milwaukee County and at locations throughout Wisconsin. - Foster Care - Treatment Foster Care - Adoption - Respite Care - Child Advocacy Centers - Family Case Management - Family Finding We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Position Summary: The Treatment Foster Care Worker position provides direct service to children within the designated area. The TFC Social Worker provides treatment foster care services to Children's Service Society clients and team members as delineated by DCF 56 and in a manner consistent with accepted social work practices and agency program definitions. The children referred to the program may present as emotionally disturbed, medically fragile, developmentally delayed, or delinquent children or adolescents. Attention to permanency planning and providing stable home environments to the child is essential. Position Requirement: - Master’s degree in social work or related field preferred, OR a bachelor’s degree in social work or related field with two years post degree experience. - Requires a valid driver's license, acceptable driving record, personal auto liability insurance coverage and the ability to be insured by the CHHS auto insurance carrier. - Must use personal vehicle to transport children, complete in-house car seat transporter training within one month of hire and re-train biannually thereafter to maintain. - Child welfare experience desired. - Experience working with families of diverse ethnic, cultural and socioeconomic backgrounds strongly preferred. - A working knowledge of child development and issues facing special needs children is required. Clinical social work skills preferred. - Ability to facilitate and work as a member of a treatment team. - Ability to maintain positive working relationships with referral source and community organizations. - The position requires good written skills and good verbal communication skills. Strong computer skills. - This position is primarily a remote position working from home with flexibility.

• Work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner. • Ensure correct coding, billing compliance and complete charge capture • Collaborate with providers and other departmental staff/leaders on coding or charge capture related questions/topics • Assign or verify CPT, ICD-10 CM coding and modifiers based upon documentation • Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding • Ensure compliance with official coding guidelines

• Manage, support, monitor, and coordinate coding activities for professional services • Promote a positive and productive work environment • Creation and maintenance of policies and procedures • Lead for process improvement initiatives

Role Description This position supports the professional and leadership staff of Chorus Community Health Plans (CCHP). This role includes supporting quality improvement, member engagement, case management, health promotion and population health programs by coordinating related projects, conducting member outreach, and creating internal reports to benefit members served by CCHP. Essential Functions - Assists teams in identifying program opportunities related to addressing drivers of health that support organizational and patient/member goals. - Supports leaders with projects and data information needs using analytical software tools, which may include care management documentation platforms, peer reviewed journals and research, and local publicly available data sources. - Supports and creates reports, including creating data tables and visualizations and executive/project summaries as needed. - Utilizes data to interpret program efficacy and makes suggestions to leadership based on results. - Performs internet research to support various project initiatives, as directed by leadership staff. - Supports development of member outreach and engagement strategy for quality improvement initiatives. - Develops workflow diagrams, scripting, and evaluation tools to support quality improvement initiatives. Qualifications - Currently enrolled in an undergraduate or graduate program (Required) Requirements - Office experience and/or healthcare experience or volunteerism (Preferred) - Effective oral and written communication skills. - Excellent organizational and problem solving skills. - Ability to handle many concurrent tasks, meet deadlines and work well under pressure. - Ability to adapt to requests from various project owners and leaders. - Proficient knowledge in all Microsoft products specifically Excel with desired experience creating workbooks, Pivot Tables, and visualizations. - Comfortable self-managing and progressing multiple ongoing and ad hoc projects in a remote work environment. - Knowledge of and experience with office procedures, particularly in a remote setting. Benefits - Thriving work environment: Immerse yourself in a vibrant, inclusive, and collaborative workplace that fosters creativity and innovation. - Competitive compensation: Enjoy a competitive salary and benefits package that values your skills and dedication. - Exceptional team dynamics: Join a team recognized for its top-notch employee engagement scores, making every day a rewarding experience. - Impactful contribution: Seize the chance to create a positive impact in the lives of others, turning your passion into a meaningful difference.

At Children’s Wisconsin, we believe kids deserve the best. Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/ Job Summary: Schedules appointments from incoming phone calls in high volume call center format. Processes all necessary registration information and educate patient families of their financial obligations. Essential Functions: - Schedules appointments via incoming telephone calls per Central Scheduling protocols and facilitate intake process for appropriate triage utilizing CHW technology. - Provide pre-registration support for scheduled services per department guidelines. - Discusses potential financial obligations with parent. - Educates parent guardian or patient on managed care process and required authorization needed per CHW policies and managed care contractors. Updates insurance information for accuracy and verifies current/ future eligibility - Place outbound calls to patient families to schedule and register appointment via work lists found in work queues. Education: - High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required Experience: - 1+ years Customer service experience required - Experience in registration and/or scheduling preferred - Epic experience preferred - Call center experience preferred Knowledge, Skills and Abilities: - Requires excellent communication and interpersonal skills in order to serve a variety of people in a fast paced call center environment - Ability to make decisions based on established clinic protocols preferred. - Excellent organization and prioritizing skills necessary to work in a fast paced multi-functioned department preferred. - Proficient data entry skills with accuracy and speed Required for All Jobs: - This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. - Employment is at-will. This document does not create an employment contract, implied or otherwise. - Remote job opportunity - 20 hours per week Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses: