Froedtert

Role Description The Insurance Verification Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer authorization requirements and collaborates with the appropriate clinical partners, case managers, financial counselors, payers, and others to make sure the necessary authorization is obtained. The Insurance Verification Specialist provides detailed and timely communication in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned. Qualifications - Minimum of one year experience in a hospital admitting/registration/billing/managed care department. - Demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's, and PPOs. - High School diploma or equivalent is required. Requirements - Knowledge of online insurance eligibility systems. - Excellent typing and computer skills. - Familiarity with Medical Terminology. - Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity. Benefits - Pay is expected to be between: $20.45- $27.81 (hourly). - Paid time off. - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities. - Academic Partnership with the Medical College of Wisconsin. - Referral bonuses. - Retirement plan - 403b. - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics. - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available. Company Description The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

Role Description The Medical Assistant (MA/MA Sr) is a healthcare professional and an essential member of the patient-centered healthcare team. The MA/MA Sr is instrumental in helping the patient feel at ease while collaborating with the provider throughout the patient's visit. - Maintaining Basic Life Support (BLS) certification - Remaining compliant with all organization educational, licensure or certification - Cross-training and floating as needed to provide services across sites and to maintain optimal clinic operations Qualifications - High school diploma (or GED) required - Completion of an MA program, or - Completion of an EMT-Basic course, or - Trained on the job MA AND one year experience in health care, or - Completion of an MA Apprentice program - American Heart Association (AHA) Basic Life Support for the Healthcare Providers (BLS) or an AHA approved equivalent required within 90 days of hire - 1 year of healthcare experience preferred Requirements - HS Diploma or GED is required for Medical Assistant Senior (MA Sr) - Military Medic/Corpsman training (must also obtain one of the certifications or licenses below within 6 months of hire), or - Certified/Registered Medical Assistant through one of the following: - Credentialed in ABR-OE (Assessment-Based Recognition in Order Entry) - Certified Medical Assistant (CMA) - Registered Medical Assistant (RMA) - NRCMA - Medical Assistant through the National Association for Health Professionals - CCMA Certified Clinical Medical Assistant - Certified Medical Assistant through the National Phlebotomy Certification Examination (NPCE) - Certified Paramedic, or - Advanced EMT, or - Graduated from an accredited Licensed Practical Nurse (LPN) program and current active LPN license, or - Other certification from an approved body as maintained by Froedtert Human Resources - 1 year of experience as medical assistant or in the field of the credential held is required Benefits - Pay is expected to be between: $22.17- $31.70 (final compensation based on experience) - Paid Time Off (PTO) - Career Development – Career Pathways, Tuition Assistance, CEU opportunities - Collaboration with the Medical College of Wisconsin - Referral Bonuses - 403(b) Retirement Plan - Moving Assistance - Comprehensive Insurance – Medical, Dental, Vision, Life Insurance - Disability Coverage – Short- & Long-Term Disability - Free Workplace Clinics, Employee Assistance Programs (EAP), Healthy Contributions, & Care@Work - Adoption Assistance - Discounts on Gym Memberships, Travel, KinderCare, Auto, Home, & Pet Insurance - Additional work-life benefits available

Role Description Assumes responsibility for assessing a patient's clinical status on admission and daily to determine the appropriate admission status type and level of care. Refers cases to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service based multidisciplinary team as it relates to the patient and identified treatment plan. Works in accordance to established policies and procedures to ensure optimal patient outcomes. Has the ability to work with variable service lines and with multiple care teams. Qualifications - Minimum of 3 years of acute care nursing experience is required. - Prior utilization management or case management experience is required. - A minimum of 5 years of acute care nursing experience is preferred. - Utilization of Interqual, MCG care web QI or Indicia evidence based guidelines is strongly preferred. - Professional knowledge of nursing theory and practice at a level normally acquired through completion of a program at an accredited School of Nursing is required. - Bachelor's Degree in Nursing is preferred. - Knowledge of Medicare inpatient only surgical list, Medicare guidelines for admission, working DRG, and some familiarity with hospital coding is preferred. - Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact). - MCG certification is required within 18 months of hire. - Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred. Benefits - Pay is expected to be between: $34.00 - $52.70 (hourly). - Paid time off. - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities. - Academic Partnership with the Medical College of Wisconsin. - Referral bonuses. - Retirement plan - 403b. - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics. - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available. Company Description The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

Role Description The Inpatient Auditor supports the quality and development of the inpatient coding team through coding audits, education, and mentorship. This role has a primary focus on: - Auditing coding accuracy - DRG assignment - Compliance while providing constructive feedback to coders As proficiency is demonstrated, responsibilities expand to include: - Onboarding - Training - Assisting with developing educational resources - Serving as a coding subject matter expert The Inpatient Auditor collaborates with: - Coding Leadership - The Inpatient Trainer and Education Coordinator - Interdisciplinary teams Goals include promoting coding quality, regulatory compliance, and continuous improvement across the organization. Qualifications - A minimum of 3 years of Health Information Management experience in an acute care environment performing inpatient coding with MS-DRG assignment required. - A minimum of 5 years Inpatient Coding experience is preferred. - Appropriate education or experience may be substituted on an equivalent basis of three years of progressively responsible inpatient coding experience in an academic medical facility. - Previous auditing, education, mentoring, or precepting experience preferred. Requirements - Associate Degree in Health Information Management or equivalent combination of education and experience. - Bachelor's Degree in Health Information Management preferred. - Certified RHIA/RHIT, CCS, CCS-P, CIC, COC or CPC. - RHIA, RHIT, or CCS preferred. Benefits - Paid time off - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance - Discounts on gym memberships, travel and other work-life benefits available

Role Description The Senior Credentialing Specialist oversees and leads the credentialing and privileging processes with a focus on regulatory compliance, quality assurance, and process improvement. This role not only performs credentialing tasks but also: - Develops procedures - Mentors staff - Handles complex or escalated issues - Ensures ongoing compliance with accrediting bodies - Acts as a liaison with leadership - Contributes to audits, policy development, and strategic planning Qualifications - Minimum of 3 years of credentialing or healthcare-related experience - High School diploma or equivalent is preferred Requirements - Proficiency in Microsoft Office Suite and Windows applications - Familiarity with credentialing and terminology - Strong database management skills and understanding of file structures - Excellent verbal and written communication skills - Ability to compose professional documents, including letters and meeting minutes - Strong organizational skills with attention to detail - Ability to handle multiple tasks simultaneously and work independently - Self-motivated, with strong problem-solving skills - Team-oriented with a collaborative focus - Knowledge of state and federal regulations related to hospital credentialing - Knowledge of NCQA standards - Accurate typing skills Benefits Froedtert Health offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following: - Paid time off - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work-life benefits available

Role Description The Nurse Triage Registered Nurse is a practitioner who is responsible for assessing, planning, implementing, and evaluating care for an identified group of patients within the Froedtert and MCW Patient Engagement Center. Responsibilities may include: - Triage (telephone based) - Providing patient and family education - Managing test results - Coordinating patient care needs - Medication refills - Other tasks as assigned from a clinical capacity Customer-focused and friendly communication skills will provide an exceptional experience and set the stage for patient preference and loyalty to Froedtert & The Medical College of Wisconsin. Competencies may include: - Nurse triage training - Other duties as assigned The Nurse Triage Registered Nurse job description is adapted from the ANA Nursing: Scope and Standards of Practice, 2nd Edition (2010), the AAACN Scope and Standards of Practice for Professional Telehealth Nursing, 5th Edition (2011), and the AAACN Scope and Standards of Practice for Professional Ambulatory Care Nursing, 8th Edition (2010). Qualifications - Two years of clinical experience is required - One year of RN experience or nursing student clinical rotation experience may be considered - Three to five years of clinical nursing experience in an applicable specialty is preferred - Professional knowledge of nursing theory and practice at a level normally acquired through completion of education at an accredited School of Nursing - Bachelor's Degree in Nursing is preferred Requirements - Preferred proficiency with Epic Nurse Triage Software and call center technology - Expert communication skills, oral and written required - Proven ability to multi-task - Proven ability to mentor other co-workers on job tasks and workflows - Strong proactive organizational skills - Excellent customer service skills - Proficient in Microsoft Outlook, Word and Excel - Knowledge of medical terminology and Epic - Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact) - American Heart Association (AHA) Basic Life Support for the Healthcare Provider (BLS) or an AHA approved equivalent is required within 90 days of hire Benefits - Pay is expected to be between: $27.75 - $43.01 (expressed as hourly) - Paid time off - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

Role Description This position, with minimal supervision, uses defined methodologies in a team environment to perform system life cycle tasks for assigned systems or applications. These tasks include: - Planning - System analysis - Design - Application building - Integration - Testing - Maintenance - Support - Completion of assigned project work May lead small projects or initiatives. Qualifications - A minimum of 2 years of related work experience is required. - Knowledge of computer principles at a level normally acquired through completion of a Bachelor's degree or equivalent experience is required. - Epic Proficiency, Accreditation or Certification is required. - Highly prefer Epic Cadence certification. Requirements - Able to successfully perform assignments/projects/tasks without assistance. - Analytical and problem-solving skills. - Ability to manage multiple tasks. - Willingness to learn and improve. - Highly motivated and ability to operate under limited supervision. - Ability to prioritize and execute in high-pressure situations. - Ability to adapt to change. - Ability to communicate clearly and effectively, both written and verbal. - Basic technical acumen. Benefits - Pay is expected to be between: $28.42 - $48.62 (hourly). - Paid time off. - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities. - Academic Partnership with the Medical College of Wisconsin. - Referral bonuses. - Retirement plan - 403b. - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics. - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work-life benefits available. Company Description The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research, and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians, and more than 45 health centers and clinics, draws patients from throughout the Midwest and the nation. We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages, and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.

Role Description The Epic Resolute Application Coordinator is responsible for the overall design, build and implementation of the Epic Resolute Hospital Billing and Claims & Remittance application module. The Application Coordinator is responsible for working with the project leadership team and the Patient Financial Services (PFS) operational leadership team regarding scope, integration, and design decisions for Hospital Billing and/or Claims and Remittance workflows. The incumbent must be very knowledgeable in the technical and functional aspects of the Epic Resolute Hospital Billing application and take a lead role in identifying and resolving operational and technical system issues which have an enterprise-wide impact on the project. The incumbent must also be very knowledgeable about standard billing regulations set forth by Medicare and other government entities, the National Uniform Billing Committee and contracted managed care plans. Other duties as assigned. Qualifications - A minimum of 5 years of experience in hospital revenue cycle or IT role directly impacting hospital billing related services is required. - Knowledge of revenue cycle business functions and hospital claims or IT support of revenue cycle and hospital billing at a level normally obtained through completion of a Bachelor's degree, but obtained through relevant work experience in a healthcare setting is required. Bachelor's degree is preferred. - Epic Resolute Hospital Billing Administrator, or Hospital Claims & Remittance certification is required. Requirements - Knowledgeable (technically and functionally) in Epic Resolute Hospital Billing Administration Epic Resolute Hospital Billing Claims & Remittance. - Demonstrated module design and implementation skills. - Strong process design experience. - Ability to lead meetings, prioritize, resolve conflicts and maintain issues lists. - Effective oral and written communication. Strong time management skills. - Experience using Microsoft Office applications. - Strong customer service skills. - Self-motivated and detail-oriented with ability to probe for information in order to fully understand the underlying needs that drive how the system should be built. - Strong Project Management skills. Benefits - Pay is expected to be between: (expressed as hourly) $34.82 - $59.56. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process. - Paid time off - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

Role Description The Inpatient Coder is responsible for reviewing and accurately coding inpatient medical records within a complex academic medical center environment, where cases often include high‑acuity, multidisciplinary, trauma, surgical, and research‑driven encounters. This role requires advanced proficiency in ICD‑10‑CM, ICD‑10‑PCS, and MS‑DRG/APR‑DRG assignment, along with a thorough understanding of official coding guidelines, documentation standards, and regulatory requirements to ensure accurate reimbursement and data integrity. - Works independently to interpret detailed clinical documentation. - Resolves coding nuances and applies judgment to complex scenarios. - May assist with mentoring and supporting trainee coders as needed. Qualifications - A minimum of 3 years of recent academic facility hospital inpatient coding experience, or an equivalent combination of academic experience and hospital inpatient coding experience is required. - A minimum of 5 years of recent HIM experience in hospital inpatient coding is preferred. - Coding Certificate Program Completion or Associate Degree in HIM or equivalent combination of education and experience is required. Requirements - High attention to detail with low-error, high-accuracy performance expected for AMC case mixes. - Ability to work independently on high-volume workloads with predictable turnaround quality. - Effective written and verbal communication skills. - Strong critical-thinking and decision-making skills in ambiguous documentation scenarios. - Proficiency in Epic EMR and 3M 360, preferred. - Understanding of complex inpatient clinical scenarios such as multi-system organ failure, transplant services, trauma and specialty surgical services is preferred. - Strong ability to interpret specialized documentation, preferred. - Experience applying principle diagnosis selection guidelines in complex, multi-comorbidity admissions, preferred. - Certified RHIA/RHIT, CCS, CCS-P, CIC, COC or CPC. RHIA, RHIT, or CCS strongly preferred. Benefits - Pay is expected to be between: $25.82 - $44.16 (hourly). - Paid time off. - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities. - Academic Partnership with the Medical College of Wisconsin. - Referral bonuses. - Retirement plan - 403b. - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics. - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available.

Role Description This position uses defined methodologies in a team environment to perform system life cycle tasks for the Epic HIM application suite for primarily Coding but also including: Gallery, ROI, Deficiency, Identity, & Abstracting applications. These tasks include: - Planning - System analysis - Design - Application building - Testing - Maintenance - Support - Completion of assigned project work Experience leading projects or initiatives of various sizes and scope. Works closely with other Epic Applications within the Epic Program. Other duties as assigned. Qualifications - A minimum of 2 years of related work experience is required. - Knowledge of computer principles at a level normally acquired through completion of a Bachelor's degree or equivalent experience is required. Requirements - Able to successfully perform assignments/projects/tasks without assistance. - Analytical and problem-solving skills. - Ability to manage multiple tasks. - Willingness to learn and improve. - Highly motivated and ability to operate under limited supervision. - Ability to prioritize and execute in high-pressure situations. - Ability to adapt to change. - Ability to communicate clearly and effectively, both written and verbal. - Basic technical acumen. - Epic Proficiency, Accreditation or Certification is required. - Prefer Epic HIM certification. Benefits - Pay is expected to be between: $28.42 - $48.62 (hourly). - Paid time off. - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities. - Academic Partnership with the Medical College of Wisconsin. - Referral bonuses. - Retirement plan - 403b. - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics. - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work-life benefits available.