Medical Claims Specialist Jobs in Madison, Wisconsin

11 jobs

Overview: Manage the company’s claims relationship with assigned independent agents, as well as directly handle the field adjusting of commercial and personal multiline claims (property, general liability and auto liability) generated by an assigned group of agents. Responsibilities include the completion of investigation, and the determination of coverage, liability, damages, subrogation, and se...

Work Location : Madison, WI This professional level claim specialist conducts the review and investigation, liability determination, and management of short term and long term disability claims. This position acts independently and autonomously managing the claim by conducting a thorough review and investigation, determining what additional resources (medical consults, TSAs, IMEs, etc.) are appro...

Job Summary: Our Senior Investigative Specialist will prevent, detect, investigate and resolve the commission of Fraud, Waste and Abuse (FWA) against the corporation and its subsidiaries. This position will develop and review cases that have the most severe impact on the corporation from both a legal and financial standpoint. Description of Duties: Initiate and conduct investigations of suspect...

The Director of Marketing will lead a team of marketers responsible for the messaging, packaging, and delivery of our products to market. The incumbent will also be responsible for bringing new products, features, and/or services to market, working closely with our product and field sales teams and leading customer research. This is a core role at the heart of all operations, from product developm...

Patient Relations Specialist-15008707 Description Position Summary: Under the direction of the Director of Service Excellence, the Patient Relations Specialist is responsible for helping staff members and patients communicate concerns that have not been resolved satisfactorily at the clinic level or that require a medical director or management response. Excellent verbal and written communicati...

Position Summary: Under the direction of the Director of Service Excellence, the Patient Relations Specialist is responsible for helping staff members and patients communicate concerns that have not been resolved satisfactorily at the clinic level or that require a medical director or management response. Excellent verbal and written communication skills are necessary. Regular contact with physic...

Description Join our team and be part of the talent that makes UW Health the best work and academic environments. The Medication Access Specialist (Inpatient) is a position residing in the Pharmacy Department. Under the guidance of the Pharmacy Manager, this position is responsible for completing the necessary functions to improve transitions of care for inpatient admissions and discharge by sup...

Position Summary: St. Mary's Hospital in Madison, WI is seeking an experienced coder with strong leadership skills for a Lead Coding Specialist position. Under the general direction of the Coding Manager of Health Information Management (HIM), the Lead Coding Specialist performs the activities related to the following HIM Scope of Services including: Coding, Charging, Claims Editing, Charge Reco...

Join our team and be part of the talent that makes UW Health the best work and academic environments. The Medication Access Specialist (Inpatient) is a position residing in the Pharmacy Department. Under the guidance of the Pharmacy Manager, this position is responsible for completing the necessary functions to improve transitions of care for inpatient admissions and discharge by supporting the f...

Coder 1 - Outpatient - Coding (Dean Clinic Corporate Office)-15006182 Description Position Summary: The Coder 1 – Outpatient, under the supervision of the Coding Supervisor, is responsible for abstracting clinical information and assigning CPT, ICD-CM and HCPCS (supplies and pharmaceuticals) codes from medical records and documents to support physician professional fees, including, but not limi...

Position Summary: The Coder 1 – Outpatient, under the supervision of the Coding Supervisor, is responsible for abstracting clinical information and assigning CPT, ICD-CM and HCPCS (supplies and pharmaceuticals) codes from medical records and documents to support physician professional fees, including, but not limited to, outpatient evaluation and management (E/M) services (e.g. outpatient visits,...