Medical Claims Specialist Jobs in Madison, Wisconsin

Currently, there are no Medical Claims Specialist jobs available in Madison, Wisconsin which match this search. You may wish to explore similar job titles on the Healthcare jobs in Wisconsin page or view related jobs below.
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WPS is looking for a candidate who will: Manage the Medical Affairs Department’s operational functions related to Grievance and Appeals, URAC (Utilization Review Accreditation Commission) accreditation, vendor and contract management, medical policy development and medical coding as well as the quality program. Serve as a primary departmental contact for RFP (Request for Proposal) responses and f...
Sr. Medical Review Nurse Analyst Wisconsin Physicians Service Insurance Corporation (WPS) is a Madison, Wisconsin-based health insurance and benefit administration company serving federal, state, and commercial clients. With more than 65 years in business, we emphasize uncompromising business ethics and innovative solutions to today’s health care environment. A not-for-profit insurer, our mission...
Clinical Manager of Medical Review - Full-time - Milwaukee, WI - $80,000-$90,000 Jobs ID - 1060063 Description Mgr NGS Medical Mgmt: Manages medical review nursing staff and grievance and appeals units for National Government Services (NGS). Primary duties may include, but are not limited to: • Collaborate with healthcare providers and CMS to promote quality and accurate decisions according ...
Job Description: One part-time (.90 FTE) position located in Urgent Care at our downtown Capitol Clinic. Schedule: Wk1: Tues-Fri, 7:30-4:30 Wk2: Sat and Sun, 8:30-12:30; Tues-Fri, 7:30-4:30 Care Team Specialist (12.13) POSITION SUMMARY The Care Team Specialist serves as a member of a care team and assists in providing high quality patient care including assisting patients in maintaining the...
Job Description: One part-time (36 hours/week, .90 FTE) position located at our Sauk Trails Clinic. Days will be Monday through Friday, mainly daytime hours with a late Monday night (10am – 7pm) rotation. Care Team Specialist (12.13) POSITION SUMMARY The Care Team Specialist serves as a member of a care team and assists in providing high quality patient care including assisting patients in mai...
Job Description: One part-time (36 hours/week, .90 FTE) position located at our Hatchery Hill Clinic. Hours 8:30-5:30. Care Team Specialist (12.13) POSITION SUMMARY The Care Team Specialist serves as a member of a care team and assists in providing high quality patient care including assisting patients in maintaining their physical and mental well-being. The Care Team Specialist performs techn...
CLASSIFICATION: Lead Clubhouse Specialist UNION STATUS: Professional (Bargaining Unit) PROGRAM: Yahara House Type/Status/FTE: Regular/Salaried/80% SUMMARY: Yahara House is a SAMHSA evidence-based Clubhouse. The Lead Clubhouse Specialist (LCS) at Yahara House models Clubhouse values in all aspects of job responsibility. S/he promotes the empowerment, strengths and recovery of individual YH mem...
Meriter Healthcare Madison, WI, 53713
Meriter Wisconsin Heart offers the region's most comprehensive, "head-to-toe" cardiovascular services, including, preventative and interventional cardiology, electrophysiology, cardiovascular and thoracic surgery, hematology, vascular and wound care, vein care, anticoagulation, and women's heart care. Chart Preparation/Abstraction Specialists are responsible for preparing and abstracting charts f...
UW Health Madison, WI
Start a new search >> Save it Upload Resume Save Job Email Job Print Job Report this job About UW Hospital and Clinics University of Wisconsin Hospital and Clinics is a 566-bed facility that ranks among the finest academic medical centers in the United States. Frequently cited in publications listing the nation's best health care providers, UW Hospital and Clinics is recognized as a natio...
UW Health Madison, WI
Start a new search >> Save it Upload Resume Save Job Email Job Print Job Report this job About UW Hospital and Clinics University of Wisconsin Hospital and Clinics is a 566-bed facility that ranks among the finest academic medical centers in the United States. Frequently cited in publications listing the nation's best health care providers, UW Hospital and Clinics is recognized as a natio...
Meriter Healthcare Madison, WI, 53715
Meriter Hospital is a not-for-profit, 448-bed community hospital providing a wide-ranging scope of medical and surgical services. The MentalHealth Specialist (MHS) works under the direction of the registered nurse to provide care for patients hospitalized the Adult Psychiatric Unit. This includes working with patients individually and in groups with a focus on encouragingacclimation to the unit s...
Meriter Healthcare Madison, WI, 53715
Meriter Hospital is a not-for-profit, 448-bed community hospital providing a wide-ranging scope of medical and surgical services. The Utilization Review Specialist provides clinical information to insurance providers for the purpose of ensuring that financial reimbursement is in place for patients being treated at Meriter. This occurs by coordinating with Meriter insurance verifiers and financ...
Nurse Auditors The State of Wisconsin Department of Health Services, Office of the Inspector General is seeking applicants for the position of Nurse Auditor. This full time position works standards office hours, Monday-Friday, and is located at 1 West Wilson St. in beautiful downtown Madison near the state capitol, the Madison Metro route and the Capital City bike path. DHS is located at 1 West ...
Audiologist or Hearing Instrument Dispenser - Hearing Care Professional Job Label:CONHEAR-HCP (Madison, WI) Connect Hearing is looking for a Hearing Care Professional for our Madison, WI clinic. Dedicated individuals, licensed and certified in Wisconsin to perform comprehensive audiological and hearing aid evaluations, will find an ideal situation to display their expertise and make their mark o...
Hewlett-Packard Company Madison, WI, 53706
HP is seeking a Senior Registered Nurse (RN) or Nurse Practitioner (NP) to work closely with the Department of Health Services in the area of Prior Authorization (PA) and Care Management related to the treatment of Hepatitis C, specifically the review and adjudication of PA requests for the drug Sovaldi, and other specialty drugs. Candidates must hold a current license in the State of Wisconsin. ...
LogistiCare, Inc. Madison, WI, 53706
Education: Qualified candidates must have a high school degree or GED. Experience: - 2 years of prior in-bound Call Center experience, heavy phone volume and data entry required and/or experience in a fast-paced, high-level customer service oriented environment. - Social Services and/or case management, basic medical terminology, and/or front or back office medical experience preferred. - Knowledg...
We are seeking a Medical Director who will possess: •Doctorate degree in Medicine or Osteopathy •Ten (10) years of medical practice, practice in a managed care setting preferred •Five (5) years of experience working within a hospital, clinical or health plan setting in a medical director or clinical administrative role •Three (3) years of experience working with leading teams or coordinating w...
Position Description: We are currently seeking a Field Nurse Case Manager (RN) in the Madison, Dells, LaCrosse areas or somewhere between those cities in Southwest WI area. Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medica...
Position Description: We are currently seeking a Field Nurse Case Manager (RN) in the Madison, WI or greater S. Central Wisconsin area. Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and emplo...
University of Wisconsin- River Falls Madison, WI, 53706
This position functions as a Medical Program Assistant Senior (MPA Senior) for approximately 52 faculty, fellows, and staff in the Infectious Disease Division of the Department of Medicine. The MPA Senior assists in the coordination of complex daily activities for the physicians in all areas: clinical, medical teaching, and research. The MPA Senior communicates effectively and confidentially with ...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Madison
(241 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Medical Claims Specialist Articles

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