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Medical Claims Specialist Jobs in Madison, Wisconsin

19 jobs

Description Join our team and be part of the talent that makes UW Health the best work and academic environments. The UWHC Claims Specialist- Senior is responsible for activities such as ensuring that all information required for billing has been secured, filing outpatient claims to Medicare, Medicaid, or for WDI; checking claims for accurate and appropriate charges. The UWHC Claims Specialist-...

Join our team and be part of the talent that makes UW Health the best work and academic environments. The UWHC Claims Specialist- Senior is responsible for activities such as ensuring that all information required for billing has been secured, filing outpatient claims to Medicare, Medicaid, or for WDI; checking claims for accurate and appropriate charges. The UWHC Claims Specialist- Senior may p...

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...

JOB SUMMARY: NOTE: An optional Title 38 Physician and Dentist Pay (PDP) may be authorized in addition to base pay in order to recruit and retain highly qualified physicians. What exciting career opportunities await you at CDC? Medical officer positions may be filled with this open continuous vacancy announcement within any one of the following organizations: CENTERS FOR DISEASE CONTROL AND PREVE...

Job Summary Responsible for developing and performing audits for Billing & Enrollment, Provider Development and Claims Operational Departments. Audit data is compiled, assessed and analyzed for accuracy and trends. Responsible for reporting of audit findings and making recommendations for corrective actions to Management. Responsibilities Develop Audits for Claims, Provider Development and Bill...

DIRECT HIRE!! Spherion Staffing has MULTIPLE DIRECT HIRE roles available with a growing biotech company right here in Madison! If you're looking for a company with amazing benefits, growth potential, a fantastic reputation and stability, this is the place for you! Summary of Major Responsibilities The Reimbursement Specialist is responsible for completing a variety of tasks in the flow of reven...

Pharmacy Insurance Authorization Specialist-15009438 Description Position Summary: Under the direction of the Specialty Pharmacy Supervisor, the Pharmacy Insurance Authorization Specialist (PIAS) will be responsible for assisting patients, clinic staff, and pharmacy staff with assessing the patient’s insurance coverage and seeking authorization for treatment through the patient’s prescription b...

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...

Position Summary: Under the direction of the Specialty Pharmacy Supervisor, the Pharmacy Insurance Authorization Specialist (PIAS) will be responsible for assisting patients, clinic staff, and pharmacy staff with assessing the patient’s insurance coverage and seeking authorization for treatment through the patient’s prescription benefit. The PIAS will obtain and complete preauthorization, excepti...

Description Position Summary: Under the direction of the Specialty Pharmacy Supervisor, the Pharmacy Insurance Authorization Specialist (PIAS) will be responsible for assisting patients, clinic staff, and pharmacy staff with assessing the patient’s insurance coverage and seeking authorization for treatment through the patient’s prescription benefit. The PIAS will obtain and complete preauthoriza...

Description 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...

Coder - Inpatient Specialist - Coding (Dean Clinic Corporate Office)-15009766 Description Position Summary: The Coder – Inpatient Specialist provides specific assistance to the Coding Supervisor and serves as a lead worker and resource for Inpatient Coders. This position is responsible for maintaining a high level of knowledge of all Inpatient Coding department polices, guidelines, procedures a...

Position Summary: The Coder – Inpatient Specialist provides specific assistance to the Coding Supervisor and serves as a lead worker and resource for Inpatient Coders. This position is responsible for maintaining a high level of knowledge of all Inpatient Coding department polices, guidelines, procedures and workflows. The Inpatient Coding staff, under the supervision of the Coding Team Leader, i...

MAPD Benefit Specialist-15010129 Description Position Summary: The MAPD benefit specialist will serve as the member experience contact for Dean Health Plan’s Medicare Advantage-Part D (MAPD) plans. This position is responsible for responding directly to inquiries and resolving grievances from members. The MAPD benefit specialist handles complex questions and resolves escalated concerns for memb...

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: The MAPD benefit specialist will serve as the member experience contact for Dean Health Plan’s Medicare Advantage-Part D (MAPD) plans. This position is responsible for responding directly to inquiries and resolving grievances from members. The MAPD benefit specialist handles complex questions and resolves escalated concerns for members and providers of Dean Health Plan’s MAPD pl...

Description Position Summary: The MAPD benefit specialist will serve as the member experience contact for Dean Health Plan’s Medicare Advantage-Part D (MAPD) plans. This position is responsible for responding directly to inquiries and resolving grievances from members. The MAPD benefit specialist handles complex questions and resolves escalated concerns for members and providers of Dean Health P...

Position Summary: The Specialty Pharmacy Technician will assist in providing specialty pharmacy services under the direct supervision of a pharmacist. Services include monitoring refill schedule, coordinating medication delivery, and researching specialty insurance billing with exceptional accuracy and efficiency. Qualifications: Required: 1. Bachelor’s Degree in a relevant field or a High Sch...

Description Position Summary: The Specialty Pharmacy Technician will assist in providing specialty pharmacy services under the direct supervision of a pharmacist. Services include monitoring refill schedule, coordinating medication delivery, and researching specialty insurance billing with exceptional accuracy and efficiency. Qualifications: Required: 1. Bachelor’s Degree in a relevant field ...