Medical Claims Specialist Jobs in Madison, Wisconsin


8 Madison, WI Medical Claims Specialist jobs found on Monster.

Jobs 1 to 8 of 8
Work Location : Madison, WI We are seeking an uncommon professional to join our team as a Sr. Claim Professional . Job Responsibilities 1. Using precision interviewing/questioning, person will review and investigate disability claims by using the phone and written contact with the claimant, employer/supervisor and physicians to gather pertinent data to analyze the claim and make an independent d...
Position information •Must maintain a full current, active and unrestricted registered nurses license •Demonstrated ability to successfully manage projects. •Knowledge of legal and legislative procedures, terminology and issues as they pertain to healthcare. Position Objective Provides technical and expert guidance to the Claim Division and Medical Services Operations. Initiates strategic dev...
The Customer Accounting Specialist is responsible for applying cash to customer accounts, resolves and negotiates repayment of compliance deductions with external partners, analyzes deduction data to initiate process change, and supporting Credit Specialists on account transactions and brand programs. Key Responsibilities: · Applies cash by posting customer payments. · Investigates and resolves...
Job Description: One full time (40 hrs/week, 1.0 FTE) position located at our west side Administrative Offices. Care Management Associate POSITION SUMMARY: The Care Management Associate is responsible for coordination of member care requests to include: review of claims, special care needed outside of GHC-SCW and authorization of referral services. Work includes a focus on timely answering of d...
Dean Health System Madison, WI, 53706
If you believe every job can impact the customer, let’s talk. When you choose a career at Dean Health Plan, the relationships you build with our members, agents, employer groups, health care providers and even your fellow employees will establish the foundation for your professional growth and Dean Health Plan’s continued success. Embracing values, such as teamwork honesty, trust, excellence and r...
Meriter Hospital is a not-for-profit, 448-bed community hospital providing a wide-ranging scope of medical and surgical services. The Referral and Authorization Specialist provides pertinent information requested from insurance companies and documents authorization details obtained from insurance companies into Epic. They assist with components of the revenue cycle, most importantly, verifying be...
Position Summary: The Coding Specialist reviews and resolves code-edit inquiries, assists in the evaluation of coding policies and procedures that support Dean Health Plan’s (DHP) medical policies, reimbursement logic, contracting and reporting efforts and works across DHP as a coding policy subject matter expert. Essential Job Duties: Independently review clinical documentation and respond to ...
Purchasing Agent (Prosthetic Clerk) Madison, WI Duties: The position is a part of the Prosthetics and Sensory Aids Service (PSAS) within the Prosthetics Product Line of VISN 12. The position is assigned to VISN 12 Medical Facilities and Community Based Outpatient clinics throughout Wisconsin, Illinois, Michigan, and Indiana. The Medical Facilities have an active outpatient treatment program and...

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