- Elevance Health (Sparta, WI)
- **LTSS Service Coordinator (Case Manager)** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, ... an accommodation is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for a defined caseload… more
- Highmark Health (Madison, WI)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + ... Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate +… more
- Cardinal Health (Madison, WI)
- …recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works / Understands electronic ... claim interchange + Understands life cycle of primary and secondary claims + Maintains front office support relationship + Takes incoming calls from insurance carriers and patients + Regular attendance and punctuality. + Contributes to team effort by… more
- Intermountain Health (Madison, WI)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more