- Cardinal Health (Madison, WI)
- …system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials ... judgement in any changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or… more
- Banner Health (WI)
- …May be assigned to process payments, adjustments, claims, correspondence, refunds, denials , financial/charity applications, and/or payment plans in an accurate and ... assigned, reconciles, balances and pursues account balances and payments, and/or denials , working with payor remits, facility contracts, payor customer service,… more
- Molina Healthcare (Kenosha, WI)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- Molina Healthcare (WI)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- Intermountain Health (Madison, WI)
- …with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. + Coordinates all aspects of ... with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. 12. Execute large enrollment… more
- Cardinal Health (Madison, WI)
- …products leverage data analysis and workflow automation to prevent claim denials , streamline enrollment in patient assistance programs, and optimize hospital-managed ... to medications. They also help healthcare systems minimize claim rejections and denials , navigate patient assistance programs, and reduce the cost of providing care… more
- Molina Healthcare (Madison, WI)
- …needed to properly evaluate the request. + Accurately enters on-line approvals or denials of requests. Authorized to make and carry out simple prior authorization ... requests within established policies and procedures. + Participates in the development /administration of programs designed to enhance the utilization of targeted drugs and the identification of cost saving pharmacy practices. + Identifies and reports… more
- Amgen (Milwaukee, WI)
- …eligibility and benefit verification, prior-authorization, billing, coding, claims, and appeals/ denials ), Medicare and Medicaid rules and regulations, and OSHA and ... HIPAA compliance as related to Amgen products. + Consistently meets or exceeds corporate sales goals. + Communicates territory activity in an accurate and timely manner as directed by management. + Provides feedback to sales and commercial leadership,… more
- BrightSpring Health Services (Milwaukee, WI)
- …basic mathematical calculations (eg, converting milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale ... (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides excellent customer service to external and internal customers in… more
- Aveanna Healthcare (Madison, WI)
- …or instruction. + Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective ... communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (PTA, HHA) as applicable. + Completes OASIS assessments where allowed by state professional practice and… more