- 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
- 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
- Robert Half Accountemps (Milwaukee, WI)
- …streamline billing operations. * Handle appeals and authorizations to address claim denials . * Maintain organized records and meet strict deadlines in a fast-paced ... environment. Requirements * At least 3 years of experience in medical billing, with a strong understanding of ICD-10 and billing processes. * Proficiency in UB04 and CMS1500 claim formats. * Familiarity with Epic systems and other medical billing platforms. *… more
- Molina Healthcare (WI)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or… more
- The Bank of New Glarus (Juda, WI)
- …send loan deferments as assigned and requested by lenders. d. Prepare and send denials as assigned and requested by lenders. e. Complete and update as requested ... Credit Bureaus, identification validations, and other status reports with respective agencies, etc. f. Respond and assist customers with loan payments, validating loan balances and payoff amounts. g. Primary Loan Processor working with secondary market loans… 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
- Intermountain Health (Madison, WI)
- …CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal ... strategies. + Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and coding for complex internal and external coding… more