- Humana (Madison, WI)
- …+ 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system navigation, payment workflows, ... This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a… more
- Robert Half Accountemps (Milwaukee, WI)
- …you will play a key part in ensuring the accuracy and compliance of healthcare claims processing , supporting timely reimbursements and maintaining high ... offers an excellent opportunity to contribute your expertise in a dynamic healthcare environment. Responsibilities: * Review and analyze patient accounts and billing… more
- Robert Half Accountemps (Milwaukee, WI)
- …basis. This role is ideal for a detail-oriented individual with expertise in healthcare billing and claims processing . Based in Milwaukee, Wisconsin, ... data to ensure accuracy and completeness. * Prepare and submit healthcare claims using UB04 and CMS1500 formats, adhering to payer-specific requirements. *… more
- Molina Healthcare (Kenosha, WI)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... equivalent combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is… more
- Molina Healthcare (Green Bay, WI)
- …**Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent ... combination of education and experience **Preferred Experience** 5-7 years claims processing preferred To all current Molina employees: If you are interested in… more
- Cognizant (Madison, WI)
- …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must ... Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication… more
- Molina Healthcare (Milwaukee, WI)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Molina Healthcare (WI)
- …to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims… more
- Cognizant (Madison, WI)
- …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
- Elevance Health (Waukesha, WI)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... The ideal candidate has experience working in leading healthcare payer claims / revenue cycle management (RCM) organizations, with specific understanding in… more