- GE HealthCare (Madison, WI)
- …trusted regulatory subject matter expert to provide guidance to the GE HealthCare Monitoring Solutions business focused primarily on patient monitoring in cardiac, ... work within a team of Regulatory Affairs professionals to ensure GE HealthCare establishes best practices in compliance with regulatory requirements. The Senior… more
- Molina Healthcare (Kenosha, WI)
- …of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment ... Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in...staff and implements processes to standardize the overall ends-to-end processing , management and accuracy of encounters, as well as… more
- Molina Healthcare (Milwaukee, WI)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business.… more
- GE HealthCare (Madison, WI)
- …regulatory strategy and direction to the business regarding healthcare industry regulatory requirements for product launch, premarket submissions/registrations ... and post-market compliance, working closely with healthcare regulatory bodies globally. Has knowledge of best practices and how own area integrates with others; is… more
- Molina Healthcare (Kenosha, WI)
- …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, etc. ... of programming experience in python to support automated data validation / processing at scale (functions and objects) **PHYSICAL DEMANDS** Working environment is… more
- Molina Healthcare (Madison, WI)
- …conducts research to resolve customer initiated issues related to core systems processing , and coordinates and manages project teams in the development of large ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
- Molina Healthcare (Green Bay, WI)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
- Robert Half Accountemps (Milwaukee, WI)
- …basis in Milwaukee, Wisconsin. This role involves ensuring accurate claims processing and reimbursement in a collaborative healthcare setting. If you thrive ... identify discrepancies and ensure accuracy. * Prepare and submit claims using UB04 and CMS1500 formats, adhering to payer-specific...years of experience as a Medical Biller in a healthcare setting. * Proficiency in UB04 and CMS1500 billing… more
- Elevance Health (Waukesha, WI)
- …and Experiences:** + Prior call center experience strongly preferred. + Medical claims processing experience preferred. + Proficiency with Microsoft Office ... and reported under general supervision. Performs all authorized duties in the processing of overpayments allocated to the assigned market consistent with all… more