- Humana (Madison, WI)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- **Company Overview:** Otsuka is a global healthcare company driven by our purpose "to defy limitation, so that others can too." Patients are at the center of our ... purpose as we seek to discover and deliver innovative healthcare solutions. Otsuka is a leader in the CNS...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Canon USA & Affiliates (Madison, WI)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- Meriter-UnityPoint Health (Madison, WI)
- …obtaining payment information for patients using Meriter Outpatient Pharmacy at discharge, processing test claims for discharge medications, and processing ... computer system, ensuring accurate and efficient adjudication of online claims , counting/measuring and/or reconstituting drug products, compounding medications when… more
- Elevance Health (Waukesha, WI)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related...in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- Evolent (Madison, WI)
- …Be Doing:** Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in the specialty ... source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create...work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more
- Humana (Madison, WI)
- …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Norstella (Madison, WI)
- …(MD/DO), or a related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic ... are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare … more
- Humana (Madison, WI)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. As ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… more