- R1 RCM (WI)
- …in R1. This candidate will be expected to exhibit understanding of multi-state Medicaid eligibility and enrollment processes and utilize that expertise to ... partner for our clients** **1 or more years of experience with Medicaid eligibility and application process.** For this US-based position, the base pay range… more
- Molina Healthcare (WI)
- …member outreach (telephonically and/or face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. ... + 50-80% local travel may be required. Reliable transportation required. **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** HS Diploma/GED **REQUIRED EXPERIENCE:** * Minimum 1 year experience working with underserved or special needs populations, with varied… more
- Sumitomo Pharma (Madison, WI)
- …highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the ... Medicaid rebate team in receiving, processing, validating, trouble-shooting ...opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life… more
- TEKsystems (Menasha, WI)
- …benefits + Claims and billing + Authorizations and prior approvals + Medicare, Medicaid , and Marketplace plans You'll handle calls and emails with empathy and ... service or call center experience + Experience with Medicare, Medicaid , or insurance verification + Ability to multitask in...pay range for this position is $18.25 - $18.25/hr. Eligibility requirements apply to some benefits and may depend… more
- Molina Healthcare (Waukesha, WI)
- **Job Description** **Job Summary** TMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their ... you do, no two days are alike! As an Eligibility Screener, you would be responsible for completing the...for participants of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
- Molina Healthcare (Racine, WI)
- …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- Molina Healthcare (Racine, WI)
- …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- CVS Health (Madison, WI)
- …lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of ... + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role… more
- Marshfield Clinic (Weston, WI)
- …and determine level of financial assistance award, and medication assistance eligibility , according to protocol. The Patient Assistance Counselor maintains a ... + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training offered after… more
- Molina Healthcare (Green Bay, WI)
- …The Sr Rep, Enrollment handles all processes related to membership eligibility inquiries and ensures membership accuracy within the system. Represents Enrollment ... issues. Utilizes multiple applications and has deep understanding of eligibility related processes. **KNOWLEDGE/SKILLS/ABILITIES** + Completes operational processes to… more