- Mayo Clinic (Eau Claire, WI)
- …deductibles, and co-insurance. In addition, the counselors may assist patients with Medicaid , Third Party eligibility and Charity Care applications and ... processing. Responsible for establishing payment plans and collecting true self-pay and self-pay residual balances as necessary. Responsible for assisting patients with ad-hoc financial issues as needed prior to, during and following their treatment at Mayo… more
- Molina Healthcare (River Falls, WI)
- ** ELIGIBILITY SCREENER, TMG** **Job Description** **Job Summary** TMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful ... 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)
- …claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1… more
- Molina Healthcare (Kenosha, WI)
- …claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive… more
- Gentiva (Milwaukee, WI)
- …+ Understanding of palliative medicine principles, home health, hospice care eligibility , and Medicare/ Medicaid regulations. + Familiarity with the ... interdisciplinary care process. + Meets mandatory continuing education requirements for Gentiva and licensing boards. + Proficient in point-of-care software and technology. **Education/Experience:** + Master of Science in Nursing from an accredited school of… more
- Molina Healthcare (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)
- …multiple health plan clients across multiple lines of business including Medicare, Medicaid , Exchange, and Commercial. This is a remote role, open to qualified ... understanding of CVSH clinical portfolio, marketplace segments dynamics (Medicare, Medicaid , Exchange, and or Commercial) and industry trends + Demonstrated… more
- Marshfield Clinic (Wisconsin Rapids, 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
- Cognizant (Madison, WI)
- …features. * Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and ... government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other regulatory requirements. **Work Model:** We strive to… more
- CVS Health (Madison, WI)
- …and predetermination of covered benefits in the commercial, Medicare, and Medicaid environment. This Wheelchair DME consultant provides subject matter expertise in ... application of Aetna policies and practices for commercial, Medicare, and Medicaid environments. ◾Proactively use data analysis to identify opportunities for quality… more