- 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 work that helps ... 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
- Lundbeck (Green Bay, WI)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability ... and proficiency for the role. Salary Pay Range: $117,000 - $137,000 and eligibility for a sales incentive target of $39,000.Benefits for this position include… more
- Molina Healthcare (Appleton, WI)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... the product choices available to them, the enrollment process ( eligibility requirements, Medicare review/approval of their enrollment application, timing of… more
- Wipfli LLP (Milwaukee, WI)
- …reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost ... including Medicare cost reports + Gain an understanding of the skilled nursing Medicaid reimbursement systems for the assigned states and assist clients with cost… more
- Centers for Independence (Milwaukee, WI)
- …to new ICs as needed. + Works effectively with participants in maintaining financial eligibility by keeping record of when Medicaid reviews are due and by ... assisting participants in completing forms, making copies of verification items, and submitting paperwork to the Income Maintenance (IM) department. + Attends and participates in regularly scheduled phone conferences and face-to-face team meetings as required… more
- 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 (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
