- Marshfield Clinic (Weston, WI)
- …the most exciting missions in the world!** **Job Title:** HIM Specialist II (Remote in Wisconsin) **Cost Center:** 101651533 System Support-HIM-Document Imaging ... residents only eligible to apply**_** **JOB SUMMARY** The Health Information Specialist II is responsible for indexing all clinic and hospital documents,… more
- Prime Therapeutics (Madison, WI)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin **Scheduled ... of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development, implementation… more
- Molina Healthcare (Racine, WI)
- …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 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Kenosha, WI)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Marshfield Clinic (Eau Claire, WI)
- …exciting missions in the world!** **Job Title:** Associate Technology Systems Specialist **Cost Center:** 101651155 IS-Workplace Svcs **Scheduled Weekly Hours:** 8 ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- Molina Healthcare (Madison, WI)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or ... **Preferred Experience** 1 year of experience in Medicare and in Medicaid . **Preferred License, Certification, Association** + Certified Professional in Health… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Arrhythmia Nurse Specialist **Cost Center:** 301351038 Mfld-Cardiology **Scheduled Weekly Hours:** 40 **Employee ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- Molina Healthcare (Kenosha, WI)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare, Marketplace and/or other government-sponsored program), or medical… more
- Molina Healthcare (WI)
- …and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution ... coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more