- SSM Health (Madison, WI)
- …️ **Deliver Care Behind the Scenes-Join SSM Health as a Medical Equipment & Supply Specialist !** ️ Make a real impact in a **full-time role (40 hrs/week)** with a ... and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare, Medicaid and Accreditation Standards. + Works in a constant state of… more
- Robert Half Finance & Accounting (Portage, WI)
- Description We are looking for an experienced Accounting Specialist to join our team in Portage, Wisconsin. This role involves managing various accounting functions, ... applications extensively for data analysis and reporting. * Collaborate with Medicaid and insurance companies as needed to resolve billing issues. Requirements… more
- Mayo Clinic (La Crosse, WI)
- …Competitive retirement package to secure your future. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within ... Must be able to work independently as needed. Knowledge of Medicare, Medicaid and/or private insurance billed preferred with attention to detail. Physical and… more
- Molina Healthcare (Milwaukee, 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
- Molina Healthcare (Green Bay, WI)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2+ years Medicare, Medicaid , managed care or other health/insurance related sales experience To… more
- SSM Health (Fond Du Lac, WI)
- …knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing Act standards ... readiness related to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Conditions of Participations (CoPs) and State specific regulations.… more
- SSM Health (Madison, WI)
- …Facilitates compliance with The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) and state quality and patient safety requirements by ... coordinating, organizing and communicating appropriate information to designated committees, teams, work groups and leadership in a timely fashion. Leads initiatives for high priority opportunities as identified by leadership. + Performs other duties as… more
- Cardinal Health (Madison, WI)
- …+ Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + ... Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK SCHEDULES:**… more
- Molina Healthcare (Kenosha, WI)
- …Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience… more
- Prime Therapeutics (Madison, WI)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...department are achieved. + Works with Quality and Training specialist to refine and improve any processes that effect… more