- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- …as batched work, caseload level or other defined structure. Responsible for Medicare reimbursable billing activities. Ensures that all billable cases are identified ... and that bills are accurately generated. Validates claims for billing purposes, ensuring eligibility, and referring questionable coding for review. Follows instructions about timeliness, objectives and relative priorities for doing work. Exercises sound… more
- Marshfield Clinic (Marshfield, WI)
- …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- SSM Health (Madison, WI)
- …and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare , Medicaid and Accreditation Standards. + Works in a constant state ... of alertness and safe manner. + Performs other duties as assigned. EDUCATION + High School diploma/GED or 10 years of work experience EXPERIENCE + Two years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25… more
- Aveanna Healthcare (Shawano, WI)
- …Health Therapy and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- SSM Health (WI)
- …the phone system and EMR. + Demonstrates knowledge of regulations and Medicare Conditions of Participation. + Manages relationships with individuals and departments ... inside and outside of the ministry structure. + Creates an environment that leads to a positive patient care experience by evaluating, planning, and implementing effective patient care plans within the guidelines of the standards of nursing care and… more
- Cognizant (Madison, WI)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. + 1 year of ... Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must be able to work with minimal supervision. + Good skills at problem resolution specifically related to healthcare… more
- Marshfield Clinic (Marshfield, WI)
- …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
- Highmark Health (Madison, WI)
- …make routine medical approval decisions. **This role is working within the Medicare and Medicaid line of business, supervising an outbound call center.** **ESSENTIAL ... RESPONSIBILITIES** + Manage the departmental operations and day-to-day functions. + Handle escalated calls from members, state agencies, providers and vendors. + Coach and counsel employees. + Prepare reports for various internal and external areas for trends… more