- Molina Healthcare (Madison, WI)
- …program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with ... government sponsored programs, including risk revenue management, strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial… 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
- Gentiva (Fond Du Lac, WI)
- …Familiarity with LCD criteria and hospice documentation requirements + Knowledge of Medicare , Medicaid, ACHC, and other regulatory guidelines + Strong oral and ... written communication skills + Compassionate and sensitive to end-of-life issues impacting patients and families + Ability to provide emotional support during times of crisis + Flexible and adaptable with ability to manage diverse tasks efficiently + Effective… more
- Cardinal Health (Madison, WI)
- …audit plans. + Expert-level knowledge and application of Medicare /Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation ... coding rules; medical terminology; E/M rules; healthcare compliance audit methodology, principles and techniques; ability to interpret medical record progress notes, handwritten and electronic chart entries, provider orders and other related documentation… more
- Robert Half Finance & Accounting (Wauwatosa, WI)
- …families in establishing and maintaining benefits through Wisconsin Medical Assistance, Medicare , and insurance providers. * Lead and mentor select billing staff ... to enhance team performance and productivity. * Ensure compliance with revenue recognition standards, including ASC 606. * Collaborate with healthcare teams to optimize the revenue cycle and improve financial outcomes. Requirements * Proven experience in… more
- Select Medical (Menasha, WI)
- …work environment. + Adheres to all safety regulations, compliance with Medicare and other governmental regulations, compliance with Occupational Safety and Health ... Administration (OSHA) requirements and company guidelines. + Analyze reports, charts and correspondence and be able to interpret their meaning. + Performs other duties or special projects as assigned. **Qualifications** Minimum Qualifications: + High School… more
- Elevance Health (Waukesha, WI)
- …with healthcare terminology, trends, and market dynamics. + Experience writing to Medicare , Medicaid, and government bids. + Meticulous attention to detail and the ... ability to manage multiple priorities under tight deadlines. + Collaborative mindset with the ability to influence and engage stakeholders across disciplines. + Travels to worksite and other locations, as necessary. For candidates working in person or… more
- Marshfield Clinic (Park Falls, 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
- 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
- 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