- Molina Healthcare (Green Bay, WI)
- …ensure timely and accurate processing of payment received.* Marketplace, Commercial, or Medicare healthcare experience with premium billing and reconciliation. * ... * Guide and collaborates with enrollment team to resolve eligibility issues affecting premium billing . * Generate billing data using the QNXT premium billing … more
- Marshfield Clinic (Wisconsin Rapids, WI)
- …most exciting missions in the world!** **Job Title:** Patient Access Specialist - TL, Float **Cost Center:** 101541274 Registration-Acute-SP-WR Reg **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Patient Access Specialist Team Lead serves as an initial contact for patients and customers,… more
- Molina Healthcare (Racine, WI)
- …in 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 ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
- Molina Healthcare (Kenosha, WI)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
- Molina Healthcare (Kenosha, WI)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and ... * Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical office/hospital… more
- Molina Healthcare (Madison, WI)
- …using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other ... support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment… more
- SSM Health (Madison, WI)
- …processes orders for appropriate equipment/supplies to ensure delivery and correct billing . + Communicates with patients, employees, payers, caregivers, and other ... and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare , Medicaid and Accreditation Standards. + Works in a constant state… more
- Cardinal Health (Madison, WI)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more