- Humana (Madison, WI)
- …Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number if it is not ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Fresenius Medical Center (Oak Creek, WI)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... or state specific certification as defined by Center for Medicaid/ Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more
- Marshfield Clinic (Rice Lake, WI)
- …are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… 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 ... * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with minimal supervision.… more
- Marshfield Clinic (Ladysmith, WI)
- …are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Cognizant (Madison, WI)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare billing & payment and coverage guidelines and regulations + Experience ... in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with minimal supervision. + Creative thinker with… more
- Marshfield Clinic (Weston, WI)
- …are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Marshfield Clinic (Marshfield, WI)
- …are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Molina Healthcare (Madison, WI)
- …the solution/project. + Manage moderate project test tasks from requirements review through deployment, including work assignment, prioritization, issue triage etc. ... etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is… more
- Cardinal Health (Madison, WI)
- …regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more