- SSM Health (Madison, WI)
- …reimbursement of equipment/supplies. + Performs accurate data entry into operating system and processes orders for appropriate equipment/supplies to ensure delivery ... and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare , Medicaid and Accreditation Standards. + Works in a constant state… more
- Molina Healthcare (Madison, WI)
- …on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network ... Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… more
- Ensono (Madison, WI)
- …(CMS) security standards and compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, ... Senior Systems Engineer - IAMRemote - United StatesJR012224 At...policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary… more
- Humana (Madison, WI)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...among three stakeholders: Humana (majority owner), Main Line Health System , and Jefferson Health System . Humana takes… more
- Molina Healthcare (Kenosha, WI)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more
- Molina Healthcare (Green Bay, WI)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
- Marshfield Clinic (Eau Claire, WI)
- …provided by the American Heart Association. Registered Invasive Cardiovascular Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES) ... Heart Association within three months of hire. Registered Invasive Cardiovascular Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES)… more
- Marshfield Clinic (Park Falls, WI)
- …- Regional Float is part of the float pool that support the Region or system where coverage is assigned on an as-needed basis. Covers like staffing needs across the ... region or system based on travelling to the site needing coverage....Technology or equivalent (ie, Military trained - Medical Lab Specialist certificate of training obtained prior to April 24,… more
- Evolent (Madison, WI)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Highmark Health (Madison, WI)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance...reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for… more