- Rising Medical Solutions (Milwaukee, WI)
- The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- Carrington (Madison, WI)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Zurich NA (Madison, WI)
- …Claims Crop Field Adjuster I 121523 Zurich is currently looking for a RCIS Crop Claims Specialist I or aClaims Crop Field Adjuster I to join our Rural ... we protect America's farmers and ranchers. The RCIS Crop Claims Specialist will work out of the...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- Zurich NA (Madison, WI)
- …They will also provide support to Area Claims Managers either as a local claims specialist in the facilitation of general day to day operations and claims ... RCIS Claims Crop Field Adjuster I 123097 Zurich is...Recruiting Agency Portal for resume submission. Location(s): AM- Wisconsin Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered:… more
- SSM Health (Monroe, WI)
- …of presence begins with compassionate employees like you. As a Pharmacy Access Specialist , you've chosen a career where patients matter-a lot. The Pharmacy Access ... Specialist plays an integral role in our care team,...of payer reimbursement and patterns for pharmacy and medical claims with third parties. + Serves as primary ambulatory… more
- Molina Healthcare (WI)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Molina Healthcare (Green Bay, WI)
- …processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's ... Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this position,… more
- Prairie Ridge Health (Columbus, WI)
- …for a team member to join our Medical Records Department in the role of Coding Specialist . This position is a 1.0 FTE (40 hours per week). Candidates must be within ... location. Training will take place in person and the position will be remote after the training period but require in-person attendance for meetings, etc. POSITION… more
- Fujifilm (Madison, WI)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- TEKsystems (Menomonie, WI)
- This is a remote role, but you have to reside in the state of Wisconsin. Description: + The Member Experience Representative's primary focus is to answer phone, or ... experience needed + group insurance + benefit interpretation + claims Pay: + $18.25 Training: + Monday to Friday...8:30am to 5pm + 9am to 5:30pm Location: + Remote in the state of Wisconsin Pay and Benefits… more