• Manager , Payer Billing

    Datavant (Madison, WI)
    …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle ... specialists. **Key Responsibilities** + Manage and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract and… more
    Datavant (07/23/25)
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  • HS/Lhcc Manager - Administrative Services…

    Walworth County (Elkhorn, WI)
    …reprocessing of denials. Ensure accurate general ledger accounting transactions for all billing activities. Establish and monitor payer mix levels and revenues ... HS/LHCC Manager - Administrative Services (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5028505) Apply  HS/LHCC Manager -… more
    Walworth County (08/01/25)
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  • Specialty Account Manager -Krystexxa…

    Amgen (Milwaukee, WI)
    …sales, and performing total territory account management. The Specialty Account Manager , Nephrology (NSAM) is responsible for representing Amgen products to ... to customers and Amgen staff regarding local, regional and national payer policies, reimbursement regulations and processes (ie, eligibility and benefit… more
    Amgen (07/25/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Madison, WI)
    …related to revenue recovery including but not limited to Government and private payer requests. + Collaborates with branch and billing department staff to ... Functions:** + Responsible for responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with… more
    CenterWell (07/30/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Madison, WI)
    …invoices for payment of services rendered by vendors and understand vendor billing process + Adheres to and consistently applies organizational and departmental ... acceptable. **REQUIRED EXPERIENCE:** + 7+ years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions,… more
    Molina Healthcare (07/25/25)
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  • DRG Coding Auditor

    Elevance Health (Waukesha, WI)
    …or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (07/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Waukesha, WI)
    …guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
    Elevance Health (07/17/25)
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