Function as a clinical liaison to internal and external managed care customers. Partner with external case managers to transition patients to appropriate levels of care. Monitors variances in service utilization and implements improvement processes with staff. Monitors service utilization, cost, and rehospitalization. Collaborate with the education department, identifies

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

Gundersen Health System is looking for an experienced individual to help our Professional Coding and Reimbursement Team continue to succeed and advance! The Supervisor works under the direction of the Director to effectively accomplish the duties and responsibilities outlined in Gundersen Health System’s Supervisor Job Charter. Supervises the daily operations of the

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Provide leadership and oversight of Disability Income claims operations, ensuring claims are being administered in compliance with applicable state laws and regulations. Manages teams that both administer claims and support claims through recruitment, selection, training, development, motivation, and salary administration of staff. Primary Duties & Responsibilities Respon

The Boucher Automotive Group is hiring a Body Shop Customer Service Representative POSITION The Boucher Automotive Group is seeking a Customer Service Representative for their Waukesha Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have good cust

The Boucher Body Shop of West Allis is looking to hire an experienced Body Shop Estimator! POSITION The Boucher Body Shop of West Allis is seeking an experienced Body Shop Estimator for their Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have go

Location Green Bay, WI Shift 1st Shift Work model Hybrid Schedule Full time; Monday Friday, 9 30 a.m. 6 00 p.m. Schneider is seeking a Claims Specialist to join our thriving team! You will be supporting tasks that enable successful adjudication of INS Insurance claims. Your primary responsibility includes processing FNOL (first notice of loss) calls from drivers, law enfo

Provider Enrollment Analyst Job Locations US WI ID 2024 2088 Category Provider Relations Type Regular Full Time Overview Quartz is thrilled to offer opportunities for professional growth in our Provider Enrollment Department. The Provider Enrollment Analyst will build and maintains Practice Locations, Facilities, Practitioners and Contracts in both the Provider Database a

A Customer Service Professional position requiring creativity, empathy, interpersonal skills and a strong desire to assist customers. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Authorizes payments in acc

Claims Representative I Workers Compensation Medical Only Job Locations US WI West Bend ID 2024 2078 Category Claims Full Time Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our great

Claims Specialist Administration 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America Req #1830 Wednesday, April 24, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Claims Specialist ensures the accurate entry of inpatient and outpatient claims per the data entry guidelines, and ensures the timel

Sr. Claims Representative (Bodily Injury/Specialty) Job Locations US WI West Bend | US WI Madison ID 2024 2079 Category Claims Full Time Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are

Workers Compensation Senior Claims Representative Job Locations US WI West Bend | US WI Madison | US WI Appleton | US WI Waukesha | US NE Omaha | US NE Lincoln | US MO Kansas City | US MO Saint Louis | US Remote | US IA Des Moines ID 2024 2057 Category Claims Full Time Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 co

Reimbursement Specialist III Job ID 2024 27320 # Positions 1 Job Location US Telecommute Regional Remote Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically