Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

Responsible for researching and resolving unpaid insurance claims and customer inquiries/ complaints for high volume Managed Care contracts. Other duties as assigned. EXPERIENCE DESCRIPTION A minimum of 5 years of business office experience in billing, customer service, or collections in a healthcare environment is required. EDUCATION DESCRIPTION High School diploma or eq

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Analyze and develop solutions addressing customer Electronic Data Interchange (EDI) and punchout catalog needs. Qualify, develop and implement EDI and punchout catalog partnerships with Uline's customers. Serve as liaison between Uline's eCommerce, Sales and IT teams and our customers. Assist with testing new EDI and punchout catalog implementations and troubleshooting is

FULL CHARGE BOOKKEEPER Responsible for a portfolio of properties Paying bills (including mortgages, insurance, regular AP etc.) Making Deposits Distributing Capital Reconciling bank statements Generating monthly accrual basis financial statements, including journal entries Processing security deposit dispositions Taking tenant calls and communicating with property owners

Providing exceptional care for our patients as well as recognizing the value of your co workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient's needs; relate to all in a friendly, accepting manner, communicate in a positive and professional way to patients and co workers; use time effectively and effi

EXCELLENT LOCAL OPPORTUNITY!

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

Do you see yourself best suited working in a small, family run business where teamwork and comradery is at the center of the businesses culture? Does a career in the insurance industry intrigue you? We have a Customer Service Representative position with a Green Bay insurance agency for a personable, dedicated and hard working individual. Candidates must have prior experi

EXCELLENT LOCAL OPPORTUNITY!

EXCELLENT LOCAL OPPORTUNITY!

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

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

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

Provide support for sales and service team as assigned by Manager. Duties will include, but may not be limited to items below. Mail/Scanning Facilitate process to get all paperwork into our systems including carrier website policy retrieval, scanning incoming mail, downloading from carrier emails. Bind and distribute paperwork to insureds/staff – per written workflo