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

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

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

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

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

Provides technical expertise for assigned product line(s) in the handling of complex, contestable, sensitive and large benefit amount claims. Primary Duties & Responsibilities Responsible for providing technical expertise to applicable product line benefits division in the handling of complex, contestable, sensitive and large benefit amount claims. This includes responsib

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

NO late nights - NO weekends and Air Conditioned Body Shop for your techs!

Vice President Claims Germantown Mutual Insurance Company is looking to add a Vice President of Claims to its team! WHO WE ARE Germantown Mutual Insurance Company is Wisconsin’s oldest insurance company! Founded in 1854, we are celebrating our 171 st year of providing quality insurance products and great customer service to our policyholders. A rated by AM Best for

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

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

Casualty Claims Representative Job Locations US WI West Bend ID 2024 2036 Category Claims Remote/Hybrid Remote 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 greatest asset. We hire talented individua

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 moderate to highly complex exposures. Provides empathy and understanding to customers that may be upset or frustrated. Authorizes payments in accordance

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