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

Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities. It drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking a Group Medicare Sales & Service Executive will be responsible for acquiring, implementing, and retaining Group Medicare accounts and plan members. The role

Fincantieri Marine Group currently has an opportunity for a Corporate Insurance & Risk Manager at the Green Bay, Wisconsin location. Fincantieri Marine Group is a main subsidiary of Fincantieri, a global organization with 20 shipyards across the world, a workforce of twenty thousand people and a mission to be world leaders in all segments that demand the very best in mari

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

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

Content Claims Specialist Field Level II Requisition ID 2024 24437 Job Locations US MN Minneapolis | US MN Saint Cloud | Rochester | US WI Eau Claire Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily i

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

About Us Curi is a full service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data driven advisory services to private wealt

Join the team of a highly successful property & casualty insurance company voted Best Places To Work

EXCELLENT LOCAL OPPORTUNITY!

EXCELLENT LOCAL OPPORTUNITY!

This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic support for all Blue Cross NC Medicare products with a particular emphasis on Medicare Part D. You will identify and evaluate risks and strategic opportunities involving Blue Cross NC's Medicare business through the deployment of actuarial co

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

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Enterprise Activities The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are s

ESSENTIAL DUTIES AND RESPONSIBILITIES Draft, review, and negotiate contracts and other legal documents; Collaborate closely with the Head of Legal and operational leaders (including Supply Chain and IT) in structuring, negotiating, and providing legal advice for business transactions; Perform research necessary to draft and analyze various contracts, policies, and other d