- Molina Healthcare (Milwaukee, WI)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Milwaukee, WI)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Humana (Milwaukee, WI)
- …state and federal regulators, and collection services to facilitate the settlement of claims . + Advise executives and senior leadership by developing functional ... community and help us put health first** As the Claims Research & Resolution Lead, you will manage the...segments, on matters of significance. + Analyze large, complex data sets to develop and present strategic recommendations. +… more
- Performance Food Group (Oak Creek, WI)
- **123761BR** **Job Title:** Senior Human Resources Operations Coordinator **Location:** Performance Foodservice Milwaukee (0578) **Job Description:** **Job ... system. + Safe and inclusive working environment, including culture of rewards, recognition , and respect. **Position Details** + Schedule: Monday - Friday + Hours:… more
- Molina Healthcare (Milwaukee, WI)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Walgreens (Wauwatosa, WI)
- …by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- HD Supply (Lake Geneva, WI)
- …account statements. + Performs basic data entry and general research of data within the department systems necessary to update and maintain account ... for follow-up and routes unresolved items to the appropriate departments. + Verifies data entry of account information in multiple systems . Clears and matches… more