- Rising Medical Solutions (Milwaukee, WI)
- The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- Zurich NA (Madison, WI)
- Complex Liability Claims Specialist 123220 Zurich is currently looking for an experienced claims adjuster to join our Complex Liability Claims team. If ... and a great culture. This position is a fully remote position that can be filled anywhere in the...injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing… more
- Carrington (Madison, WI)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Zurich NA (Madison, WI)
- …Claims Crop Field Adjuster I 121523 Zurich is currently looking for a RCIS Crop Claims Specialist I or aClaims Crop Field Adjuster I to join our Rural ... we protect America's farmers and ranchers. The RCIS Crop Claims Specialist will work out of the...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- SSM Health (Monroe, WI)
- …of presence begins with compassionate employees like you. As a Pharmacy Access Specialist , you've chosen a career where patients matter-a lot. The Pharmacy Access ... Specialist plays an integral role in our care team,...of payer reimbursement and patterns for pharmacy and medical claims with third parties. + Serves as primary ambulatory… more
- Molina Healthcare (Green Bay, WI)
- …processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's ... Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this position,… more
- Prairie Ridge Health (Columbus, WI)
- …for a team member to join our Medical Records Department in the role of Coding Specialist . This position is a 1.0 FTE (40 hours per week). Candidates must be within ... location. Training will take place in person and the position will be remote after the training period but require in-person attendance for meetings, etc. POSITION… more
- Centers for Independence (Milwaukee, WI)
- **Program Integrity Specialist - ILIFE** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI ** Remote Type** Fully Remote **Position Type** Full Time ... - Social Services **Description** **Job Purpose:** The Program Integrity Specialist is responsible for analyzing processes, incident reporting, communications, and… more
- Fujifilm (Madison, WI)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- TEKsystems (Milwaukee, WI)
- …needed + insurance + Medicare experience needed + group insurance + benefit interpretation + claims Pay: + $17 to $18.25 Training: + Monday to Friday + 8am to 4pm ... 8:30am to 5pm + 9am to 5:30pm Location: + Remote in the state of Wisconsin Pay and Benefits...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Highmark Health (Madison, WI)
- …for customers seeking information and assistance regarding their health benefits, claims , and online healthcare tools. Resolves standard and frequently non-routine, ... 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the office to… more
- Morley (Madison, WI)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 7 am - 4 pm Central ... to via Ethernet or landline + Secluded and distraction-free work environment **_The Remote Experience_** Wondering what it's like to work for Morley from home? Check… more
- Western Digital (Madison, WI)
- …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more
- Banner Health (WI)
- …we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at ... support throughout your career here!** **This is a fully remote position and available if you live in the...to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Elevance Health (Waukesha, WI)
- …Group Clinical Validation Auditor-RN** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- NTT America, Inc. (Madison, WI)
- …and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and preserved ... so that claims will be resolved in a timely manner as...+ Certified Safety Professional (CSP) or Certified Safety Management Specialist (CSMS) preferred. + Certified Environmental Professional CHMM and… more
- Banner Health (WI)
- …coding alongside your team, which will include production coding. **This is a fully remote position** and available if you live in the following states only: AK, AL, ... & WY. The hours are flexible as we have remote coders across the nation. Generally, any 8-hour period...submission acceptance for the state; coding accuracy; % clean claims ; staff stats; etc. Participates in the improvement of… more
- Gilead Sciences, Inc. (Milwaukee, WI)
- …purpose of this role is to serve as a field-based, product access specialist that partners with provider organizations to optimize patient access to Gilead PBC/Liver ... coverage, multi-channel acquisition pathways, billing and coding (as needed), claims processing, reimbursement, and awareness of manufacturer support programs into… more
- The Davey Tree Expert Company (Oshkosh, WI)
- …+ **Oversee the resolution of any customer concerts, and property damage claims .** + **Leads and coordinates all activities related to compliance with vegetation ... reliability standards, including bid package preparation, remote sensing review, record keeping, data entries, and audit preparation activities.** **Documentation… more
- Molina Healthcare (Milwaukee, WI)
- **_ Remote and must live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support ... analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member… more