• Encounter Claims Professional

    Humana (Madison, WI)
    …skills. Become a part of our expanding team in this dynamic position as an Encounter Claims Professional . In this role you will develop business processes ... **Communicates and partners with internal operations, DHS, and IT.** **Processes Encounter claims work for WI Market including CMS.** **Completes additional … more
    Humana (01/15/25)
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  • Senior Encounter Claims

    Humana (Madison, WI)
    …visionary leader to join our growing team in the Wisconsin Market as a Senior Encounter Claims Professional . Under the direction of the Associate Director of ... acceptance rate by Medicaid/Medicare as well as looking for improvements of Encounter claims submission processes. This work will be performed without… more
    Humana (01/10/25)
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  • Encounter Data Management…

    Humana (Madison, WI)
    …where needed. Follows established guidelines/procedures. The Encounter Data Management Professional ensures data integrity for claims errors. The ... caring community and help us put health first** The Encounter Data Management Professional develops business processes...post-implementation needs for Virgina DSNP and HERO DSNP Implementations. Professional will need to research claims in… more
    Humana (01/14/25)
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  • Manager, Configuration (EDI - Claims )

    Molina Healthcare (Madison, WI)
    …+ Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. + Ability ... **JOB DESCRIPTION** **Job Summary** Manages a team of professional Configuration Analysts. Responsible for operational activities for the assigned team, including… more
    Molina Healthcare (01/13/25)
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