- CVS Health (Madison, WI)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Madison, WI)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Travelers Insurance Company (Madison, WI)
- …to Risk Control Consultants and Underwriters and as a mentor to others. As a Senior Risk Control Specialist , has the ability to handle the most complex ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- American Family Insurance - Corporate (Madison, WI)
- As an Advertising Compliance Specialist , you will provides a full range of compliance oversight, advice and services with specialist knowledge in support of the ... development, marketing, and operations. You will report to Business Systems Senior Manager. Position Compensation Range: $61,000.00 - $101,000.00 Pay Rate Type:… more
- Cardinal Health (Madison, WI)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... and/or billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits … more