- Creative Financial Staffing (Madison, WI)
- What we love about the Accounts Receivable Specialist opportunity: Join a rewarding business that helps the community Be part of a family owned business that is ... opportunities for further education for your family! What the Accounts Receivable Specialist will be doing: Processing billing across the business Submit claims… more
- Sedgwick (Madison, WI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Madison, WI)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Madison, WI)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- Sedgwick (Madison, WI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Casualty Claims Specialist **PRIMARY PURPOSE** **:** To investigate claims ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Assists in preparing loss experience report… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial ... claims procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical...CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 + Maintains required… more
- Trustmark (Madison, WI)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- Sedgwick (Madison, WI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Centers for Independence (Madison, WI)
- **Vendor Payment Specialist ** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Position Type** Full Time **Education Level** High School Diploma, HSED ... Category** Customer Service **Description** **Job Purpose:** The Vendor Payment Specialist position is responsible for verifying, reviewing, and entering various… more
- Zurich NA (Madison, WI)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Walgreens (Madison, WI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Travelers Insurance Company (Madison, WI)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...needed to support the overall functions of Risk Control, Claims Services, and Underwriting. Such materials may include newsletters,… more
- Sutherland Global Services (Madison, WI)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- SSM Health (Madison, WI)
- …advanced care management platform that integrates data from electronic health records, claims and other sources to keep healthy people healthy, address modifiable ... lifestyle risks and help providers identify high-risk patients needing appropriate interventions. This platform serves to optimize SSM Health's value-based care delivery and compensation models. We will transform the way we deliver care. This position is… more
- SSM Health (Madison, WI)
- …a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties. + Serves as primary ambulatory pharmacy resource to ... facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs. + Coordinates services with appropriate departments… more
- ThermoFisher Scientific (Middleton, WI)
- …with corporate Worker's Compensation Administrator to supply information on related claims to insurance company. Assists with or conducts work-related injury/illness ... investigation. + May lead Health & Safety committees, act as Radiation Safety Officer, maintain controlled substance program, evaluate/maintain all safety equipment, coordinate fire drills and/or work with assigned site on CAP inspections or other audit… more
- Meriter-UnityPoint Health (Madison, WI)
- …will be a combination of the Ambulatory Pharmacy Technician and the Discharge Specialist Pharmacy Technician, but primary area of responsibility will be in the ... computer system, ensuring accurate and efficient adjudication of online claims , counting/measuring and/or reconstituting drug products, compounding medications when… more
- Guardian Life (Madison, WI)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
- Highmark Health (Madison, WI)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
