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Carrington
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Madison, Wisconsin
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Come join our amazing team and work remote from home!
**The Default FHA Claims Specialist II ... claims timely and accurately according to insurer/investor guidelines. Performs all duties in accordance
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Prime Therapeutics
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Madison, Wisconsin
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**
Senior Medicare Claims Specialist - Remote
Job Description
The Claims Specialist Senior role is ...
Serve as the escalation point for Claims Specialist; provide guidance and mentoring to ensure team
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QUARTZ HEALTH
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MADISON, Wisconsin
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JOB REQUIREMENTS: Appeals Specialist Job Locations US-WI-Madison ID
2024-2092 Category Legal & Compliance Type Regular Full-Time Overview
Quartz is seeking an Appeals Specialist to join our Legal &
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Centers for Independence
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Madison, Wisconsin
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Claims Resolution Specialist
Job Details
Job Location
iLIFE Main - Milwaukee, WI
Description
Job Purpose : The Claims Resolution Specialist is responsible for
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QUARTZ HEALTH
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MADISON, Wisconsin
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JOB REQUIREMENTS: ACA Product Specialist Job Locations US-WI ID
2024-2110 Category Product ... offerings a success. Come Find your Spark
at Quartz! The ACA Product Specialist is responsible for the
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NAVITUS HEALTH SOLUTIONS LLC
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MADISON, Wisconsin
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Dakota, Rhode Island,
South Carolina, South Dakota, West Virginia, and Wyoming. The
Specialist, Formulary ... portals, and
e-prescribing. Review weekly Medispan Reports for new drugs and drug
changes that impact the
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QUARTZ HEALTH
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MADISON, Wisconsin
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of information Review
covered benefit requests against medical necessity criteria, policies,
and ... approvals, and present
denials to Medical Director for further review, as needed Conduct
telephonic customer
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Zurich NA
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Madison, Wisconsin
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Product Specialist I
114106
Zurich North America is currently looking for a Product ... endorsement drafting, leading reviews with Corporate Law and Claims Legal, and managing the filing process and
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Walgreens
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MADISON, Wisconsin
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executing and maintaining front end and pharmacy asset protection techniques, and filing claims for ... overstock. Verifies posting of all pharmacy/ prescription claims.
Completes execution of all pricing
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Highmark Health
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Madison, Wisconsin
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prices quotes and analyzes the structure of a contract for a group based on claims experience ... .
Identify questionable claim patterns of renewal clients and issues with competitor’s claims experience for
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Prime Therapeutics
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Madison, Wisconsin
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**
Senior Enrollment Specialist
Job Description Summary
This position is responsible for ... providers.
Proficient use of enrollment and claims point of sale for research and problem resolution
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Walgreens
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MADISON, Wisconsin
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executing and maintaining front end and pharmacy asset protection techniques, and filing claims for ... overstock. Verifies posting of all pharmacy/ prescription claims.
Completes execution of all pricing
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ThermoFisher Scientific
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Madison, Wisconsin
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accounting for global requirements and desired marketing claims.
Author and/or review regulatory ... .
Discover Impactful Work:
As Sr Staff Regulatory Affairs Specialist , you will assume a key
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System One
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Madison, Wisconsin
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Marketing Product Consultant & Translation Specialist
Employment Type: Full Time
**Date ... & Translation Specialist.
Duties & Responsibilities
Manage reviews of Spanish translations across
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Sedgwick
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Madison, Wisconsin
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Surety Claims Specialist
PRIMARY PURPOSE : To analyze complex or technically difficult surety and surety bond
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GROUP HEALTH COOP- SOUTH CENTRAL WI
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MADISON, Wisconsin
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JOB REQUIREMENTS: Medical Coding Specialist Administration - 1265 John
Q. Hammons Drive, 1265 John ... Group Health
Cooperative of South Central Wisconsin. BETTER TOGETHER The Medical
Coding Specialist is
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Humana
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Madison, Wisconsin
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Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... of services provided by other healthcare professionals in compliance with review policies, procedures
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Meriter-UnityPoint Health
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Madison, Wisconsin
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Discharge Specialist Pharmacy Technician, but primary area of responsibility will be in the Ambulatory ... efficient adjudication of online claims, counting/measuring and/or reconstituting drug products, compounding
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Sutherland Global Services
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Madison, Wisconsin
...
:
Conducting collection activity on appealed claims by contacting government agencies, third party payers via ... terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims
Knowledge of
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Lincoln Financial Group
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Madison, Wisconsin
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, analyzing, and interpreting medical information available for disability claims.
In this role you will ... provide coaching and guidance to claims regarding medical management
**What you'll be doing
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Meriter-UnityPoint Health
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Madison, Wisconsin
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Discharge Specialist Pharmacy Technician, but primary area of responsibility will be in the Ambulatory ... efficient adjudication of online claims, counting/measuring and/or reconstituting drug products, compounding
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SMX
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Madison, Wisconsin
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.
Serves as the liaison with vendors and brokers to resolve employee claims.
Provides coaching and ... Benefits Specialist (CEBS) or related Human Resources certification a plus.
Knowledge of statutory
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Humana
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Madison, Wisconsin
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relies on medical background and reviews health claims. The Medical Director work assignments involve ... operationalize this knowledge in their daily work.
The Medical Director's work includes computer based review
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SSM Health
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Madison, Wisconsin
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, insurance providers and patients to improve communication and continuity of care.
Review patient ... understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties
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Zurich NA
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Madison, Wisconsin
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customer satisfaction.
Participating in leadership team meetings to provide specialist guidance and ... experience in Claims or Underwriting Support area within the Commercial Insurance industryAND
Experience
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Advantage Solutions
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Madison, Wisconsin
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maximize revenue and profit and lowering workman’s compensation claims by enforcing a safe work environment
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