PAYMENT AUDIT SPECIALIST - REVENUE CYCLE Aspirus IncPAYMENT AUDIT SPECIALIST - REVENUE CYCLEWausau, WIThis includes intake and entry of audit findings, tracking the status of payment audits from intake to close-out of each audit finding, coordination and collaboration with audit reviewers and appeal writers to assure prompt audit and appeal response, management of the tracking tools, education and outreach to business unit contacts on process, outreach to payers for status updates, and analysis and summarization of audit record requests and audit activity. This role will be the key point of contact on payer audit activity and working with all stakeholders, will assure we have a consistent and efficient audit tracking and response process that results in minimizing organizational risk of payment recoupments.
Leave & Benefits Specialist Foley & Lardner LLPLeave & Benefits SpecialistMilwaukee, WI$77,500–$108,500 / yearServe as subject matter expert and primary administrator for all leave of absence and salary replacement programs while on leave, including FMLA, applicable state and local leave programs, and firm-specific leaves (personal, military, bereavement), as well as short-term disability, paid parental leave, PTO, and vacation. Coordinate leave-related impacts across employee relations, payroll, benefits, and operations, including pay calculations, benefits continuation, premium handling, and billable hour considerations, partnering closely with Payroll, Accounting, and HR.
Pharmacy Specialist QuartzPharmacy SpecialistMadison, Wisconsin$20.72–$25.91 / hourFull timePharmacy Specialist, Formulary Support will support the development, implementation, and ongoing maintenance of Quartz's pharmacy formularies by coordinating formulary updates, assisting with coverage determinations, and ensuring accurate benefit configuration while also promoting a safe and effective pharmacy benefit management while supporting quality patient care and an exceptional member experience. Oversee the administration and implementation of pharmacy benefit programs, P&T Committee decisions, and benefit changes, including maintenance and updating of the formulary database, ensuring that medication lists are current and reflect the latest clinical guidelines and policy changes, and review/approval of testing by PBM and other vendors.
Pharmacy Specialist Unity Health InsurancePharmacy SpecialistMadison, WI$20.72–$25.91 / hourPharmacy Specialist, Government Program Operations Role: Oversee the administration and implementation of pharmacy benefit programs, P&T Committee decisions, and benefit changes, including maintenance and updating of the formulary database, ensuring that medication lists are current and reflect the latest clinical guidelines and policy changes, and review/approval of testing by PBM and other vendors. Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing maintenance of Quartz''s pharmacy formularies by coordinating formulary updates, assisting with coverage determinations, and ensuring accurate benefit configuration while also promoting a safe and effective pharmacy benefit management while supporting quality patient care and an exceptional member experience.
REIMBURSEMENT SPECIALIST City of Racine, WIREIMBURSEMENT SPECIALISTRacine, WI$56,056–$72,051.20 / yearNon City of Racine residents can receive up to $1,200 per year towards student loan repayments, and City of Racine residents can receive up to $2,400 per year towards student loan repayments. Working knowledge of community systems, ability to initiate referrals to community health care providers, social service, and advocacy agencies, and the ability to effectively refer clients as needed.
Pharmacy Technician Specialist - Community Pharmacy University of Wisconsin Hospitals and Clinics AuthorityPharmacy Technician Specialist - Community PharmacyMadison, WIExplore opportunities to climb our Technician Career Ladder and work in new and exciting pharmacy fields, including Remote Dispensing, Tech-Check-Tech, Anticoagulation, Adherence Packaging, and PA Services. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day.
Benefits Specialist ND Paper and Packaging LLCBenefits SpecialistSturtevant, WIWith two integrated pulp and paper mills in Rumford, Maine and Biron, Wisconsin, a packaging plant in Sturtevant, Wisconsin, and two sheeting facilities in Langhorne, Pennsylvania and Fairmont, West Virginia, the ND Paper family produces nearly one million tons of products annually. Assisting new employees with the enrollment process and ensuring accurate data entry as well as assisting with the annual Open Enrollment process, including the preparation of communication materials, system configuration in the HRIS, and coordination with third-party vendors to ensure a seamless experience.
Accounts Receivable Specialist Bone and Joint Center, S.C.Accounts Receivable SpecialistWausau, WIA day in the life of an Accounts Receivable Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.
Accounts Receivable Specialist BONE & JOINT CLINIC, SCAccounts Receivable SpecialistWausau, WIA day in the life of an Accounts Receivable Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.
Employee Relations Specialist - Human Resources Medical College of WisconsinEmployee Relations Specialist - Human ResourcesWisconsinProvides support to the Employee Relations, Office of Equal Access and Organizational Development teams and their client groups with tasks such as coordination, filing, project management, data entry and analysis, processing in Workday Integration System, processing unemployment claims, immigration support and administrative duties. This individual will work with the Department’s Human Resources Advisors and leaders to assist with developing and implementing solutions for employee relations and development issues that enable the organization to maximize employee engagement and mitigate risk.
Estimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)WI$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
NewOperations Support Services Specialist Sedgwick Claims Management Services, Inc.Operations Support Services SpecialistWI$39,536–$55,350 / yearPRIMARY PURPOSE: To support Operations Support Services leadership relating to all aspects of quality assurance; ensure service level agreements are maintained; research and resolve complex technical issues; manage and create escalation procedures; track and monitor issues ensuring a timely resolution; and to perform monthly quality and technical audits. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
LTC Active Specialist - Remote USA. Northwestern MutualLTC Active Specialist - Remote USA.WisconsinRemoteCommunicates both verbally and in writing with Insureds and their representatives, field force, and service providers regarding insured’s change of medical conditions, change of care needs, and/or needs for supplemental medical products and services. Uses extensive claims knowledge in interpreting and analyzing pertinent facts to provide consultative support to proactively educate the Insured and their representative on policy language, policy benefits, and claims processing procedures.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Green Bay, WIRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
LTC Active Specialist (Billing) - Remote WI Northwestern MutualLTC Active Specialist (Billing) - Remote WIWisconsinRemoteCommunicates both verbally and in writing with Insureds and their representatives, field force, and service providers regarding insured’s eligibility for payment and decision-making reasoning. Captures and documents claim information accurately in the claim system; creates tasks as required; appropriately pulls work from assigned group planner.
Respiratory Therapist, Home Medical Equipment Ventilation Specialist - Full Time MercyhealthRespiratory Therapist, Home Medical Equipment Ventilation Specialist - Full TimeJanesville, WisconsinThe Respiratory Therapist Home Medical Equipment Ventilation Specialist provides Respiratory Care services to patients in their homes, clinics, or at one of the Mercyhealth at Home locations. Provides instruction to patients and/or caregivers on the proper use of other respiratory care equipment including but not limited to; home oxygen, nebulizers, and positive airway pressure.
NewRespiratory Therapist, Home Medical Equipment Vent Specialist - PRN MercyhealthRespiratory Therapist, Home Medical Equipment Vent Specialist - PRNJanesville, WisconsinProvides instruction to patients and/or caregivers on the proper use of other respiratory care equipment including but not limited to; home oxygen, nebulizers, and positive airway pressure. The Respiratory Therapist Home Medical Equipment Ventilation Specialist provides Respiratory Care services to patients in their homes, clinics, or at one of the Mercyhealth at Home locations.
Benefits Specialist Waukesha County WIBenefits SpecialistWaukesha, WI$27.49–$38.19 / hourWaukesha County offers a perfect blend of urban and rural living where one can enjoy the benefits of quiet rural lake communities or opt for nearby attractions that the greater Milwaukee area offers including vast beach and park systems, public markets, performing arts, music festivals, and sports including the Milwaukee Admirals, Brewers, Bucks, Wave, Marquette University Golden Eagles and the UW-Milwaukee Panthers Basketball programs. Waukesha County provides a comprehensive compensation and benefits package including excellent health/dental/vision, life insurance, generous paid time off (vacation, 10 holidays, 3 floating holidays, ample accrued sick time that rolls over each year), an exceptional pension plan with employer match and lifetime retirement payment plus an optional tax advantaged 457 retirement savings plan.
Safety Specialist Shared Medical ServicesSafety SpecialistWIShared Medical Services is an employee-owned mobile medical imaging company, delivering high-quality imaging services directly to communities through a nationwide fleet. This role focuses on fleet compliance, driver safety, incident response, training, and regulatory reporting while serving as a key safety resource across the organization.
Billing Specialist OUTREACH COMMUNITY HEALTH CENTERS, INC.Billing SpecialistMilwaukee, WIThe essential functions include, but are not limited to the following: Claims Submission: Ensure all claims are submitted with a goal of zero errors by verifying completeness and accuracy prior to transmission. Outreach Community Health Centers requires employees in certain departments to be fully vaccinated against MMR (Measles, Mumps, Rubella), Varicella (Chickenpox), and Influenza.
A&G Clinical Specialist HealthfirstA&G Clinical SpecialistWI$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
NewWarranty Quality Specialist GeneracWarranty Quality SpecialistWaukesha, WisconsinAs a Warranty Specialist, you will play a key role in delivering an exceptional customer experience by managing warranty claims, supporting product quality initiatives, and partnering with internal teams and service providers to ensure timely resolutions. For more than 65 years, we've turned big ideas into solutions that help protect homes, strengthen businesses and build a more resilient, efficient, sustainable energy future.
Patient Access Specialist OAK LEAF SURGICAL HOSPITAL LLCPatient Access SpecialistAltoona, WIFull timeWith a strong focus on customer service, the Patient Access Specialist communicates clearly with patients, families, and clinical staff to facilitate timely access to care. The Patient Access Specialist serves as the first point of contact for patients entering the healthcare system and plays a vital role in ensuring a positive patient experience.
Component Field Specialist Drexel Building Supply IncComponent Field Specialistwrightstown, WIWhat Success Looks Like: Performance is measured by your direct impact on our regional structural quality, builder confidence, and margin preservation: Back charge Mitigation Rate: Financial reduction of field incident claims and backcharge dollars incurred across your assigned region. Defining the Role: Field Support & Site Audits: Serve as the regional specialist for Quarterbacks (QBs) on complex structural questions; conduct proactive jobsite visits to inspect installed truss and engineered wood products.
Underwriting Specialist - Specialty Property (Remote - Mid West or West Coast) Onebeacon Professional Insurance IncUnderwriting Specialist - Specialty Property (Remote - Mid West or West Coast)Milwaukee, WIRemote$176,000–$206,000 / yearSome of the Underwriting Specialist duties include but are not limited to: Maximizes opportunities for underwriting profitable new and renewal business, as appropriate based on market conditions, by leveraging business relationships, product knowledge and underwriting acumen. Manages financial performance of assigned territory including: accident year loss ratio, premium plans (new business, retention, and rate/exposure increases), and commission targets.
Warranty Specialist Drexel Building Supply IncWarranty SpecialistCampbellsport, WIThis role requires an analytical mind that thrives on multitasking, a calm demeanor during difficult homeowner conversations, and precise communication across multiple departments to deliver timely, accurate service. What will you do: Analyze & Order Parts: Review product failures, identify matching window and millwork specs, and order exact replacement service parts under warranty guidelines.
Insurance Staff Support Specialist Forest County Potawatomi CommunityInsurance Staff Support SpecialistCRANDON, WIPart timeRe-price Contract Health Services/Purchased Referred Care eligible claims to the MLR /PRC for hospital and physicians for both internal and external clients; re-price employee health claims in their designated PPO software portals; assists in the production and distribution of benefit information to members employees and clients. Maintains database of facility CMS Rate Notifications letters and submits to data vendor as needed to ensure accurate re-pricing; updates and maintains Section 506 Recovery reimbursement data via excel spreadsheets.
NewWarranty Specialist SchneiderWarranty SpecialistGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Warranty Specialist in Green Bay to review warranty-eligible repair costs on equipment and file warranty claims with vendors.
Benefits Specialist Waukesha CountyBenefits SpecialistWaukesha, Wisconsin$27.49–$38.19 / hourWaukesha County offers a perfect blend of urban and rural living where one can enjoy the benefits of quiet rural lake communities or opt for nearby attractions that the greater Milwaukee area offers including vast beach and park systems, public markets, performing arts, music festivals, and sports including the Milwaukee Admirals, Brewers, Bucks, Wave, Marquette University Golden Eagles and the UW-Milwaukee Panthers Basketball programs. Waukesha County provides a comprehensive compensation and benefits package including excellent health/dental/vision, life insurance, generous paid time off (vacation, 10 holidays, 3 floating holidays, ample accrued sick time that rolls over each year), an exceptional pension plan with employer match and lifetime retirement payment plus an optional tax advantaged 457 retirement savings plan.
People Operations Specialist II - Leave Management Advocate Aurora Health IncPeople Operations Specialist II - Leave ManagementMilwaukee, WIRemote$30.70–$46.05 / hourThe HR Operations Specialist supports the delivery of employee lifecycle services by interpreting HR policies, resolving cases, partnering with internal teams, and ensuring teammates receive accurate, timely, and compassionate support. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
NewCard Programs Specialist UW Credit UnionCard Programs SpecialistMadison, WisconsinFull timeJoin one of Wisconsin’s premier financial institutions, a National Top Workplace and multi-year recipient of Madison Magazine’s Best Places to Work, Wisconsin State Journal’s Top Workplaces, and Milwaukee Journal Sentinel’s Top Workplaces to receive: 21.5 days of annual time off (accrued per pay period). The person in this role is responsible for daily operations including the balancing of general ledgers, working exception and audit reports, and performing monetary adjustments and maintenance requests with speed and accuracy.
Buyer Specialist Ahlstrom Holding 3 OyBuyer SpecialistKaukauna, WIThey will work closely with internal and external stakeholders to meet the needs of the Strategic Vision and requirements of the facility or business and support finding the best supplier: identifying and maintaining relationships with suppliers who can provide the best value in terms of quality, price, and reliability. The Buyer is responsible for securing an optimized and stable SRM (Supplier Relationship Management) to the manufacturing sites while maintaining a strong link and alignment with the other members of the site Procurement Team and Regional Category management.
Operations Specialist AdaptHealthOperations SpecialistRice Lake, WIMore information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx . This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist.
NewOperations Specialist - Patient Facing AdaptHealthOperations Specialist - Patient FacingGreenfield, WIMore information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx . This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist.
Human Resources Specialist Sentry Insurance GroupHuman Resources SpecialistMadison, WIProvide additional programs, communications or resources in areas such as performance management, employee relations, recruitment, compensation, career development and leadership development to meet the specific needs of the business function. Review initial complaints, conduct investigations, and with input from Associate Relations management and in some cases inside legal counsel, recommend corrective action and provides summary reports as appropriate.
Product Specialist - Small Commercial Sentry Insurance GroupProduct Specialist - Small CommercialMadison, WIThis may include such areas as financial performance, advertising effectiveness, rate of return, market penetration, retention, closing ratios, claim trends, state profitability, competitor monitoring, and sales. You will work closely with experienced analysts, business partners, and technology teams to support reporting, analysis, and insight generation for our growing Small Commercial portfolio.
Part-Time Medical Billing Specialist ST. GIANNA CLINICPart-Time Medical Billing SpecialistDe Pere, WIPart timeThe Medical Billing Specialist is responsible for performing a variety of tasks to support patients, physicians, nurse practitioners, nurses, and other health care workers within the organization. Excellent communication (written and verbal) and interpersonal skills; ability to effectively communicate with a variety of patients, staff, physicians and nurse practitioners.
Warranty Specialist Schneider National IncWarranty SpecialistGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Job overview: Schneider is seeking a Warranty Specialist in Green Bay to review warranty-eligible repair costs on equipment and file warranty claims with vendors.
Business Office Specialist Bristol Hospice, LLCBusiness Office SpecialistGreen Bay, WIProvide office functions including handling correspondence and word processing for hospice organization, managing incoming calls, filing clinical notes, maintaining administrative and clerical files; and ensuring postage is purchased and kept on hand. Assist BOM in ensuring all Doctors order forms and related forms are completed and signed in compliance with Medicare and Medicaid regulations, place forms and applicable documents into patient files.
Senior Service Specialist, Diesel Engines (Remote USA) RehlkoSenior Service Specialist, Diesel Engines (Remote USA)Kohler, WisconsinRemoteOur product range includes engines, generators, power conversion, UPS systems, EV components and electrification solutions, microgrid controls and management, and clean energy solutions that serve a broad spectrum of OEM, residential, industrial, and commercial customers. We empower every team member to actively participate in our Zero Is Possible safety culture by encouraging open communication, proactively reporting hazards, following protocols, and suggesting improvements.
Warranty Quality Specialist Generac Power Systems IncWarranty Quality SpecialistWaukesha, WIAs a Warranty Specialist, you will play a key role in delivering an exceptional customer experience by managing warranty claims, supporting product quality initiatives, and partnering with internal teams and service providers to ensure timely resolutions. For more than 65 years, we've turned big ideas into solutions that help protect homes, strengthen businesses and build a more resilient, efficient, sustainable energy future.
AR Collections Specialist KHS GmbHAR Collections SpecialistWaukesha, WIHowever, we can only remain world class if we continue to find new employees who make just as high demands of themselves and the quality of their work as our customers make of us at KHS. Make telephone calls or mail correspondence to customers as necessary to collect outstanding balances and update accounts.
Senior Safety Specialist APi Group CorpSenior Safety SpecialistOak Creek, WIMaintain project safety documentation i.e. toolbox talks safe starts permits accident reports inspection reports training logs and general contractor and owner required documentation. Senior Safety SpecialistThe primary function of the position is to identify eliminate and control hazardous conditions that may lead to injury andor property damage on large construction projects.
Project Safety Specialist APi Group CorpProject Safety SpecialistOak Creek, WIMaintain project safety documentation i.e. toolbox talks safe starts permits accident reports inspection reports training logs and general contractor and owner required documentation. Project Safety SpecialistThe primary function of the position is to identify eliminate and control hazardous conditions that may lead to injury andor property damage on large construction projects.
Operations Specialist AdaptHealth CorpOperations SpecialistRice Lake, WIMore information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx . This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist.
Payroll & Benefits Specialist - To 55K - Milwaukee, WI - Job 3582 The Symicor GroupPayroll & Benefits Specialist - To 55K - Milwaukee, WI - Job 3582Milwaukee, WIThe successful candidate will be responsible for preparing, disbursing, maintaining, and reviewing payroll, salary adjustments, payroll taxes, and year-end process as well as acting as administrator on all employee benefit plans. Assure compliance with all legal requirements of various payroll and employee benefit programs (ERISA, COBRA, HIPAA, FMLA, IRS Code Section 125, FLSA, etc.), and preparation and filing of required legal reports.
NewOperations Specialist - Patient Facing AdaptHealth CorpOperations Specialist - Patient FacingGreenfield, WIMore information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx . This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist.
Crop Underwriting Product Specialist Great American Insurance Group (DBA)Crop Underwriting Product SpecialistEau Claire, WI$70,000–$115,000 / yearLearns and utilizes applicable reporting, analytics, and technology platforms, including Tableau and other third-party systems, to support underwriting operations, training initiatives, and process improvements. Serves as a subject matter resource on underwriting processing systems, workflows, and product-related processes, providing guidance and support to underwriters, agencies, and business partners.
EFT Specialist UW Credit UnionEFT SpecialistMadison, WIJoin one of Wisconsin's premier financial institutions, a National Top Workplace and multi-year recipient of Madison Magazine's Best Places to Work, Wisconsin State Journal's Top Workplaces, and Milwaukee Journal Sentinel's Top Workplaces to receive: 21.5 days of annual time off (accrued per pay period). Advise Membership Services Leadership regarding emerging trends, new capabilities, and enhancements that could provide benefit to UW Credit Union and our membership.
NewDefault Specialist Waukesha State BankDefault SpecialistWaukesha, WIFull timeJoin our Loan Servicing Team as a Default Specialist and play an important role in helping Waukesha State Bank's mortgage customers navigate challenging financial circumstances. This is an onsite position in Waukesha County, WIMust have the ability to obtain an active NMLS RecordEmployment with Waukesha State Bank is contingent upon the successful completion of a criminal background check and drug screen.