NewLife Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote) Northwestern MutualLife Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote)Milwaukee, WIRemoteAnalytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes. Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims.
NewLTC Active Specialist (Billing) - Remote WI Northwestern MutualLTC Active Specialist (Billing) - Remote WIFranklin, WIRemoteCommunicates 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.
NewComponent Field Specialist Drexel Building SupplyComponent Field SpecialistCampbellsport, WIDefining 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. 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.
NewWarranty Specialist Drexel Building SupplyWarranty 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. Analyze & Order Parts: Review product failures, identify matching window and millwork specs, and order exact replacement service parts under warranty guidelines.
NewEHS Specialist A.O. SmithEHS SpecialistAppleton, WIThe company is one of the world’s leading manufacturers of residential and commercial water heating equipment and boilers, as well as a manufacturer of water treatment products for residential and light commercial applications. Competitive compensation package and comprehensive benefits plans which include medical and dental insurance, company-sponsored life insurance, retirement security savings plan, short- and long-term disability programs and tuition assistance.
NewTravel Nurse RN - Outpatient Clinic - $1,826 per week in Oconomowoc, WI Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,826 per week in Oconomowoc, WIOconomowoc, WI$1,826A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
NewTravel Nurse RN - Outpatient Clinic - $2,204 per week in Milwaukee, WI TravelNurseSourceTravel Nurse RN - Outpatient Clinic - $2,204 per week in Milwaukee, WIMilwaukee, WI$2,204A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
NewUnderwriting Manager - Middle Market Sentry InsuranceUnderwriting Manager - Middle MarketMadison, WIAs an Underwriting Manager - Commercial Lines, you will oversee and guide the implementation and successful execution of our business strategy and uphold continuous improvement through leadership focused on process, problem solving, performance, partnering, purpose and people. Attend cross functional team meetings, present and work with other teams in pursuing new accounts, as well as agencies/insureds to develop and maintain effective business relationships.
Advanced Analytics Modeler (Hybrid Work Model) Sentry InsuranceAdvanced Analytics Modeler (Hybrid Work Model)Stevens Point, WIRemoteApply data science tools and various statistical techniques such as regression, generalized linear models, gradient boosting and neural networks to build, validate, and implement models for solving business problems. This role, in the Advanced Analytics Department, applies economic, quantitative, and statistical skills in the development of pricing, underwriting, sales, and claims models to achieve profitable growth and make sound business decisions across all areas of Sentry Insurance.
NewHR Business Consultant Sentry InsuranceHR Business ConsultantStevens Point, 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. See Sentry Insurance Terms & Conditions at https://www.sentry.com/terms-and-conditions and Privacy Policy at https://www.sentry.com/privacy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewTreasury Services Investment Accountant Sentry InsuranceTreasury Services Investment AccountantStevens Point, WIRemoteAs a member of our Treasury Services team, you will play an integral role to the continued success of our team by: Completing the accounting, processing, and reconciliations for various integrated systems for investments and separate accounts. Preparing reports and financial statements, completing analysis and communicating results to internal and external stakeholders related to our investments and separate accounts.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteWIRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistWIRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Claims Specialist Jewelers MutualClaims SpecialistNeenah, WisconsinThe claims specialist also assists with administrative duties for the department, helping the team effectively negotiate and resolve claims in a timely manner and in accordance with established good faith handling procedures. As a technology focused organization, we embrace cutting-edge tools and data-driven insights to continuously improve our products, services, and customer experience.
Warranty Claims Specialist CSM CompaniesWarranty Claims SpecialistMadison, WISummary: The Warranty Claims Specialist works as a liaison between the corporate warranty department and branch locations to file warranty claims and manage those claims through final resolution of payment. Communicate and coordinate with branch personnel and supervisor on warranty rejections and processing issues using various methods and tools.
Claims Specialist Trane TechnologiesClaims SpecialistLa Crosse, WisconsinPaid time off includes 15 vacation days, 9 paid holidays, 3 floating holidays, sick leave, and additional options to support volunteer and parental leave. As a world leader in creating comfortable, sustainable, and efficient climate solutions for buildings, homes and transportation, it's our responsibility to put the planet first.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistAppleton, WIThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistAppleton, WIThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Specialist Trane Technologies PlcClaims SpecialistLa Crosse, WI$40,000–$74,340 / yearPaid time off includes 15 vacation days, 9 paid holidays, 3 floating holidays, sick leave, and additional options to support volunteer and parental leave. Thrive at work and at home: Benefits kick in on DAY ONE for you and your family, including health insurance and holistic wellness programs that include generous incentives - WE DARE TO CARE!
Warranty Claims Specialist CSM Companies IncWarranty Claims SpecialistMadison, WISummary: The Warranty Claims Specialist works as a liaison between the corporate warranty department and branch locations to file warranty claims and manage those claims through final resolution of payment. Health, Safety, and Security: Recognize and mitigate safety hazards including hazardous materials, environmental hazards, and accident conditions on a construction site.
LTC Claims Pending Specialist - Remote USA. Northwestern MutualLTC Claims Pending Specialist - Remote USA.WisconsinRemoteDetermines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy. Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources, is involves negotiation and conflict resolution.
Group Claims Support Specialist Horace MannGroup Claims Support SpecialistMadison, WI$21.44–$29.16 / hourAs a Group Claims Support Specialist , you'll play a vital role in supporting our Group Claims team by ensuring claims are processed efficiently, documentation is accurate, and customers receive timely, responsive service. And with our broadened mission has come corporate growth: We serve more than 4,100 school districts nationwide, we’re publicly traded on the New York Stock Exchange (symbol: HMN) and we have more than $12 billion in assets.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistAppleton, WisconsinThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Group Claims Support Specialist Horace Mann Educators CorpGroup Claims Support SpecialistMadison, WI$21.44–$29.16 / hourAs a Group Claims Support Specialist, you'll play a vital role in supporting our Group Claims team by ensuring claims are processed efficiently, documentation is accurate, and customers receive timely, responsive service. keywords: position summary,claims administration & processing,document & workflow management,customer & business partner support,operational excellence,education,experience,skills,knowledge.
Claims Account Specialist Diversified Benefit ServicesClaims Account SpecialistHartland, WIFull timeThis high-volume, fast paced position requires strong multi-tasking and organizational skill and includes validation of claims and process reimbursements, status changes, enrollments, responding to client and participant inquiries and implementation of plan set-ups/changes. If you have experience in Client Relations, Accounts Payable, Accounts Receivable, Payroll Processing, Banking Operations, HR, Employee Benefits, or Insurance Claims , your background aligns exceptionally well with this opportunity.
Claims Examiner Markel Group IncClaims ExaminerMilwaukee, WI$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Examiner Markel CorporationClaims ExaminerMilwaukee, WI$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Entry Level Claims Adjuster Zurich Insurance Group LtdEntry Level Claims AdjusterStevens Point, WIZurich Cover-More partners with many of the world's best-known brands - think major airlines, travel giants, top banks, credit card providers, and large retailers - to deliver more care, more cover, for all. We are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, customer service and corporate services professionals.
Entry Level Claims Examiner Zurich Insurance Group LtdEntry Level Claims ExaminerStevens Point, WIZurich Cover-More partners with many of the world's best-known brands - think major airlines, travel giants, top banks, credit card providers, and large retailers - to deliver more care, more cover, for all. We are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, customer service and corporate services professionals.
Claims Supervisor Erie Indemnity CoClaims SupervisorMilwaukee, WI$88,693–$141,678 / yearThis range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteWIRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Life Claims & Variable Annuity Sr Spec - Remote The Northwestern Mutual Life Insurance CoLife Claims & Variable Annuity Sr Spec - RemoteMilwaukee, WIRemote$72,000–$108,000 / yearAnalytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes. Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims.
Life Claims & Variable Annuity Sr Spec - Finra Series 6 - (Remote) Northwestern MutualLife Claims & Variable Annuity Sr Spec - Finra Series 6 - (Remote)Milwaukee, WIRemoteAnalytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes. Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims.
Risk Management Specialist Hybrid/Remote Wisonsin Charles Taylor LtdRisk Management Specialist Hybrid/Remote WisonsinWIRemoteThe Risk Management Specialist is responsible for providing vital assistance in the development and administration of a comprehensive risk management and safety program in fulfillment of duties under the General Administration Agreement with the Wisconsin County Mutual Group. Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers' compensation, and auto/liability.
Medical Reimbursement Specialist (Remote in Wisconsin) Coloplast CorpMedical Reimbursement Specialist (Remote in Wisconsin)New Berlin, WIRemoteSUMMARY: A Reimbursement Specialist is responsible for the timely and accurate billing and insurance processing for Atos Medical products by preparing and submitting claims, verifying coverage, resolving denials, and maintaining compliant patient records. State-of-the-art facility: Hybrid and onsite employees work from our state-of-the-art facility, thoughtfully designed with sit-stand desks, large monitors, and premium onsite amenities, including a gym and golf simulator.
NewMedical Billing Specialist Mile Bluff Medical CenterMedical Billing SpecialistMauston, WIFull timeMust report on-site daily.**Weekend rotation: No WeekendsHoliday rotation: No HolidaysPosition Summary:The Medical Billing Specialist is responsible for accurately preparing, submitting, and following up on medical claims to insurance companies and patients. Communicate and collaborate with coding, denial management specialists, insurance companies, patients, clinical staff and healthcare providers regarding billing inquiries or issues to ensure accurate charges, billing, and reimbursement.
Patient Account Specialist GI AssociatesPatient Account SpecialistWausau, WIFull timeReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. From processing payments and submitting insurance claims to researching denials and assisting patients with billing questions, you'll play a key role in delivering excellent service and maintaining the integrity of our revenue cycle!
NewInsurance Billing Specialist Optimal Health and WellnessInsurance Billing SpecialistBaraboo, WIPart timePosition ResponsibilitiesSubmit and monitor insurance claims accurately and in a timely mannerFollow up on unpaid, denied, or rejected claimsVerify insurance eligibility and benefitsPost insurance payments and reconcile accountsReview Explanation of Benefits (EOBs) and make necessary claim correctionsCommunicate with insurance companies regarding claim status and appealsAssist patients with billing questions and insurance inquiriesMaintain accurate patient account documentationWork closely with providers and front office staff to ensure proper coding and documentationIdentify billing trends and recommend process improvementsMaintain HIPAA compliance and patient confidentiality QualificationsPrevious medical insurance billing experience requiredKnowledge of ICD-IO, CPT, and HCPCS coding preferredExperience with electronic medical records (EMR) systemsStrong organizational skills and attention to detailExcellent communication and customer service skillsAbility to work independently while collaborating with the healthcare teamExperience with claim appeals and insurance follow-up is highly preferredWhat We OfferFlexible part-time scheduleSupportive and positive team environmentOpportunity to work in a growing functional and regenerative medicine practiceEmployee discounts on clinic services and productsOpportunities for professional growth and continued learningPosition DetailsSchedule: Part-TimeCompensation: per hour, based on experienceLocation: Optimal Health and WellnessIf you are organized, motivated, and passionate about helping patients while ensuring the financial health of a thriving medical practice, we would love to hear from you. This is a part-time, in-office position for someone who enjoys problem-solving, working with insurance claims, and helping ensure patients receive exceptional service behind the scenes.
NewPatient Accounts Specialist Midline Vision Group LLCPatient Accounts SpecialistWausau, WIFull timeThis position works closely with patients, our Central Billing Manager, and with staff in each of our locations to provide an excellent eye care experience through accurate, professional, and timely communication about patients' insurance eligibility and payment status. About the TeamMidline Vision is a family-owned company that owns and operates several optometry practice locations in communities throughout Wisconsin, including northcentral Wisconsin, the Madison area, and greater Milwaukee.
NewPatient Financial Services Specialist II Beloit Health SystemPatient Financial Services Specialist IIBeloit, WIFull timeJob RequirementsHigh school diploma or equivalent required 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settingsMaintain ethical conduct and keep confidential personal and medical information about patients Reporting Relationship: Department Director. The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders.
Sr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteWIRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
NewInsurance Billing Specialist Crossing Rivers HealthInsurance Billing SpecialistPrairie du Chien, WIThe Insurance Billing Specialist accurately and promptly reviews and updates claims needing manual intervention prior to claim submission, submits claims to insurance carriers, follows up on the status of unpaid claims, works denied claims to resolve any errors or provides necessary information to payers needed for disputing or resubmitting. Accommodates patient requests and inquiries promptly and courteously, answering incoming calls to the Business Office, educating patients on their financial responsibilities to the organization, accepting payment, setting up payment plans, etc.
Case Specialist, Supplemental Health Sun Life Financial IncCase Specialist, Supplemental HealthMilwaukee, WI$55,300–$83,000 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Remote Insurance Specialist (Collections) ARstrat, LLCRemote Insurance Specialist (Collections)Manitowoc, WIRemotePart timeOffers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes. Provides service via all available omni channels to serve as the liaison between the business, clients, patients, and other parties, such as insurance companies.
Remote Insurance Specialist (Collections) GetixHealthRemote Insurance Specialist (Collections)Manitowoc, WisconsinRemoteOffers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes. Provides service via all available omni channels to serve as the liaison between the business, clients, patients, and other parties, such as insurance companies.
Accounts Receivable Specialist ThedaCare IncAccounts Receivable SpecialistAppleton, WIThis role communicates directly with commercial, governmental, and other third-party payers, as well as patients, guarantors, family members, and internal medical staff, to resolve claim issues and manage accounts receivable efficiently. Job Description: KEY ACCOUNTABLITIES: Reviews, analyzes, and processes billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation.
NewAccounts Receivable Specialist - Remote ThedaCare IncAccounts Receivable Specialist - RemoteAppleton, WIRemoteThis role communicates directly with commercial, governmental, and other third-party payers, as well as patients, guarantors, family members, and internal medical staff, to resolve claim issues and manage accounts receivable efficiently. KEY ACCOUNTABLITIES: Reviews, analyzes, and processes billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation.
NewDispute Specialist I UW Credit UnionDispute Specialist IMadison, 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: The Dispute Specialist I/II is responsible for duties related to the analysis, processing, and resolution of cardholder fraud and dispute claims to support positive member outcomes, maximize recovery rates, and mitigate potential losses to UWCU and its members.
NewAccounts Receivable Specialist Bone and Joint Center, S.C.Accounts Receivable SpecialistWausau, WIFull timeA DAY IN THE LIFE OF AN ACCOUNTS RECEIVABLE SPECIALIST A 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. ABOUT BONE & JOINTBone and Joint has one of the most comprehensive teams of orthopedic, pain management, podiatric, physical and occupational therapy experts in Northcentral Wisconsin.
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.