At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

Ensures all scheduled visits are pre registered and accounts are appropriately certified / authorized in advance of the service date. Initiates, obtains, and documents referrals/authorizations/pre certifications in appropriate systems. Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practic

The overall responsibility is for a major contribution to the revenue cycle/accounts receivable operation and patient registration function(s) for the Gerald L. Ignace Indian Health Center, Inc. The responsibility includes the submission of properly executed claims on a timely basis to third party payers, guarantors, and other responsible parties. Re billing, corrections

Establishes accounts with accurate demographic and financial information to produce a clean claim to the third party payor. Ensures that all compliance forms are appropriately completed and documented on the patient's account. Efficiently coordinates registrations of all patients. Front line staff is the first impression for the Hospital so excellent customer skills are r

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International, Director Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t

Under the general supervision of the Director, Facilities Planning, Construction and Sustainability, to assist in the coordination and support of new construction, remodeling, and renovation in accordance with contract drawings and specifications for the district's existing and new structures. Work is generally diversified requiring judgment, analysis and decision maki

Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health. Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies. Enters authorization/pre determination requests into information system according to Network Health policies, procedures and des

Analyze billing denials related to registration errors to investigate root cause. May be responsible for correction of highly complex registration issues and system set up. Respond to inquiries for the purpose of finding resolution to complex registration errors and issues. Research the registration requirements of insurance companies through phone, web, or review of cont

This position will work 24 hrs per week Prior Authorization Specialist Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Company Cities and Villages Mutual Insurance Company Location Wauwatosa, WI Position Safety & Risk Management Specialist SERVICE FIRST. INSURANCE ALWAYS. Are you a Safety or Risk Management professional who loves to create that awareness and appreciation in others? Do you enjoy flexibility and variety in what you do each day? Cities & Villages Mutual Insurance Co. (CVMIC)

CCS Processors are responsible for processing client transactions in accordance with Service Level Agreements (SLA's). Monitor daily turnaround and prioritize work to ensure all items are completed appropriately Manage email inquiries from clients, brokers, and account managers received in a shared email inbox. Manage the shared email inboxes to ensure all transactions re

CCS Processors are responsible for processing client transactions in accordance with Service Level Agreements (SLA's). Monitor daily turnaround and prioritize work to ensure all items are completed appropriately Manage email inquiries from clients, brokers, and account managers received in a shared email inbox. Manage the shared email inboxes to ensure all transaction

Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas SBSE Collection Operations, Specialty InsolvencyThe following are the duties of this position at the full working level. Provides prompt, professional, courteous service and assistance to all interna