Responsible for completing hospital coding accuracy reviews to assist coding leadership in carrying out the department's compliance plan to ensure that our coding team members are coding accurately according to the documentation within each record, validating accurate external reporting and appropriate reimbursement. Reviews coded health information records to evaluate th

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

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Coding Specialist II you will be the Clinical Practice Services department. You will perform coding and related duties using established billing office policies in an accurate a

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

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

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Coding Specialist II you will be the Clinical Practice Services department. You will perform coding and related duties using established billing office policies in an accurate a

Position Description Every great life changing discovery begins the same way with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). As a Coding Specialist II, you will perform

Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according

We are currently seeking a Logistics Specialist. The role has a primary focus around carrier performance metrics, transportation KPI's, driving execution through best practice processes and supporting the US Transportation Manager/Supervisor. Duties will consist of transportation execution reviews, invoice auditing, and communication with carriers and cross functional sta

Gather, compile, and evaluate data from multiple sources and various systems to prepare comprehensive monthly or quarterly statements for our accounts, and submit to leadership for approval and appropriate processing. Prepare and make entries into a general ledger system for review and approval by management. Monthly reconciliation of the previous month's outstanding bala

Submit insurance claims, work denials, post insurance payments, file appeals when appropriate and keep up to date on knowledge of current insurance reimbursement rates and issues. Work in Sandata Software, clearinghouses, and payor portals. V. Position Expected Hours of Work Typical hours are full time 40 hours, Monday through Friday, 8 00AM through 4 30PM. VI. Essential

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. Utilize real time adherence and scheduling software to determine the proper shift coverage by adjusting resources to accommodat

The Product Quality Specialist is responsible for execution of Nature's Way quality programs to ensure products produced in our Green Bay, WI manufacturing sites meet or exceed corporate quality requirements and are compliant with relevant regulations including 21 CFR 111, 21 CFR 210/211, and 21 CFR 117. This position works closely with supply chain to qualify new compone

Product Specialist Job Locations US WI Merrill | US WI Madison | US PA Mechanicsburg | US WI Milwaukee ID 20243335 Category Product Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, we Stand for Good Our work is powerful, inspiring and meaningful because we serve those who serve others. We specialize in i

At Sentry, we are working to make a real impact for our customers and associates. To get there, we need exceptionally bright and driven people. If you are looking to leverage your experiences to support our current associates as well as help identify talent for Sentry, this is your opportunity. As the Human Resources Talent Specialist, you will play a key role in assisting