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This role will provide direct oversight of employees to ensure timely and accurate processing of provider applications seeking to enroll in the Medicare program. This role will also work with staff in multiple locations handling a variety of federal contracts to ensure ineligible providers are not allowed into the Medicare program. Lastly, this role will provide training and resources to the team
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WPS Health Solutions
- Wausau, WI / Marion, IL / Madison, WI
Responsible for short term workforce forecasting and staff scheduling utilizing industry approved methodologies. Support proper metrics and criteria used to maintain daily, weekly, and monthly reports to forecast staffing needs for WPS Military and Veterans Health (MVH) division. In this role you will Forecasting & Scheduling (50%) Be responsible for shorter term forecasting of functional area&rsq
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WPS Health Solutions
- Wausau, WI / Marion, IL / Omaha, NE / 1 more...
This role interprets medical records, policy, and current medical literature to make benefit and payment determinations based on clinical judgment and research. Remote work available in the states of Wisconsin, Illinois, and Nebraska. In this role you will Interpret medical and surgical records to make appropriate benefit and payment determinations. Serve as a resource for Claims Processors on cla
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WPS Health Solutions
- Marion, IL / Omaha, NE / Wausau, WI / 1 more...
The Authorization Review Nurse reviews medical cases to determine authorizations for veterans and their families. In addition, the Authorization Review Nurse will provide education and customer support to providers and beneficiaries. Remote work offered in the states of Wisconsin, Illinois, and Nebraska ONLY In this role you will Review 20 to 25 individual patient medical records and gather necess
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Establish and maintain rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards. In this role you will Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems. This
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Establish and maintain rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards. In this role you will Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding eligibility, benefit determinations, and claims adjudication questions or problems. This role cou
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Excellent opportunity for a motivated Mortgage Lender to join our growing team! FBFC is a 160 year old relationship bank offering custom financial solutions made possible by our responsiveness, expertise, ease of doing business and local philosophy. Looking for a Mortgage Lender in the Stevens Point, Wausau, Marshfield, or surrounding areas. We offer a full suite of lending products including FHA,
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TDS Telecommunications LLC.
- Mosinee, WI / Weston, WI / Wausau, WI / 3 more...
Assists with and performs on site installing, troubleshooting, testing, splicing, repairing, and maintaining telephone equipment and general network equipment, customer premise equipment, Video, fiber optic facilities and/or other TDS products & services for new and existing customers. Identifies location of defective cable using various test equipment and repairs buried, aerial, underground and/o
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Answer incoming phone calls from health care providers (i.e. Physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate
Posted Today
Answer incoming phonecalls from health care providers (i.e. Physician offices, clinics) and identifythe type of assistance the provider needs (EG. benefit and eligibility, billingand payments, authorizations for treatment, explanation of benefits) Focus on resolvingissues on the first call, navigating through complex computer systems toidentify the status of the issue and provide appropriate respo
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Bachelor's degree in business or technical discipline is preferred ISTQB CTFL certification is preferred 5+ years of technical related experience with formal Quality Assurance training and experience is required Similar combination of education and experience will be considered Experience with working on Agile projects and using Jira is preferred Knowledge of software QA methodologies, QA Processe
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Bachelor's degree in business or technical discipline is preferred CCBA or CBAP certification is preferred 5+ years of technical related experience with formal Business Analyst training is required Experience with Agile projects and using Jira is preferred Highly motivated individual with strong problem solving, communication, writing, negotiation, analytical and interpersonal skills is required.
Posted Today
Aqua Finance
- Wausau, WI / Weston, WI
& Requirements Must be able to work effectively with co workers and customers in a professional mannerProficient in 10 key and keyboarding Great communication skills and the ability to work effectively with a spectrum of personalities as well as excellent listening skills Knowledgeable in basic accounting principles Superb attention to detail and organizational skills Team player who works wel
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Equal Employment Opportunity/Women/Minorities/Protected Veterans/Individuals with Disabilities Job Description POSITION SUMMARY Responsible for recruiting, leading, and developing sales team in a geographic territory and ensuring financial goals of the organization are met or exceeded. POSITION DUTIES and RESPONSIBILITIES include the following Recruit, train and motivate sales and estimating team
Posted 1 day ago
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