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

Gundersen Health System is looking for an experienced individual to help our Professional Coding and Reimbursement Team continue to succeed and advance! The Supervisor works under the direction of the Director to effectively accomplish the duties and responsibilities outlined in Gundersen Health System’s Supervisor Job Charter. Supervises the daily operations of the

The University of Wisconsin Madison's Office of Research and Sponsored Programs (RSP) is responsible for administration of the extramural research grants and contracts to the University of Wisconsin Madison and the University of Wisconsin System. RSP currently manages an open portfolio of over $4 Billion with annual awards over $1 Billion. The Audit Coordinator will overs

Technical Claim Specialist Workers Compensation Job Locations US ID 20243385 Category Claim 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 insuring purpose driven organizations, le

This position is primarily responsible for the valuation of commercial property in the City, and for assisting with the valuation of taxable business personal property. Hiring Range $28.1916 $38.0591 DOQ Schedule Monday Friday, 8am 4 30pm Tentative Interview Dates TBD Tentative Start Date TBD Explore the City of Waukesha benefit information at City of Waukesha Benefit Gui

Workers Compensation Senior Claims Representative Job Locations US WI West Bend | US WI Waukesha | US IN Indianapolis | US MI Detroit ID 2024 2047 Category Claims Position Type Regular Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at Wes

You will be a great fit for this role if You are highly engaged in innovative clinical practice and prioritize excellent patient care You are motivated and excited to lead a high performing team of clinically focused pharmacists You are flexible and work well in a fast paced environment You enjoy and can demonstrate independent decision making and problem solving skills Y

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

Content Claims Specialist Field Level II Requisition ID 2024 24437 Job Locations US MN Minneapolis | US MN Saint Cloud | Rochester | US WI Eau Claire Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily i

Investigates and maintains auto physical damage claims. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. You will report to a Manager, Adjusting Services. Position Compensation Range $55,000.00 $90,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. Job Description

Conducts moderate to complex subrogation investigations, evaluations, and communications to determine liability and recovery potential when third party responsibility has been identified. Determines recovery payments in accordance with assigned authority limit. Handles and/or assigns collection efforts to outside vendors such as attorney or collection agencies as appropria

About Us Curi is a full service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data driven advisory services to private wealt

Provides technical expertise and work direction to a claim unit by reviewing and assigning claims to claim representatives. Ensures prompt and accurate file handling by prioritizing workloads and conducting file quality audits. Supervises and motivates assigned staff to provide quality file handling and settlement with superior customer service. This role will work out of

Claims Specialist Administration 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America Req #1830 Wednesday, April 24, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Claims Specialist ensures the accurate entry of inpatient and outpatient claims per the data entry guidelines, and ensures the timel