NewAccounts Receivable Specialist Kforce Inc.Accounts Receivable SpecialistMilwaukee, WI$40,000–$60,000Monitors scheduled rent increases, tracks CPI records, updates billing system with new rent amounts, and prepares and distributes rent increase letters to tenants. Manages monthly collections for outstanding balances from property management tenants and corporate clients and updates records with collection notes.
Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeMenomonee Falls, WI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Pharmacy Billing Specialist Guardian Pharmacy LLCPharmacy Billing SpecialistMilwaukee, WI$20–$24 / hourWho We Are and What We're About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Accounts Receivable Billing Specialist 2 Krones, INC.Accounts Receivable Billing Specialist 2Wisconsin, WIJOB DESCRIPTION: The AR Billing Specialist 2 will be responsible for performing various accounting tasks including invoicing for sales and service billing as well as monthly, quarterly, and yearly audits and closings. Applicants have rights under Federal Employment Laws, view posters linked below: Family and Medical Leave Act (FMLA) poster; Know Your Rights Poster; E-Verify Participation Poster English and Spanish.
Pharmacy Billing Specialist Guardian Pharmacy Services ManagementPharmacy Billing SpecialistMilwaukee, WisconsinOur core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Billing Specialist Waukesha County Technical CollegeBilling SpecialistWI$23.03–$24.98 / hourPositions in this classification perform a variety of tasks related to the College's financial activities relying upon established policies, procedures, and guidelines originating with the department or the College as they relate to the various billing and collection needs of WCTC. Prepare, maintain, monitor, and/or analyze a variety of reports, billings, accounts, procedures, invoices, and other hard copy or electronic documents or databases as assigned.
Insurance Billing Specialist I - Full-Time North Shore Healthcare LLCInsurance Billing Specialist I - Full-TimeMilwaukee, WI$22–$24 / hourPerforms all duties related to the timely and efficient billing and collection of private insurance receivables for a group of facilities in a central billing environment, within the parameters established by company policies and third-party billing requirements, and as necessary to achieve reasonable collection goals. Comprehensive knowledge of commercial insurance and managed care plans, including basic coverage models, billing requirements, subscriber and provider responsibilities, and coordination of benefit (COB) rules.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorWI$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesMilwaukee, WIRemote$40,000–$60,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
Billing Supervisor FiservBilling SupervisorMilwaukee, WisconsinYou will partner closely with business unit leaders, Finance, Sales, and Shared Services to translate contract terms into clear billing, resolve issues, and identify revenue and cost optimization opportunities. Validate billing inputs from business partners and upstream systems to confirm completeness, accuracy, and proper approvals before invoicing.
Medical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelMilwaukee, WisconsinThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Billing Coordinator PPC Partners IncBilling CoordinatorNew Berlin, WIAs such the following values guide our behaviors: A Servant's Heart -- Focus on the Needs of Others, Wisdom -- Insightful, Integrity -- Honesty and Trustworthy, Courage -- Decisive and Confident in Others, Humility -- Modest and Respectful, Passion -- Unfailing Dedication. The senior specialist also supports process improvements, maintains proper documentation, and provides assistance to colleagues to ensure efficient and effective receivables management.
Applications Analyst Sr – Epic Resolute Billing Children's Hospital and Health SystemApplications Analyst Sr – Epic Resolute BillingWest Allis, WisconsinRemoteJoin Children’s Wisconsin as a Remote Senior Applications Analyst – Epic Resolute Billing, where you will serve as a subject matter expert in Resolute Hospital Billing, leading complex, cross-functional solutions that optimize billing systems and support high-quality patient care operations. - Analytical insight: clearly understands integration points with other applications and downstream systems, able to use advanced tools to run requested reports, able to translate user requirements into system specifications, works with internal teams to develop workflows, and applies best practices.
NewSupervisor, Hospital Billing (Remote) Children's Hospital and Health SystemSupervisor, Hospital Billing (Remote)West Allis, WisconsinRemote2+ years of supervisory/lead experience in hospital or large physician office billing leading and working with teams and data collection and analysis, as well as the proven ability to manage multiple projects simultaneously. 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 resource centers.
MED BILLING/PAYMENT ANALYST Froedtert & The Medical College of WisconsinMED BILLING/PAYMENT ANALYSTMenomonee Falls, WI$24.45–$41.08 / hourThe Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
Billing Lead Waukesha County Technical CollegeBilling LeadPewaukee, WI$25.48–$27.63 / hourUnder general supervision, review and monitor student accounts and student billing, resolve student and company billing problems, create and monitor installment plans, review and process tuition appeals, assist students and staff regarding student accounts and fees, and monitor and update settings in payment system software and account receivable billing system. Assist and instruct students regarding fees on account, refund policy, refunds, course fees, payments, payment plans, appeal process, holds, direct deposits, third party billing, saved payment methods, collections, financial aid disbursements, 1098T tax form, etc.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerMilwaukee, WIRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Financial Billing Analyst II Fiserv IncFinancial Billing Analyst IIMilwaukee, WIFiserv considers in-person collaboration to be an essential part of this role as in-person office experiences help you with your overall onboarding experience and leads to stronger productivity. You will help lead and deliver unparalleled client satisfaction and help monitor, process, implement, and record complex transactions with precision and exceptional problem-solving abilities.
Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Milwaukee, WIIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Hospital Billing (Charge Router) Senior Analyst 5944607 Accenture PlcEpic Certified Hospital Billing (Charge Router) Senior Analyst 5944607Milwaukee, WIIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing (Charge Router) Senior Analyst will bring experience managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Managed Services - Revenue Cycle - PB Patient Financial Services (Billing/AR/Cash Posting) - Director PricewaterhouseCoopers LLPManaged Services - Revenue Cycle - PB Patient Financial Services (Billing/AR/Cash Posting) - DirectorMilwaukee, WI$155,000–$410,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Managed Services - Revenue Cycle - PB Patient Financial Services (Billing/AR/Cash Posting) - Director, you will specialize in enhancing the efficiency and effectiveness of financial operations within organizations.
Epic Professional Billing Analyst II, FCH - CLIN APPLICATIONS - REV CYCLE Froedtert & The Medical College of WisconsinEpic Professional Billing Analyst II, FCH - CLIN APPLICATIONS - REV CYCLEMenomonee Falls, WI$30.41–$52.02 / hourThe Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
Scheduling Billing Coordinator (Bilingual English & Spanish) Caretruly Healthcare LLC.Scheduling Billing Coordinator (Bilingual English & Spanish)West Allis, WIUnder the direction of and reporting to the Supervisor, the Scheduling Coordinator is responsible for efficiently coordinating the daily operations of Personal Care Workers (PCWs) and ensuring appropriate staffing coverage for Caretruly clients. Accurately document all activities in the Electronic Health Record (EHR) system, ensuring records for PCWs and clients are current and accurate, including HR, scheduling, and availability data.
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystMilwaukee, WI$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Sr Solution Designer - Billing & AR Molson Coors Beverage CoSr Solution Designer - Billing & ARMilwaukee, WI$109,100–$143,200 / yearWe care about our People and Planet and have challenged ourselves with stretch goals around our key priorities We care about our communities, and play our part to make a difference - from charitable donations to hitting the streets together to build parks, giving back to the community is part of our culture and who we are Engagement with a variety of Business Resource Groups, which can provide volunteer opportunities, leadership experience, and networking through the organization Ability to grow and develop your career centered around our First Choice Learning opportunities Work within a fast paced and innovative company, meeting passionate colleagues and partners with diverse backgrounds and experiences. Beverage Bonuses: Flexible work programs that support work life balance including a hybrid work model of 4 days in the office Participation in our Total Rewards program with a competitive base salary, incentive plans, parental leave, health, dental, vision, retirement plan options with incredible employer match, generous paid time off plans, an engaging Wellness Program, and an Employee Assistance Program (EAP) with amazing resources On site Pub , access to cool brand clothing and swag, top events and, of course.
Billing Analyst ORBIS CorporationBilling AnalystOconomowoc, WIFull timeWhat You'll DoAs a Billing Analyst, your responsibilities will include: Analyze and prepare customer invoices, ensuring accuracy and alignment with accounts receivable records. Perform month‑end close activities, including billing analysis, sales tax reporting, and journal entries.
SAP IS-U Billing & Rates Lead - Utilities Industry Accenture PlcSAP IS-U Billing & Rates Lead - Utilities IndustryMilwaukee, WIAs part of Accenture's Utilities SAP Practice, you'll be delivering major SAP solutions and Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting, Distributed Energy Resources (solar panels, batteries, electric vehicle chargers), and new Utility business models. Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world.
Billing Analyst - Bilingual UlineBilling Analyst - BilingualMilwaukee, WIAs a Bilingual Billing Analyst, you'll support Uline's Mexico locations by evaluating billing process to ensure efficient operations across our growing North American company. Act as a main point of contact for our Billing team in Mexico, improving systems and processes to streamline operations across North America.
Sr Solution Designer SAP - Billing & AR Molson Coors Beverage CoSr Solution Designer SAP - Billing & ARMilwaukee, WI$109,100–$143,200 / yearYou have at least 5+ years experience in the field of IT (including SAP functional, technical, and configuration experience - preferably within the CPG industry) encompassing solution development and delivery - with at least three of those years to include robust hands-on functional and technical experience with SAP FI (General Finance, Accounts Receivable, Account Determination, Billing, and Excise Tax), and SAP SD (Pricing, Customer Master Data, and Sales Order Management/Document Flow). What Youll Be Brewing: Partners with IT product solution owners and internal business teams as a functional and technical subject matter expert within the record to report (RTR) and order to cash (OTC) capabilities; focusing on excise taxes, customer billing, accounts receivable, pricing, and account determination.
Billing & Collections Analyst Steele Solutions IncBilling & Collections AnalystMilwaukee, WIMaintain customer credit files including assessment of customer credit worthiness, recommends appropriate extensions of credit and collaborates cross-functionally to research and resolve discrepancies. Under the direction of the Controller, the Billing and Collections Analyst complies financial data, prepares invoices and performs collection responsibilities.
Application Analyst-Epic Resolute Billing Children's Hospital and Health SystemApplication Analyst-Epic Resolute BillingWest Allis, WisconsinRemoteJoin Children’s Wisconsin as a Remote Applications Analyst – Epic Resolute Billing, where you will support, configure, and implement solutions within Epic Resolute Billing to enhance revenue cycle performance and drive high-quality patient care operations. 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 resource centers.
Epic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596Milwaukee, WIIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Analyst 6135586 Accenture PlcEpic Certified Professional Billing Analyst 6135586Milwaukee, WIIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Analyst 5944594 Accenture PlcEpic Certified Professional Billing Analyst 5944594Milwaukee, WIIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeWIEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Accenture Billing & Payments (ABPE) Sales Director - USA Accenture PlcAccenture Billing & Payments (ABPE) Sales Director - USAMilwaukee, WICollaborate with Product Marketing, Lead Origination, Pre-Sales, Product Management, Professional Services, and Engineering teams to ensure client needs are met and sales origination and pursuits are successful and feedback loops are engaged/active - culture of continuous improvement on product value. Products and platforms have built-in value propositions for account teams looking to: • Originate to Win • Accelerate to Cloud • Improve Time-to-Value • Build in Profitability Uplift • Deliver Exponential ROI • Realize what New becomes Next • Let there be change.
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.
Field Project Manager - New Berlin, WI Konecranes PlcField Project Manager - New Berlin, WINew Berlin, WIREQUIRED SKILLS & COMPETENCIES: Skilled in effectiveness for planning, control monitoring, engineering processes, conflict management and resolution, contracting, procurement and quality assurance management, and advance communication abilities. Understand and manage the districts scope of services for large projects, including, but not limited to, project scope, customer interface, supervision, material, equipment and resource planning activities.
Coding Documentation Education Specialist Gundersen Health SystemCoding Documentation Education SpecialistWisconsin, WIWith over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula.
CDI Reimbursement Manager The Medical College of WisconsinCDI Reimbursement ManagerWauwatosa, WisconsinEmbedded within the CDI structure, the Managing Liaison works with department leadership, clinicians, revenue cycle partners, and ancillary services to identify and implement process improvements that enhance the overall revenue cycle experience. Analyze accounts receivable (AR) and financial reports, including monthly write-off reports, ad hoc reports, and physician logs, to identify trends, summarize outcomes, and track key performance indicators relevant to CDI initiatives.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Kenosha, WIRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Manager, Financial Reporting Physician Practice Clients Wipfli LLPManager, Financial Reporting Physician Practice ClientsMilwaukee, WIRemote$97,000–$145,000 / yearWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
Manager, Financial Reporting - Physician Practice Clients Wipfli Advisory LLCManager, Financial Reporting - Physician Practice ClientsMilwaukee, WisconsinRemote$97,000–$145,000 / yearWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
IR Tech - Per Diem Advocate Aurora Health IncIR Tech - Per DiemGrafton, WI$35.50–$53.25 / hourHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Major Responsibilities: Competently operates angiographic equipment used to perform basic and intermediate diagnostic procedures, including but not limited to: biopsy, para/thoracentesis, abscess drainages, peripheral vascular stenting, catheter placement, thrombolytic therapy, and embolization.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyMilwaukee, WI$76,200–$114,300 / 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.
Profee Surgical Coding Specialist III - REMOTE Children's Hospital and Health SystemProfee Surgical Coding Specialist III - REMOTEWest Allis, WisconsinRemoteone of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association. The Profee Surgical Coding Specialist III (Pediatric Urology and ENT) will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture.
Senior Specialist DL Customer Support Versiti, Inc.Senior Specialist DL Customer SupportMilwaukee, WisconsinProvides internal customer support to all laboratories within Versiti Diagnostic Labs and interfaces on their behalf with external vendors and other Versiti support departments including, but not limited to, Sales and Marketing, LIS & DL Billing, Clinical Trials Operations, Hospital Services & Hospital Relations, and Accounting. Subject matter expert in use of applicable systems for client account management, with a deep knowledge base of charting format options and distributions, account management, client builds, imaging, problem handling, and high-level knowledge of order entry process.
Clinic Lead X-RayTechnologist Advocate Aurora Health IncClinic Lead X-RayTechnologistWaukesha, WI$33.05–$49.60 / hourHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient''s status and interpret the appropriate information needed to identify each patient''s requirements relative to his/her age-specific needs, and to provide the care needed as described in the department''s policies and procedures.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Milwaukee, WIREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Profee Surgical Coding Specialist III Children's Hospital and Health SystemProfee Surgical Coding Specialist IIIMilwaukee, WisconsinRemoteone of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association. The Profee Surgical Coding Specialist III will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture.