Senior Business Analyst, Medical Coding & Policy Gainwell Technologies LLCSenior Business Analyst, Medical Coding & PolicyWIRemote$69,400–$99,200 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. You will play a key role in strengthening alignment between functional areas and delivery, translating complex concepts into clear, actionable guidance that supports both system solutions and day-to-day operations for Medicaid programs.
NewPROFESSIONAL FEE CODER - CODING Aspirus IncPROFESSIONAL FEE CODER - CODINGWausau, WIKnowledge of coding principles normally acquired through an Associate''s Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians.
FACILITY INPATIENT CODER - CODING Aspirus IncFACILITY INPATIENT CODER - CODINGWausau, WIRemoteThe health system operates 19 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program with emphasis in coding required.
NewCoding Specialist II, Psychiatry - Clinical Practice Services The Medical College of WisconsinCoding Specialist II, Psychiatry - Clinical Practice ServicesWisconsinResolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.
SUPERVISOR - CODING AUDITING & EDUCATION, O-CDI Aspirus IncSUPERVISOR - CODING AUDITING & EDUCATION, O-CDIWausau, WIThis includes oversight of the day-to-day workflow processes, staff scheduling, productivity monitoring, staff coaching and training, exercising judgement in hiring and corrective/disciplinary action, and including supervisory of direct reports for the functional area within the coding department. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians.
Patient Account Representative GI AssociatesPatient Account RepresentativeWausau, WIFull timeReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. The Patient Account Representative is responsible for the overall processing of all billed services, including claims submission, payment and remittance entry, research of unpaid or denied claims and aged accounts receivable follow up.
Physician Assistant / Nurse Practitioner - New Wisconsin Rapids Location GI AssociatesPhysician Assistant / Nurse Practitioner - New Wisconsin Rapids LocationWisconsin Rapids, WIFull timeThis role delivers high-quality, efficient, and cost-effective care to patients and their families within our clinics, playing a key part in ensuring continuity, clinical excellence, and an exceptional patient experience. Maintains clinic schedule that maximizes patient access to appointment (including outreach locations) and designed to meet productivity targets as defined by the clinic.
Claims Auditor, Health Plan Sanford HealthClaims Auditor, Health PlanWisconsinRemoteDevelops and maintains a knowledge base of CPT coding guidelines, ICD codes, healthcare common procedure coding system (HCPCS) codes, use of modifiers, documentation guidelines, CMS policy, Medicaid rules, and other reimbursement guidelines, to review claims for accuracy, compliance, proper billing and ensure adherence to insurance policies and regulations. Successful completion of the following courses per departmental procedures,within one year of hire required: current procedural terminology (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology.
Patient Account Representative GI Associates SCPatient Account RepresentativeWausau, WIReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. The Patient Account Representative is responsible for the overall processing of all billed services, including claims submission, payment and remittance entry, research of unpaid or denied claims and aged accounts receivable follow up.
Coder Lead, Professional SSM HealthCoder Lead, ProfessionalWisconsinIs watchful for charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Physician Assistant / Nurse Practitioner - New Wisconsin Rapids Location GI Associates SCPhysician Assistant / Nurse Practitioner - New Wisconsin Rapids LocationWisconsin Rapids, WIThis role delivers high-quality, efficient, and cost-effective care to patients and their families within our clinics, playing a key part in ensuring continuity, clinical excellence, and an exceptional patient experience. Maintains clinic schedule that maximizes patient access to appointment (including outreach locations) and designed to meet productivity targets as defined by the clinic.
Prior Authorization Specialist GI AssociatesPrior Authorization SpecialistWausau, WIObtains pre-authorizations/pre-certifications for procedures, radiology/diagnostic testing, laboratory services, and other special testing as required by insurers or managed care providers. Maintains up-to-date knowledge of clinical guidelines, precertification requirements, and medical policies for services and procedures by routinely reviewing payer newsletters, regulatory and payer websites, and professional resources.
Hospice Nurse Practitioner Gentiva Health Services Inc (Inactive)Hospice Nurse PractitionerStevens Point, WIComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
NewCertified Registered Nurse Anesthetist (CRNA) GI AssociatesCertified Registered Nurse Anesthetist (CRNA)Wausau, WIIn this role, you'll provide safe, high-quality anesthesia care for patients undergoing endoscopic procedures while collaborating closely with our experienced gastroenterologists, nurses, and clinical team to deliver an exceptional patient experience. Possesses interpersonal, communication, and listening skills necessary to deal effectively and courteously with patients, physicians, and all staff members.
Certified Registered Nurse Anesthetist (CRNA) GI Associates SCCertified Registered Nurse Anesthetist (CRNA)Wausau, WIIn this role, you'll provide safe, high-quality anesthesia care for patients undergoing endoscopic procedures while collaborating closely with our experienced gastroenterologists, nurses, and clinical team to deliver an exceptional patient experience. Possesses interpersonal, communication, and listening skills necessary to deal effectively and courteously with patients, physicians, and all staff members.
Field Reimbursement Manager - Kidney (Midwest - ND, SD, WI, MN) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (Midwest - ND, SD, WI, MN)WisconsinCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Sales Manager Third-Party Job PostsSales ManagerWisconsinRemoteYou will be responsible for identifying and acquiring new business opportunities, building strong relationships with prospects, and showcasing how Cloudbeds’ industry-leading SaaS solutions are transforming the hospitality space. Since our founding in 2012, we've become the World's Best Hotel PMS Solutions Provider and landed on Deloitte's Technology Fast 500 again in 2024 – but we're just getting started.
Hospice Nurse Practitioner Heartland HospiceHospice Nurse PractitionerStevens Point, WisconsinFull timeComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
FRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLAN Aspirus IncFRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLANWausau, WIThe health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. The analyst will work closely with Senior Claims Analysts, the SIU, and cross-functional teams to support investigations, recommend corrective actions, and strengthen internal controls.
Professional Tutor Northcentral Technical CollegeProfessional TutorWausau, WisconsinProfessional tutors facilitate student learning by assisting students in the Academic Resource Center (ARC) in a given subject area between 1-10 hours per week in both one-on-one and small-group settings. Tutors, under the direction of Timberwolf Learning Commons leadership, will coordinate with academic areas and instructors to aid students in meeting learning competencies.
Informatics Consultant CVS Health CorpInformatics ConsultantWI$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Principal Software Engineer Foundation Finance Company, LLCPrincipal Software EngineerRothschild$120,000–$140,000 / yearFull timeProvide technical guidance and mentorship to engineering teams, fostering a culture of innovation and collaboration while partnering with cross-functional teams, including product management, design, and operations, to deliver impactful features and improvements. This role excels in advancing our evolving technology stack and maintaining expertise in system architecture, technical leadership, and best practices to ensure the development of secure, scalable, and high-performance web applications.
Lead Software Engineer Rite-HiteLead Software EngineerWisconsinAssess legacy systems, identify technical debt and risk, and define pragmatic modernization plans (stabilize, refactor, re-platform, or rebuild based on value). Serves as the technical leader for a software engineering team and drives technical direction, engineering practices, and high-quality delivery.
CRM Lead Engineer D.A. Davidson & Co.CRM Lead EngineerWI$95,000–$110,000 / yearSummary: We are looking for a Microsoft Dynamics 365 (CRM) Senior Software Engineer, experienced in designing and developing Microsoft-based business solutions in cloud environments using Dynamics 365 and Power Platform, to join our rapidly growing team. Highly desirable to have experience in Microsoft Azure Cloud solutions, including possessing a solid understanding of Microsoft Dataverse, Power Apps (Model-driven Apps, Canvas Apps, Power Pages), Power BI, Power Automate, and Data Factory.