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

Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Tax Exempt and Government Entities, Exempt Organizations and Government Entities, Government Entities, Tax Exempt Bonds, TEB Technical Group The following are the duties of this position at the ful

Customer Care Sales Representative Commercial Lines Job Locations US WI West Bend | US WI Madison | US WI Appleton ID 2024 2074 Category Service Center Position Type Regular Remote/Hybrid No 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 West Bend, where w

Our client, a highly successful boutique insurance agency, is searching for an experienced Personal Lines Account Manager to add to their team. This is an incredible opportunity at a company with explosive growth! We are searching for someone who is very dedicated, hard working, extremely client focused and thrives in a small and very successful environment. This company o

Our client, a highly successful boutique insurance agency, is searching for an experienced Personal Lines Account Manager to add to their team. This is an incredible opportunity at a company with explosive growth! We are searching for someone who is very dedicated, hard working, extremely client focused and thrives in a small and very successful environment. This company o

Exceptional, small office environment is searching for an experienced Administrative Coordinator to join their team. This unique opportunity offers a very cohesive and positive work environment! Previous experience in an insurance agency required, along with P&C license. Salary range up to $50,000, depending on experience, with great benefits and wonderful work environmen

Analyze and develop solutions addressing customer Electronic Data Interchange (EDI) and punchout catalog needs. Qualify, develop and implement EDI and punchout catalog partnerships with Uline's customers. Serve as liaison between Uline's eCommerce, Sales and IT teams and our customers. Assist with testing new EDI and punchout catalog implementations and troubleshooting is

Demonstrate strong knowledge of insurance requirements including processing of all referrals requiring authorization based on plan & type of referral. Initiate contact w/ payers to complete insurance verification activities to prevent delays in care due to missing authorizations. Use critical thinking to troubleshoot & contact payers and patients as necessary to secure co

This role will have all responsibilities of coder I, II and III in addition to reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD 10 CM/PCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EM

EXCELLENT LOCAL OPPORTUNITY!

EXCELLENT LOCAL OPPORTUNITY!

Assure equitable claim service is performed in a timely manner involving commercial surety claims. Interpret bond language to determine company liability on commercial claims. Identify issues that need to be escalated. Coordinate the investigation of commercial surety claims and evaluate resolution options. Utilize information gathered to establish and maintain appropriat

Supervise direct reports, make recommendations for performance management and disciplinary action. Train subordinates to achieve goals. In addition, contribute to the new employee selection process. Supervise the claims department workflow. Distribute and allocate work to ensure efficient and timely processing of claims. Develop and maintain standard operating procedures

This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic support for all Blue Cross NC Medicare products with a particular emphasis on Medicare Part D. You will identify and evaluate risks and strategic opportunities involving Blue Cross NC's Medicare business through the deployment of actuarial co

Validation testing of new data sources to existing with reporting identifying variances in written communication User testing of portal functionality and data to existing source system results Correction of any data integrity issues Development of reconciliation exhibits to show balance sheet figures are used consistently across various financial calculations Assist in cr