Average salary: $95,124 /yearly
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$20 - $21.96 per hour
...Specialist I may also be responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist is accountable for verifying the prescription entry. This position...SuggestedFull timeRemote workFlexible hoursShift workNavitus Health Solutions
Madison, WI4 days ago$21.65 - $28.82 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedHourly payWork experience placementWork at officeShift workMolina Healthcare
Kenosha, WI20 hours ago$21.65 - $28.82 per hour
...adhering to departmental policies, state regulations, and quality assurance guidelines. Facilitate the processing of pharmacy prior authorization requests and appeals. Provide clear explanations of claims adjudication processes and relevant policies to various...SuggestedHourly payWork experience placementWork at officeShift workMolina Healthcare
Green Bay, WI20 hours ago- ...fitness, and wellness goals. Monitor individual's progress on goals with appropriate documentation. # Accurately complete prior authorization documentation for all residents within designated time frame to assure continuity of care. # Monitors and follows procedures...SuggestedReliefWork at officeImmediate startFlexible hours
Saint John's On The Lake
Milwaukee, WI1 day ago $132.2k - $226.6k
...AWS) ~ Proven deep knowledge of healthcare payer operations: claims adjudication and EDI (X12 837/835/270/271/276/277/278), prior authorization, eligibility/enrollment, and provider data management ~ Built or led an Automation Center of Excellence (standards, controls...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workUnitedHealthcare
Wausau, WI22 hours ago$150k - $200k
A reputable insurance staffing company is looking for a Senior/Executive Excess Casualty Underwriting Specialist in Atlanta, Georgia. The role involves managing a book of Non-Admitted Excess business, underwriting complex submissions, and fostering strong relationships...SuggestedFull timeFlexible hoursKING'S INSURANCE STAFFING LLC
Wisconsin22 hours ago$19.01 per hour
...Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs...SuggestedFor contractorsWork at officeLocal areaRemote workHighmark Health
Madison, WI3 days ago- ...the preauthorization department or insurance companies to initiate referrals and to obtain approvals, pre-certifications and prior authorizations for medical care and treatment. Follows proper Personal Protective Equipment (PPE) usage including donning and doffing....SuggestedPart timeWork at officeFlexible hoursShift workDay shift
Fort HealthCare
Fort Atkinson, WI3 days ago $150k - $200k
Our client has been experiencing tremendous growth within their Excess Casualty Underwriting Division and is seeking to add a Senior/Executive Excess Casualty Underwriting Specialist. This person would be responsible for marketing/production of new and renewal business...SuggestedFull timeLocal areaRemote workHome officeFlexible hoursKING'S INSURANCE STAFFING LLC
Wisconsin22 hours ago- ...occurrences. Provides employee health assessment and medical compliance requirements as requested. Responsible for obtaining prior authorizations as required by third party payers. Education and Experience Education & Experience Current RN licensure in...SuggestedContract workWork at officeLocal area
LHC Group
Fond Du Lac, WI4 days ago - ...The Clinic RN role is a combination of telephone triage, patient messaging via MyChart, processing paperwork, completing prior authorizations, providing in-person and telephonic patient education, filling the role of the medical assistant to support the clinic as needed...SuggestedPart timeLocal area3 days per week
Children's Wisconsin
Kenosha, WI2 days ago - ...regarding all their medication questions and ensure a prompt response to their questions Assists clinic staff and pharmacy with prior authorizations and Patient Assistance programs as needed Monitors compliance by contacting the consumer at least monthly to ensure...SuggestedLocal areaRelocation package
Optum
New Richmond, WI3 days ago $26.41 - $51.49 per hour
...plans of care, ensures physician orders for care are obtained and reviews and revises plan of care as needed Submits for Prior Authorization for personal care services Complies with all Department of Health Services policies and SDPC Guidelines, procedures, and practices...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Madison, WI2 days ago$24.33 - $36.16 per hour
...pharmacy technician with the Minnesota Board of Pharmacy dating back prior to January 1st, 2013 Completion of a board-approved... ...billing, copay assistance programs as well as experience with prior authorizations Preferred Qualifications: ~ Registered as a...SuggestedFull timeWork from homeRelocation packageFlexible hoursShift workWeekend workEssentia Health
Superior, WI11 hours agonew$2,000 per month
This position is responsible for quoting and selling insurance policy premiums to incoming sales prospects from advertising ad purchased leads while providing excellent customer service to new and existing customers. We are looking for someone to join our team as a Licensed...SuggestedHourly payFull timeWork at officeLocal areaWork from homeRelocation packageShift workDane County, WI13 days ago$135k - $189k
...employees perform various services and duties, including pharmacy administration, pharmacy primary care services, medication prior authorization, sterile and non-sterile compounding, unit dose packaging, and specialty/mail service program. Job Description...Full timeWork experience placementShift workWeekend workDay shiftUW Health
Middleton, WI1 day ago- ...plans of care, progress notes, discharge summaries and insurance authorizations. - Insurance/Authorization: Maintains up to date insurance... ...productivity to support department/ system goals. Facilitates prior authorizations for treatment. - Program Development:...Full timeContract workWeekend work
Children's Wisconsin
Ashwaubenon, WI1 day ago - Description Western Wisconsin Health is looking for a full-time Insurance Clerk (1.0 FTE) to join the Business Office. The Insurance Clerk is responsible processing billing claims (governmental, non-governmental and private pay), as well as resolving any billing questions...Full timeWork at officeMonday to Friday
Western Wisconsin Health
Baldwin, WI1 day ago - ...abnormal test results, care gaps, and follow-up needs. Respond to medication refill requests and assist with medication prior authorizations. Assist in care transitions and discharge follow-up for high-risk patients. Provide nursing support for patients receiving...Work at office
Outreach Community Health Centers
Milwaukee, WI20 hours ago $57k - $87k
...applicants must be new to ACG (not applied in the last 180 days.) There is a 1-year payback clause if your employment is terminated prior to completing 12 months of employment. Additional details can be provided by our Recruiting Team at the time of application** Why...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRelocation packageWeekend workACS Auto Club Services, Inc.
Madison, WI20 hours ago$57k - $87k
...applicants must be new to ACG (not applied in the last 180 days.) There is a 1-year payback clause if your employment is terminated prior to completing 12 months of employment. Additional details can be provided by our Recruiting Team at the time of application** Why...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRelocation packageWeekend workACS Auto Club Services, Inc.
Appleton, WI20 hours ago- Job Description Job Title: Personal Lines Account Manager Are you ready to take your career in the insurance industry to the next level? Do you have a passion for helping clients protect what matters most to them? If so, we have an exciting opportunity for...
gpac
Milwaukee, WI16 hours agonew - Ansay & Associates is a family owned insurance agency making a difference in our community with a mission to help our clients secure, protect and grow their version of the American Dream. Our culture creates a value-driven, innovative, and fun environment in which our ...Work at office
Ansay & Associates
Eau Claire, WI4 days ago $50k - $75k
JOB TITLE: Licensed Insurance Customer Service LOCATION: Waterford, WI Steffens Insurance Group in Waterford, WI is seeking a Licensed Insurance Customer Service professional to join our growing team. This full-time, in-office position focuses on managing accounts...Full timeTemporary workWork at officeWeekend workStaff My Agency
Waterford, WI4 days ago- ...Sales/Premium Growth Develop the agency force to pre-qualify, rate, and bind profitable personal lines business. Utilize authority to assist agency partners in helping them write profitable business. Develop professional working relationships with agents,...Work at officeRemote workHome officeFlexible hoursNight shift
Penn National Insurance
Waukesha, WI4 days ago - Join Horace Mann and Unlock Your Financial Potential Ready to take control of your financial future? At Horace Mann, we are here to support you in achieving your goals and making a meaningful difference in the lives of the educators who trust you. Join us and take...
Horace Mann
Madison, WI4 days ago $19.84 - $38.69 per hour
Provider Relations Support Specialist Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers...Hourly payWork experience placementWork at officeNight shift- ...our patient experience promise. - Performs Pre-Visit Planning prior to clinic appointments to ensure visit efficiencies and... ...paperwork procedures, assuring all necessary information, prior authorizations or pre-certifications, etc. Assists with customer service representative...Contract workRelocation packageNight shiftWeekend work
Children's Wisconsin
Appleton, WI20 hours ago $80k - $95k
It's a great time to join AAA The Auto Club Group! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time Exempt/Non Exempt: Salary Job Description: Senior Claim Specialist Casualty- The Auto Club Group Report to: Claim...Full timeTemporary workWork experience placementRemote workWork from homeRelocationHome officeFlexible hoursNight shiftWeekend workAfternoon shiftThe Auto Club Group
Milwaukee, WI2 days ago- ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Green Bay, WI3 days ago
