Billing Jobs in Green Bay

Description The Billing & Enrollment Professional 2 Author ... for the accurate enrollment and billing process for an insurance organization. ... for an insurance organization. The Billing & Enrollment Professional..

Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... on semi-routine assignments. Responsibilities The Billing & Reconciliation Representative..

Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... is looking for an experienced billing associate that truly..

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Green Bay Wisconsin Description Humana is looking for an experienced Healthcare Investigator to join its ..

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..

Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..

Job Information Humana Sr. DevOps Cloud Engineer in Green Bay Wisconsin Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps ..

Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Risk Management Professional 2 is responsible for analyzing enrollment and billing data to minimize compliance risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation ..

Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financial and quality performance within the ..

Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities ..

Description The Associate Director, Business Intelligence for Membership and Plan Services will support the account services, enrollment, billing and reconciliation operational teams. The support includes identify unique insights and solving complex ..

Job Information Humana Billing & Reconciliation Representative 2-Remote in ... Green Bay Wisconsin Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..

... Professional - Product Owner, Premium Billing Systems in Green Bay Wisconsin ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..

Job Information Humana Director, Billing & Enrollment - Humana Military ... that is responsible for key Billing and Enrollment functions in support ... enterprise as relates to key billing and..

Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..

Senior Fraud and Waste Investigator Duties: The candidate coordinates investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..