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Oversee the daily responsibilities of 8 12 representatives who respond to telephone and written inquiries Solve problems and handle escalated customer situations, as necessary Oversee process and work distribution to ensure adequate staffing and making adjustments to work flows as necessary Monitoring budgetary requirements Qualifications/Skills/Experience Supervisory or leadership experience in a
Posted 3 days ago
Are you detail oriented and looking for an opportunity to build upon your data entry skills? We are currently hiring a two temporary Claims Examiners to work in Sauk City, WI. This temporary position will assist us from September 2017 through June 2018. Long term employment opportunities may be available, based on the business needs, for candidates who consistently meet/exceed performance expectat
Posted 4 days ago
Quartz Health Solutions
- Sauk City, WI / Middleton, WI
Perform regular audits on the Enrollment department and functions to ensure compliance Promptly raises concerns to attention of supervisor on issues to ensure appropriate action can be taken. Thoroughly document and keep accurate records of findings to support all audit observations. The ideal candidate will possess the following skills including Knowledge of PC applications and the ability to mov
Posted 5 days ago
Quartz Health Solutions
- Middleton, WI / Onalaska, WI / Sauk City, WI
Serve as the subject matter expert on compliant coding regulations for professional and facility coding and billing respond to coding related inquiries and educate providers on ongoing trends and changes to regulations Monitor industry standards and regulatory updates and incorporate into organizational coding policies Assist the Medical Director in resolving second level appeals cases, as needed
Posted 5 days ago
Supervise the day to day activities of the Quality Analysts. Develop audit plans and procedures to effectively mitigate financial, compliance, operational or reputational risk for claims and provider billing/coding teams. Lead the Quality Analyst team in audits of complex business operations related to claims and provider billing/coding. Thoroughly document audit observations, plans and procedures
Posted 8 days ago
Establish audit plans and procedures to effectively mitigate financial, compliance, operational or reputational risk Audit business operations using appropriate risk based methodology and ensure all findings are corrected accurately and timely Leverage available technological resources to efficiently perform audit plans including formulas in Microsoft Excel and Business Objects queries Communicate
Posted 8 days ago
Prepares architectural plans and estimates for moderate to complex technology projects. Responsible for creating detailed technical assessment reports of proposed solutions, which includes research and evaluation of alternative solutions and recommends the most efficient and cost effective solutions. Assists management with development of system standards, short and long term goals, project manage
Posted 8 days ago
Quartz Health Solutions
- Sauk City, WI / Middleton, WI
Oversee the daily responsibilities of 8 12 Claims Staff who review and process claims in a fast paced work environment Solve problems and review high dollar claims, as necessary Oversee process and work distribution to ensure adequate staffing and making adjustments to work flows as necessary Monitoring budgetary requirements Qualifications/Skills/Experience Supervisory or leadership experience in
Posted 9 days ago
Quartz Health Solutions
- Middleton, WI / Onalaska, WI / Sauk City, WI
Direct the day to day activities and performance of the Facilities and Maintenance department to ensure adequate support is provided across all organizational sites. Lead planning, construction, renovation, maintenance, building security, and space assignment activities for Quartz facilities. Serve as the liaison between organizational senior leadership, affiliates and building owners on space and
Posted 9 days ago
Coordinate production, proofing, scheduling and delivery of corporate and brand messaging on all digital platforms, including but not limited to websites, text campaigns, email campaigns, Internet radio streams, social media accounts, audio on demand, E commerce and apps Ensure digital marketing channels drive traffic, revenue and margin while maximizing profits Serve as the primary marketing cont
Posted 10 days ago
Open, sort, prep and scan documents such as enrollment applications, claims and reports Presort, post and distribute incoming mail to appropriate internal departments; this may include delivering mail between office locations and driving the company vehicle Print and mail outbound correspondence to customers and respond to inquiries related to member materials and documents Assist with maintaining
Posted 10 days ago
Compile, assess and analyze complex financial data sets to perform the following for the division preparation of internal and external (regulatory) financial reports and tax returns, reconciliation and variance reporting for assigned areas, preparation of complex ledger entries, identify adverse trends and recommend solutions to mitigate financial impact, and budget development and preparation. Le
Posted 10 days ago
Assist with group renewal processing Monitor the assignment of benefit plans for all groups for appropriate plan structure, rates and riders Scan & profile documents in imaging system accurately Assist in other operational units, as needed The ideal candidate will have the following skills/qualifications Great communication skills with ability to interact effectively with internal and external par
Posted 10 days ago
Keying & Processing Enrollment Applications Working with various types of member correspondence to include electronic files and paper applications Assist in other operational units, as needed The ideal candidate will have the following skills/qualifications Great communication skills with ability to interact effectively with internal and external parties Able to prioritize daily tasks and work ite
Posted 10 days ago
Track inventory for standard forms and materials and notify business owners and departments when items need to be ordered Perform general repairs on office equipment (i.e. chairs, drawers, cubicles, etc.) and minor preventative maintenance Assist with maintaining the facilities and grounds including appropriate seasonal work (i.e. snow removal, salting, groundskeeping) Assist with cubicle moves an
Posted 17 days ago
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