Current jobs related to Triage Order Quality Associate Ii - Madison - Exact Sciences Corporation
-
Clinic Triage RN-Internal Medicine
4 weeks ago
madison, United States Associated Physicians, LLP Full timeCOVID VACCINATION REQUIRED Clinic Triage RN Internal Medicine - Triage RN - Internal Medicine Pay & Perks: Free Parking 1 location near Hilldale Mall! Mon-Fri, between 7:45am-5:45pm, Sat morning rotation 8am-12pm Paid Time Off - PTO and Holidays Medical, Dental, Vision and Disability Insurance Flexible Spending Account Life Insurance Offered 401(k) Plan with...
-
Clinic Triage RN-Internal Medicine
4 weeks ago
Madison, United States Associated Physicians, LLP Full timeCOVID VACCINATION REQUIRED Clinic Triage RN Internal Medicine - Triage RN - Internal Medicine Pay & Perks: Free Parking 1 location near Hilldale Mall! Mon-Fri, between 7:45am-5:45pm, Sat morning rotation 8am-12pm Paid Time Off - PTO and Holidays Medical, Dental, Vision and Disability Insurance Flexible Spending Account Life Insurance Offered 401(k) Plan...
-
Clinic Triage RN-Internal Medicine
4 weeks ago
Madison, United States Associated Physicians, LLP Full timeCOVID VACCINATION REQUIRED Clinic Triage RN Internal Medicine - Triage RN - Internal Medicine Pay & Perks: Free Parking 1 location near Hilldale Mall! Mon-Fri, between 7:45am-5:45pm, Sat morning rotation 8am-12pm Paid Time Off - PTO and Holidays Medical, Dental, Vision and Disability Insurance Flexible Spending Account Life Insurance Offered 401(k) Plan...
-
Clinic Triage RN-Internal Medicine
4 weeks ago
Madison, United States Associated Physicians, LLP Full timeCOVID VACCINATION REQUIRED Clinic Triage RN Internal Medicine - Triage RN - Internal Medicine Pay & Perks: Free Parking 1 location near Hilldale Mall! Mon-Fri, between 7:45am-5:45pm, Sat morning rotation 8am-12pm Paid Time Off - PTO and Holidays Medical, Dental, Vision and Disability Insurance Flexible Spending Account Life Insurance Offered 401(k) Plan...
-
Clinic Triage RN-Internal Medicine
3 weeks ago
Madison, United States Associated Physicians, LLP Full time $35 - $41*\*COVID VACCINATION REQUIRED\**Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.*Clinic Triage RN Internal Medicine - Triage RN - Internal Medicine Pay & Perks:** Free Parking* 1 location near Hilldale Mall!* Mon-Fri, between 7:45am-5:45pm, Sat morning rotation 8am-12pm* Paid Time Off...
-
Internal Medicine Triage Nurse
3 weeks ago
Madison, Wisconsin, United States Associated Physicians, LLP Full timeJob SummaryThe Clinic RN provides professional nursing care for patients in Internal Medicine.ResponsibilitiesTriage patient telephone calls and provide nursing care to patients in accordance with established nursing standards.Work the Epic Inbasket and respond to symptom-based calls from patients.Monitor and respond to MyChart messages from patients and...
-
Travel Histology Specialist
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeJob Title: Travel Histology TechnicianTriage Staffing is seeking a skilled Histology Technician for a travel assignment in a laboratory setting.Job SummaryWe are looking for a highly motivated and experienced Histology Technician to join our team on a travel assignment. As a Histology Technician, you will be responsible for preparing and processing tissue...
-
Travel CT Technologist
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeAbout the JobTriage Staffing is seeking a skilled CT Technologist to join our team as a Travel Radiology Technologist in a dynamic healthcare setting.Job SummaryJob Type: Travel Radiology TechnologistSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalShift: 8 hours, eveningsHours per Week: 24 hoursDuration: 17 weeksResponsibilitiesOperate CT...
-
Registered Nurse
4 weeks ago
Madison, Wisconsin, United States Infojini Healthcare II Full timeJob OverviewInfojini Healthcare II is currently seeking a dedicated Travel Nurse RN specializing in the Intensive Care Unit (ICU). This role involves providing high-quality patient care in a dynamic travel nursing environment.Position DetailsSpecialty: ICU - Intensive Care UnitDiscipline: Registered Nurse (RN)Employment Type: TravelWeekly Hours: 36...
-
Registered Nurse
1 month ago
Madison, United States Access Community Health Centers, Inc. Full timeJob DescriptionJob DescriptionRegistered Nurse – TriagePosition Summary ?Desired candidate would have the following qualifications:Required Qualifications:Graduation from an accredited registered nursing programHolds a Wisconsin Registered Nurse licensureCurrent CPR certification and maintenance of certification Desired Qualifications:Minimum of three...
-
Registered Nurse
1 month ago
Madison, Wisconsin, United States Infojini Healthcare II Full timePosition Overview:Infojini Healthcare II is actively seeking a skilled Travel Nurse RN specializing in the Intensive Care Unit (ICU). This role is designed for dedicated professionals looking to make a significant impact in critical care settings.Key Responsibilities:- Provide high-quality nursing care to patients in the ICU.- Collaborate with a...
-
Travel Nursing Opportunity
2 weeks ago
Madison, Wisconsin, United States Triage Services Full timeJob Title: Travel Nursing OpportunityWe are seeking an experienced Stepdown Unit Registered Nurse to join our team at Triage Services.Job Summary:Triage Services is a leading provider of travel nursing services, and we are currently seeking a skilled Registered Nurse to fill a 13-week assignment in Madison, WI.Responsibilities:Provide high-quality patient...
-
Travel Nurse RN Position
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeTravel Nursing Opportunity with Triage StaffingJob Summary:We are seeking a skilled and dedicated Registered Nurse to join our team as a Travel Nurse in a Progressive Care Unit setting. As a Travel Nurse with Triage Staffing, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care and collaborating...
-
Nurse Triage Specialist
5 days ago
Madison, WI , USA, United States SSM Health Full timeJob Summary:SSM Health is seeking a skilled Registered Nurse to join our team as a Nurse Triage Specialist. In this role, you will provide direct nursing care to patients in an outpatient setting, utilizing your expertise to coordinate care and ensure seamless transitions.Responsibilities:Implement and monitor patient care plans, ensuring timely and...
-
Clinic Triage RN-Internal Medicine
1 month ago
Madison, WI, United States Associated Physicians, LLP Full timeCOVID VACCINATION REQUIRED Clinic Triage RN Internal Medicine - Triage RN - Internal Medicine Pay & Perks: Free Parking 1 location near Hilldale Mall! Mon-Fri, between 7:45am-5:45pm, Sat morning rotation 8am-12pm Paid Time Off - PTO and Holidays Medical, Dental, Vision and Disability Insurance Flexible Spending Account Life Insurance Offered 401(k) Plan...
-
Travel Nurse RN Position
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeTravel Nursing Opportunity with Triage StaffingJob Summary:We are seeking a skilled Dialysis RN to join our team for a 13-week assignment in a dynamic healthcare setting. As a travel nurse with Triage Staffing, you will have the opportunity to work with a variety of patients and healthcare professionals, while enjoying a competitive salary and benefits...
-
Travel Nurse RN Specialist
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeTravel Nursing Opportunity with Triage StaffingJob Summary:We are seeking a skilled Medical Surgical Travel Nurse to join our team at Triage Staffing. As a travel nurse, you will have the opportunity to work in a variety of healthcare settings and gain valuable experience in a dynamic and fast-paced environment.Responsibilities:Provide high-quality patient...
-
Travel Nurse RN Specialist
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeTravel Nursing Opportunity with Triage StaffingJob Summary:We are seeking a skilled Medical Surgical Travel Nurse to join our team at Triage Staffing. As a travel nurse, you will have the opportunity to work in a variety of settings and locations, gaining valuable experience and skills.Responsibilities:Provide high-quality patient care in a medical surgical...
-
Histology Technician Position
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeJob SummaryTriage Staffing is seeking a skilled Histology Technician to join our team for a travel assignment in a laboratory setting.Key ResponsibilitiesPerform histological procedures, including tissue processing, sectioning, and staining.Operate laboratory equipment, such as microtomes and staining machines.Prepare and maintain laboratory supplies and...
-
Traveling Healthcare Professional
3 weeks ago
Madison, Wisconsin, United States Triage Staffing Full timeCath Lab Nursing Opportunity with Triage StaffingJob Summary:We are seeking a skilled Cath Lab Registered Nurse to join our team for a 13-week travel assignment. As a Cath Lab RN with Triage Staffing, you will have the opportunity to work with a dynamic team and provide high-quality patient care in a fast-paced environment.Responsibilities:Provide direct...
Triage Order Quality Associate Ii
3 months ago
**Help us change lives**
At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others.
**Position Overview**
The Triage Order Quality Associate Level II (TOQII) position is responsible for the accurate and timely work of filing insurance claims for Exact Sciences. This role will demonstrate medical insurance knowledge by determining initial and/or ongoing eligibility, coverage, and related insurance reimbursement order details, including commercial, government, and all various plan coverage. This role will identify order and reimbursement deficiencies, route orders for appropriate actioning and assist with triaging, and document actions taken within the systems for claims lifecycle tracking. This role will be responsible for claims escalations that TOQI are unable to resolve in addition to working “bulk” claim projects. This role will also support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software, and communicate insurance information to ancillary departments and other teams within the reimbursement operations departments.
**Essential Duties**
Include but are not limited to the following:
- Independently determine initial or ongoing patient insurance eligibility verification, investigate, and correct accounts within Epic; including updates to patient demographics, financial information, and guarantor information.
- Ability to interact with various insurances and third-party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations.
- Research missing or erroneous information on accounts using various portals and other resources; including outreach and identification of unknown payors.
- Review/edit claims and appeals prior to submitting to clearinghouse.
- Monitor WQ’s for claims that need additional research and actions taken to get on to path of resolution.
- Responsible for CRM support.
- Has exceptional understanding of Claim Edit and Follow Up WQs.
- Utilize Onbase to work documents specific to the TOQ department.
- Correct rejected claims from the claim’s scrubber, clearinghouse, or payor.
- Review explanations of payments, analyzes, and completes appropriate steps for all denials by appropriately identifying claim resolution next steps; including appealing, writing off, or sending statements.
- Validate new workflows due to product growth. Additionally, have ownership of the specific WQ’s until set up is validated as working effectively.
- Investigate payor underpayments.
- Follow up with payors via phone on unpaid aging claims.
- Provide any supporting documentation needed by insurance payor.
- Perform accurate and timely write-offs following identification of uncollectible accounts adhering to policies and guidelines.
- Provide ad-hoc support, as necessary, within the department (i.e., special projects, provide support due to outages/high volume).
- Complete position responsibilities within the appropriate time frame while adhering to quality standards.
- Stay current with relevant medical billing regulations, rules, and guidelines.
- Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Excellent problem-solving abilities and organizational skills.
- Ability to communicate effectively with all levels of staff through both verbal and written communications.
- Ability to work in a team environment.
- Ability to adapt to changing workload and circumstances effectively; able to respond to new information quickly.
- Disciplined, self-motivated, and reliable.
- Ability to stay focused on a task and work independently; motivated to perform quality work.
- Diligent about arriving to work on time and completing tasks that are assigned in a timely manner.
- Conducts self in a professional manner in all interactions with members of the Exact Sciences Clinical Laboratory team, clients, and associates.
- Possess a positive attitude.
- Work with others in a spirit of teamwork and cooperation.
- Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
- Support and comply with the company’s Quality Management System policies and procedures.
- Regular and reliable attendance.
- Ability to work normal schedule of Monday through Friday during normal business hours.
- Ability to work in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
- Ability to work on a computer and phone simultaneously.
- Ability to use a telephone through a headset.
- You will be required to successfully complete an assessment showing understanding of Exact Sciences.
- Epic pr
