Medical Claims Specialist
3 days ago
We are seeking a highly skilled Medical Claims Specialist to join our team at Lucent Health Solutions LLC. As a Medical Claims Specialist, you will be responsible for processing medical and dental claims, as well as disability, pharmacy, and flexible spending claims in a timely and accurate manner.
This is an excellent opportunity to work with a compassionate, human-focused, data-driven care management solution that enables health plan participants to make smarter, cost-saving healthcare decisions. Our approach combines top-tier claims management with continuous data analytics to ensure participants receive the right care, at the right cost, at the right time.
The ideal candidate will have 1-2 years of previous claims experience and possess strong knowledge of claims analyst processes and procedures. They will also have the ability to navigate through various PC applications efficiently and demonstrate excellent organizational skills, problem-solving, and decision-making skills.
Responsibilities:- Process medical and/or dental claims, as well as disability, pharmacy, flexible spending, or vision claims, if applicable
- Interpret and apply specific plan document language as well as determine eligibility for benefits during claims adjudication
- Provide written correspondence and verbal information to members, group contacts, agents, and healthcare providers
- Refer potential abuse, subrogation, and adjustment claims
- Perform necessary check run process and communicate check register information
We offer a competitive salary of $62,000 per year and a dynamic work environment that fosters growth and development. If you are passionate about delivering exceptional customer service and possess the required skills and qualifications, we encourage you to apply for this exciting opportunity.
About Us:Luent Health Solutions LLC is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.
-
Clinical Claims Specialist
4 days ago
Appleton, Wisconsin, United States Lucent Health Solutions LLC Full timeJob Summary:">We are seeking a skilled Clinical Claims Specialist to join our team at Lucent Health Solutions LLC. As a Clinical Claims Specialist, you will play a vital role in processing medical and dental claims, as well as disability, pharmacy, flexible spending, and vision claims.">About the Role:">You will be responsible for interpreting and applying...
-
Claims Processing Specialist
21 hours ago
Appleton, Wisconsin, United States Lucent Health Solutions LLC Full timeWe are seeking a skilled Claims Processing Specialist to join our team at Lucent Health Solutions LLC.About the Role:In this role, you will be responsible for processing medical and/or dental claims, as well as disability, pharmacy, flexible spending, or vision claims, if applicable. You will interpret and apply specific plan document language to determine...
-
Data Claims Specialist
1 day ago
Appleton, Wisconsin, United States Lucent Health Solutions LLC Full timeAbout Lucent Health Solutions LLCWe are a top-tier claims management company that combines compassionate care with data-driven insights to help self-insured employers provide better health benefits.
-
Medical Care Specialist
6 days ago
Appleton, Wisconsin, United States Fresenius Medical Care Full timeOverviewFresenius Medical Care is a leading provider of renal therapies, dedicated to improving the lives of patients with kidney disease. As a Medical Care Specialist, you will play a vital role in delivering high-quality care and services to our patients.
-
Medical Documentation Review Specialist II
4 days ago
Appleton, Wisconsin, United States Convatec Group PLC Full timeOverviewWe are seeking a skilled Medical Documentation Review Specialist to join our team at Convatec Group PLC. This role is responsible for reviewing medical record documentation against insurance guideline requirements.Salary InformationThe estimated salary range for this position is $45,000 - $65,000 per annum, depending on location and experience.Job...
-
Medical Gastroenterology Specialist
5 days ago
Appleton, Wisconsin, United States ThedaCare Full timeAbout the RoleWe are seeking a skilled Medical Gastroenterology Specialist to join our team at ThedaCare.
-
Medical Imaging Specialist
5 days ago
Appleton, Wisconsin, United States GrapeTree Medical Staffing Allied Full timeAbout the RoleGrapeTree Medical Staffing Allied is seeking a medical imaging specialist to fill a travel position in Appleton, Wisconsin.Key DetailsDates: ASAP - 13 weeksHours: 36 hours/weekShift: 12 hoursThis opportunity offers a tax-free stipend and pay package based on 12 hour shifts and 36 hours per week. The posted job title is CT Tech -...
-
Medical Office Support Specialist
5 days ago
Appleton, Wisconsin, United States Ascension Full timeWe are seeking a highly organized and detail-oriented Medical Office Support Specialist to join our team at Ascension Wisconsin. This role will provide administrative support to patients and customers in a medical setting.About the RoleAs a Medical Office Support Specialist, you will be responsible for:Greeting patients and visitors, checking them in and...
-
Medical Office Nurse Specialist
6 days ago
Appleton, Wisconsin, United States Primary Care Associates of Appleton LTD Full timeJob SummaryWe are seeking a skilled Medical Office Nurse Specialist to join our team at Primary Care Associates of Appleton LTD. As a key member of our healthcare staff, you will play a vital role in providing exceptional patient care and support.
-
Medical Imaging Specialist
5 days ago
Appleton, Wisconsin, United States Anders Group Full timeJob OverviewAnders Group is seeking a skilled Medical Imaging Specialist for a travel assignment in Wisconsin.
-
Medical Travel Specialist
5 days ago
Appleton, Wisconsin, United States HealthEcareers - Client Full timeWe are seeking a skilled Medical Travel Specialist to join our team in Appleton, Wisconsin. This is a full-time travel contract position with a duration of 13 weeks.About the RoleThis exciting opportunity involves working as a Registered Nurse in the Emergency Department at a top-ranked hospital in Appleton. As a Medical Travel Specialist, you will be...
-
Appleton, Wisconsin, United States OneStaff Medical Full timeOneStaff Medical is seeking a travel nuclear medicine technologist for a temporary position in Wisconsin. This opportunity offers a competitive salary and benefits package.About the JobThe diagnostic imaging nuclear medicine specialist will be responsible for performing various tasks related to nuclear medicine, including imaging procedures and patient care....
-
Medical Travel Nurse Specialist
4 days ago
Appleton, Wisconsin, United States PRN Healthcare Full timeAbout PRN HealthcareAt PRN Healthcare, we're dedicated to creating authentic relationships with our healthcare professionals. Our mission is to set them up for success in their dream assignments, whether that be a travel contract, local contract, or per diem shift.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNDuration: 13 weeksShift: 12...
-
Diagnostic Imaging Specialist
1 day ago
Appleton, Wisconsin, United States Magnet Medical Full time**Job Title:** Diagnostic Imaging SpecialistMagnet Medical is seeking a travel Nuclear Medicine Technologist for a travel job in Wisconsin. The pay package is based on 8 hour shifts and 40.0 hours per week with a tax-free stipend amount to be determined.**Job Description:** A Nuclear Medicine Technologist (Nuclear Med Tech) is responsible for administering...
-
Medical Specialist in Cancer Care
7 days ago
Appleton, Wisconsin, United States Prolink Full timeWe are seeking a Medical Specialist in Cancer Care to join our team at Prolink. As an Oncology Registered Nurse, you will play a critical role in providing high-quality patient care and contributing to the success of our organization.Job DescriptionAbout the Role: This is a 13-week assignment with various locations in Wisconsin. You will work as part of a...
-
Nuclear Medicine Imaging Specialist
2 days ago
Appleton, Wisconsin, United States Magnet Medical Full timeJob Title: Nuclear Medicine Imaging SpecialistMagnet Medical is seeking a skilled Nuclear Medicine Technologist for a travel job in Wisconsin. We are looking for an individual with excellent clinical skills and the ability to work independently.Job Description:This position involves administering radioactive substances to patients for diagnostic imaging...
-
Medical Imaging Specialist
7 days ago
Appleton, Wisconsin, United States ThedaCare Full timeJob OverviewWe are seeking an experienced Medical Imaging Specialist to join our team at ThedaCare in Appleton, WI. This is a 13-week contract position that offers the opportunity to work with a dynamic team and utilize your skills in nuclear medicine.About the JobThe successful candidate will be responsible for performing a variety of medical imaging...
-
Medical Imaging Specialist
5 days ago
Appleton, Wisconsin, United States ThedaCare Full timeWe are seeking an experienced Nuclear Medicine Technologist to join our team at ThedaCare in Appleton, WI. As a Medical Imaging Specialist, you will be responsible for performing a variety of medical imaging procedures using nuclear medicine techniques.Job DetailsNuclear Medicine Technologist position with 13 weeks contract length and ASAP start dateThis is...
-
Appleton, Wisconsin, United States Supplemental Health Care Full timeSupplemental Health Care is partnering with a hospital facility in Wisconsin to hire Medical Imaging Specialists. For over 40 years, we've been helping healthcare professionals find assignments that fit their needs and career goals.About the JobThis 13-week contract offers a unique opportunity to work with high-level imaging equipment, preparing and...
-
Advanced Neonatal Care Specialist
6 days ago
Appleton, Wisconsin, United States Medical College of Wisconsin Full timeAbout the PositionWe are seeking a skilled Neonatal Care Specialist to join our team at the Medical College of Wisconsin, located in the vibrant city of Green Bay. This is an exciting opportunity to work with a renowned healthcare organization and contribute to the advancement of academic neonatology.ResponsibilitiesAs a Neonatal Care Specialist, you will be...