Provider Certification Analyst Start
4 weeks ago
JOB REQUIREMENTS: Description Who We Are is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than . Proud to be military and veteran ready. Culture Drives Our Success WPS\' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. From 2021 to 2023, WPS Health Solutions was recognized for several awards: Role Snapshot The Provider Certification Analyst position will assist in maintenance of TRICARE Provider File online system, including determination of provider certification, eligibility and network status, and ensure accuracy for TRICARE National provider file shared by all TRICARE offices. In this role you will: Perform data Entry into online internal provider file. Resolve issues via phone, internet or correspondence. Respond to questions and problems through phone calls and written correspondence. Initiate telephone calls to obtain additional information to resolve certification issues. Validate, through research, all data entered into online system is accurate for claims processing. Identify claims processed erroneously and initiate appropriate reprocessing steps. Verify eligibility of providers. Maintain understanding of claim edits, entry, and enter information to correct edits, allowing claims to process. Assign provider number for claims processing. Research jurisdiction and multiple files to determine status and ensure related claims or issues are addressed. Work with various internal departments regarding file content to pay or deny claims and verification of addresses. Resolve special handle issues, claims, or projects as assigned by management. Detect online system issues or deficiencies and notify supervisor, researching and providing documentation. How do I know this opportunity is right for me? If you: Are able to navigate multiple systems and on-line resources to... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/530F70D32550462E Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.
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Provider Enrollment Analyst Must Live
1 week ago
Madison, United States WPS Health Solutions Full timeJOB REQUIREMENTS: Description Provider Enrollment Analyst Who We Are is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for...
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Business Analyst
2 weeks ago
Madison, United States AE Business Solutions Full timeTitle: Business AnalystLocation: Hybrid-Madison, WI (2x week onsite in Madison office)Candidates must be current Wisconsin state residents Duration: 6+ months Day to Day/ResponsibilitiesReviewing, analyzing, and evaluating business systems and user needsFormulating systems to align with business strategiesBusiness process reengineering and identification of...
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Business Analyst
3 weeks ago
Madison, United States AE Business Solutions Full timeTitle: Business AnalystLocation: Hybrid—Madison, WI (2x week onsite in Madison office)Candidates must be current Wisconsin state residents Duration: 6+ months Day to Day/ResponsibilitiesReviewing, analyzing, and evaluating business systems and user needsFormulating systems to align with business strategiesBusiness process reengineering and identification...
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Business Analyst
3 weeks ago
Madison, United States AE Business Solutions Full timeTitle: Business AnalystLocation: Hybrid—Madison, WI (2x week onsite in Madison office)Candidates must be current Wisconsin state residents Duration: 6+ months Day to Day/ResponsibilitiesReviewing, analyzing, and evaluating business systems and user needsFormulating systems to align with business strategiesBusiness process reengineering and identification...
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Business Analyst
3 weeks ago
Madison, United States AE Business Solutions Full timeTitle: Business AnalystLocation: Hybrid—Madison, WI (2x week onsite in Madison office)Candidates must be current Wisconsin state residents Duration: 6+ months Day to Day/ResponsibilitiesReviewing, analyzing, and evaluating business systems and user needsFormulating systems to align with business strategiesBusiness process reengineering and identification...
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Epic Certified Analyst
2 weeks ago
Madison, United States LaSalle Network Full timeLaSalle Network is working with a client in Madison, WI looking to hire a remote EPIC Certified Analyst. The EPIC Certified Analyst position is offering competitive pay and an opportunity to work with one of the Nation's top 100 Great Hospitals! This is a remote role. EPIC Certified Analyst Responsibilities: Responsible for in-depth knowledge of the Epic...
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Epic Certified Analyst
2 weeks ago
Madison, United States LaSalle Network Full timeLaSalle Network is working with a client in Madison, WI looking to hire a remote EPIC Certified Analyst. The EPIC Certified Analyst position is offering competitive pay and an opportunity to work with one of the Nation's top 100 Great Hospitals! This is a remote role. EPIC Certified Analyst Responsibilities: Responsible for in-depth knowledge of the Epic...
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Epic Certified Analyst
2 days ago
Madison, United States LaSalle Network Full timeLaSalle Network is working with a client in Madison, WI looking to hire a remote EPIC Certified Analyst. The EPIC Certified Analyst position is offering competitive pay and an opportunity to work with one of the Nation's top 100 Great Hospitals! This is a remote role. EPIC Certified Analyst Responsibilities: Responsible for in-depth knowledge of the Epic...
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Business Analyst Manager
2 days ago
Madison, United States Rural Mutual Insurance Full timeDescription Are you an experienced business analyst looking to play a strategic role in a digital transformation? In this newly created leadership role, you will be responsible for mentoring and assigning business analysts to projects, developing standards, templates, and guidelines, and monitoring your team's performance. You will bridge the gap between...
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Credit Analyst Job #2961
5 days ago
Madison, United States BritePros Medical Staffing Full timeCredit Analyst – To $75K – Madison, WI – Job # 2961Who We AreThe Symicor Group is a boutique talent acquisition firm based in Lincolnshire, IL & San Antonio, TX. Our nationally unique value proposition centers around providing the very best available banking and accounting talent. In fact, most of our recruiters are former bankers or accountants...
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Credit Analyst Job #2961
4 days ago
Madison, United States BritePros Medical Staffing Full time $75,000Credit Analyst – To $75K – Madison, WI – Job # 2961Who We AreThe Symicor Group is a boutique talent acquisition firm based in Lincolnshire, IL & San Antonio, TX. Our nationally unique value proposition centers around providing the very best available banking and accounting talent. In fact, most of our recruiters are former bankers or accountants...
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Information Technology Help Desk Analyst
2 weeks ago
Madison, United States Fōcus - an Ōnin Group company Full timeWe are looking for an IT HelpDesk Analyst for a client based in Madison, AL.This role would start as on-site with potential to go Hybrid once you are fully trained.This is an entry level/level 1 position with a starting salary of $15.35/hr - No Experience Required.Computer savvy & Phone skills are a must.Great way to get your foot in the door with a great...
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Information Technology Help Desk Analyst
2 months ago
Madison, United States Fōcus - an Ōnin Group company Full timeWe are looking for an IT HelpDesk Analyst for a client based in Madison, AL.This role would start as on-site with potential to go Hybrid once you are fully trained.This is an entry level/level 1 position with a starting salary of $15.35/hr - No Experience Required.Computer savvy & Phone skills are a must.Great way to get your foot in the door with a great...
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Business Analyst Manager
1 week ago
Madison, United States Rural Mutual Insurance Full timeAre you an experienced business analyst looking to play a strategic role in a digital transformation? In this newly created leadership role, you will be responsible for mentoring and assigning business analysts to projects, developing standards, templates, and guidelines, and monitoring your team’s performance. You will bridge the gap between business...
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Telecommunications Analyst
1 month ago
Madison, United States QSS Full timeJob Title :Telecommunications Analyst Location : Madison, WI Type : Contract **Job Description**: Position overview: Looking for an experienced Telecommunication Analyst to continue our support for our business partners and people in our care. This individual will be assisting with supporting and installing telephones, cellphones and other video...
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Senior Consultant
2 days ago
Madison, United States Nordic Global Full timeMake a difference. Be happy. Grow your career. Make a difference. Be happy. Grow your career. A Nordic consultant is more than just an Epic expert. Our analysts take ownership for their work and the greater success of the organization. We’re also looking for someone who listens to the client and understands that each project and each organization is...
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ap analyst
5 days ago
madison, United States Randstad US Full timeap analyst. + madison , mississippi + posted 9 days ago **job details** summary + $28 - $28.84 per hour + temporary + bachelor degree + category business and financial operations occupations + referenceAB_4531713 job details Seeking an Accounts Payable Analyst to assist a large consulting company with administrative accounting support, including...
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FP&A Analyst
2 weeks ago
Madison, United States Creative Financial Staffing Full timeAbout the Company Our client is a global manufacturing company, and they are seeking a FP&A Analyst. The company is financially sound, known for providing tremendous professional growth and development opportunities, and the team is comprised of smart, passionate, team oriented, and talented individuals. Why Work for the Company/Take the Role FP&A...
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FP&A Analyst
2 weeks ago
Madison, United States Creative Financial Staffing Full timeAbout the Company Our client is a global manufacturing company, and they are seeking a FP&A Analyst. The company is financially sound, known for providing tremendous professional growth and development opportunities, and the team is comprised of smart, passionate, team oriented, and talented individuals. Why Work for the Company/Take the Role FP&A Analyst: ...
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Business Analyst
3 days ago
Madison, United States Arrowtek Technologies Inc Full time**Responsibilities**: - 10% - Formulates and defines systems scope and objectives through research and fact-finding combined with an understanding of applicable business systems and industry requirements - 15% - Devises or modifies complex information systems including analysis of business and user needs, documenting requirements, and revising existing...