6 claims analyst jobs at 5 companies in Appleton, WI
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Claims Analyst II
Menasha or Brookfield or Wisconsin
HybridFull Time
Network Health: Provides comprehensive health insurance and wellness plans in Wisconsin.
2+ YOE2-4 years claims processing experience; knowledge of CPT, ICD-9/ICD-10, medical terminology, COB, and subrogation; QNXT experience a plus; coding and ACA/Medicaid plan experience preferred; HS diploma preferred.
6+ YOEBachelor's in computer science/information systems, 6+ years relevant experience, information systems project management, RM systems subject-matter expertise, SDLC experience, strong communication and leadership.
Wisconsin or Minnesota or Iowa or La Crosse or Green Bay
$70k/yrHybridFull Time
Gundersen Health System: Provides integrated medical, primary, and specialized health care services.
2+ YOEEpic Resolute PB/HB claims certification required, 2-4 years relevant experience, Bachelor's degree or equivalent, strong analytical and revenue cycle knowledge, ability to support and troubleshoot billing applications.
Bellin Health: Provides comprehensive healthcare services through regional hospitals and clinics.
2+ YOEBachelor's degree or equivalent, 2+ years relevant experience, Epic Resolute PB or HB claims certification required, strong analytical, troubleshooting, and revenue cycle knowledge, and ability to communicate technical concepts to non-technical users.
Epic Resolute Professional Billing, Epic Resolute Hospital Billing
Network Health: Provides comprehensive health insurance and wellness plans in Wisconsin.
3+ YOE3+ years health insurance operations experience, 1-3 years COB/claims/refunds experience, strong communication, critical thinking, decision-making; working knowledge of COB, MSP and Medicare Part D; proficiency in Microsoft Word, Excel, Outlook.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Menasha Corporation: Sustainable corrugated and plastic packaging and supply chain solutions.
Bachelor's degree preferred; experience with insurance claims, workers' compensation, forecasting and budgeting, actuarial analysis, contract and certificate review, SharePoint, and Microsoft Excel/Word/PowerPoint; CRM/ARM certification preferred.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft SharePoint