31 claims analyst jobs at 23 companies in Wisconsin
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Claims Analyst
Mondovi, Wisconsin, United States
OnsiteFull Time
Handles and analyzes OS&D claims from initial customer contact through resolution while minimizing company liability exposure.
3mo
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Claims Analyst II
Menasha or Brookfield or Wisconsin
HybridFull Time
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.
QNXT™ Claims Workflow, WRAP network re-pricing website
1w
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Claims Analyst (Troy, MI)
Troy or Arizona or California or Colorado or District of Columbia or Iowa or Illinois or Indiana or Kentucky or Massachusetts or Maryland or Michigan or Missouri or Nevada or Ohio or Oregon or Pennsylvania or Texas or Utah or Washington or Wisconsin or United States
$25-$27/hr RemoteFull Time
2+ YOERequires high school diploma or GED, two years of related medical claims processing experience, medical terminology and coding knowledge, analytical skills, and benefit determination ability.
CPT, ICD-9, ICD-10, HCPCS, ADA, CMS1500, CMS1450
2d
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Sr. Claims Analyst, Health and Risk Solutions
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee or United States
$68k-$102k/yr HybridFull Time
7+ YOE7+ years handling complex claims, especially Medical Stop Loss or complex medical claims, with expertise in claims practices, legal precedents, claims accounting, healthcare legislation, negotiation, and stakeholder influence.
1w
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Disability Insurance (DI) Claims Analyst
Franklin, Wisconsin, United States
$61k-$91k/yr RemoteFull Time
Bachelor's degree preferred or equivalent experience. Requires strong analytical, critical thinking, communication, organization, decision-making, customer service, and Microsoft Office skills; claims experience is a plus but not required.
Microsoft Office
2d
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Sr. Claims Analyst, Health and Risk Solutions
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee
$68k-$102k/yr HybridFull Time
7+ YOERequires 7+ years handling complex medical or stop-loss claims, expertise in claims practices, legal precedents, accounting, healthcare legislation, negotiation, communication, and complex problem-solving.
Microsoft Excel
2d
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Workers' Compensation Claims Analyst
Oak Brook or Charlotte or Illinois or North Carolina or Georgia or Alabama or Wisconsin or United States
$31-$46/hr RemoteFull Time
2+ YOEBachelor's degree or equivalent education and experience, adjuster license as required, and 2-5+ years managing progressively difficult workers' compensation lost-time claims.
Electronic claim file, Short- and Long-Term Disability
1mo
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Lead Claims Systems Analyst
Green Bay, Wisconsin, United States
OnsiteFull Time
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.
2mo
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Claims Compliance Analyst (Workers Compensation)
Madison, Wisconsin, United States
$70k-$105k/yr HybridFull Time
Regulatory compliance for workers' compensation; audits, data reporting; coaching and communication.
1mo
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EPIC CLAIMS & REMITTANCE APPLICATIONS ANALYST
Alabama or Arkansas or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Louisiana or Michigan or Minnesota or North Carolina or North Dakota or Ohio or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Wisconsin
RemoteFull Time
2+ YOEEpic claims and remittance expertise, 2+ years healthcare/IT experience, Epic Resolute Billing certification, strong SDLC knowledge, project and training experience, excellent communication and analytical skills.
Epic Resolute Professional Billing
2w
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EPIC CLAIMS & REMITTANCE APPLICATIONS ANALYST
Wausau, Wisconsin, United States
RemoteFull Time
2+ YOEClaims & Remittance experience, Epic Resolute Professional Billing or Hospital Billing certification, 2+ years healthcare/IT experience, SDLC knowledge, training/project experience, strong communication and analytical skills.
Epic Resolute Professional Billing, Epic
1mo
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Application Analyst | HB & PB Claims
Wisconsin or Minnesota or Iowa or La Crosse or Green Bay
$70k/yr HybridFull Time
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.
Epic Resolute
1mo
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Application Analyst | HB & PB Claims
Green Bay, Wisconsin, United States
OnsiteFull Time
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
1w
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Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
Epic Systems, Epic Revenue Cycle
1mo
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Senior Pharmacy Analyst - WI
Wisconsin, United States
$69k-$99k/yr RemoteFull Time
6+ YOE6+ years as a business analyst in healthcare/pharmacy with 3+ years Medicaid/Medicare experience, knowledge of pharmacy reimbursement, NDCs, drug claims, Access database and MMIS experience, and systems business analyst skills.
Microsoft Access, Medicaid Management Information System (MMIS)
6d
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Senior Appeals Analyst
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or North Dakota or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or New Hampshire or Oklahoma or Vermont or Nebraska or Tennessee or Nevada or New York or Ohio or Oregon or New Mexico or Pennsylvania or Rhode Island or South Dakota or Utah or South Carolina or West Virginia or Virginia or Wyoming
$67k-$110k/yr RemoteFull Time
3+ YOERequires 3–5 years of short- or long-term disability claims experience, strong analytical and communication skills, knowledge of ERISA and state requirements, and proficiency with claims and Microsoft Office tools.
Microsoft Office
1mo
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EHR Certified Analyst II - Epic HB/PB Claims
United States or Verona
OnsiteFull Time
5+ YOERequires 5+ years of Epic experience, 2–3 years IT application development/implementation in healthcare, completion of Epic certifications, and ability to design, test, implement, and support Epic HB/PB applications.
Epic, Resolute Hospital Billing, Resolute Professional Billing, Charge Router
2w
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Senior Financial Analyst
Minnetonka or Madison
$70k-$105k/yr HybridFull Time
5+ YOEBachelor's degree or equivalent, 5+ years experience, strong Excel and analytical skills, knowledge of claims/financial reporting, audit support, and stakeholder collaboration.
Microsoft Excel, Microsoft Suite
3w
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Provider Reimbursement Analyst
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$78k-$92k/yr RemoteFull Time
3+ YOEBachelor's degree or equivalent, 3+ years healthcare/data analysis, knowledge of CMS coding and provider reimbursement, strong Excel and SQL skills, experience with data visualization and government claims preferred.
Microsoft Excel, SQL, SQL Reporting Services (SRS), Tableau, Power BI
1mo
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Risk Management Analyst
Beloit, Wisconsin, United States
OnsiteFull Time
Knowledge of insurance concepts, contract and COI review, claims handling and investigation, data and loss trend analysis, strong analytical and communication skills, proficiency in Word/Outlook/Excel, valid driver’s license, HS diploma/GED, document review experience.
Microsoft Word, Microsoft Outlook, Microsoft Excel
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