Medicare, Medicaid, military and veterans' health care programs, Third Party Administrators (TPA ... They ensure billing compliance with federal guidelines and contractual agreements. They serve as a ...
Medicare, Medicaid, military and veterans' health care programs, Third Party Administrators (TPA ... They ensure billing compliance with federal guidelines and contractual agreements. They serve as a ...
Medicare, Medicaid, military and veterans' health care programs, Third Party Administrators (TPA ... They ensure billing compliance with federal guidelines and contractual agreements. They serve as a ...
Medicare, Medicaid, military and veterans' health care programs, Third Party Administrators (TPA ... They ensure billing compliance with federal guidelines and contractual agreements. They serve as a ...
JMSC-IP Systems Administrator - SECRET Clearance Required
Schofield, WI · On-site
$72.85K - $98.56K/yr
None Job Family: IT Infrastructure and Operations Job Qualifications: Skills: LAN WAN, Risk ... Rather, salary will be set based on experience, geographic location and possibly contractual ...
JMSC-IP Systems Administrator - SECRET Clearance Required
Schofield, WI · On-site
$72.85K - $98.56K/yr
None Job Family: IT Infrastructure and Operations Job Qualifications: Skills: LAN WAN, Risk ... Rather, salary will be set based on experience, geographic location and possibly contractual ...
None Job Family: IT Infrastructure and Operations Job Qualifications: Skills: IT Help Desk, IT ... Rather, salary will be set based on experience, geographic location and possibly contractual ...
None Job Family: IT Infrastructure and Operations Job Qualifications: Skills: IT Help Desk, IT ... Rather, salary will be set based on experience, geographic location and possibly contractual ...
Contracts Manager
$89.80K - $120K/yr
Certain positions at EnerSys Advanced Systems require access to information or technology that is ... Review and prepare contractual documents for management review, comment, and approval. * Manage the ...
Contracts Manager
$89.80K - $120K/yr
Certain positions at EnerSys Advanced Systems require access to information or technology that is ... Review and prepare contractual documents for management review, comment, and approval. * Manage the ...
Specialist, Functional Screening - Hybrid - Must reside in Madison or Jefferson WI.
Jefferson, WI · On-site +1
$19.84 - $38.69/hr
Uses the Wisconsin LTCFS to gather information about member functional abilities, health status ... Local travel may be required (based upon state/contractual requirements). Required Qualifications ...
Specialist, Functional Screening - Hybrid - Must reside in Madison or Jefferson WI.
Jefferson, WI · On-site +1
$19.84 - $38.69/hr
Uses the Wisconsin LTCFS to gather information about member functional abilities, health status ... Local travel may be required (based upon state/contractual requirements). Required Qualifications ...
Specialist, Functional Screening- Hybrid - Must reside in Milwaukee WI,
Milwaukee, WI · On-site +1
$19.84 - $38.69/hr
... LTCFS to gather information about member functional abilities, health status, and personal ... Preferred Qualifications • Current or former certification to conduct/administer adult long-term ...
Specialist, Functional Screening- Hybrid - Must reside in Milwaukee WI,
Milwaukee, WI · On-site +1
$19.84 - $38.69/hr
... LTCFS to gather information about member functional abilities, health status, and personal ... Preferred Qualifications • Current or former certification to conduct/administer adult long-term ...
Specialist, Functional Screening - Hybrid - Milwaukee, WI
Milwaukee, WI · Hybrid
$19.84 - $38.69/hr
... LTCFS to gather information about member functional abilities, health status, and personal ... Preferred Qualifications • Current or former certification to conduct/administer adult long-term ...
Specialist, Functional Screening - Hybrid - Milwaukee, WI
Milwaukee, WI · Hybrid
$19.84 - $38.69/hr
... LTCFS to gather information about member functional abilities, health status, and personal ... Preferred Qualifications • Current or former certification to conduct/administer adult long-term ...
Research Administrative Specialist
$45.90K - $46.40K/yr
... communicate complex financial information to UW System and university administrators ... Review proposals and contractual documents to ensure adherence to institutional, state, and federal ...
Research Administrative Specialist
$45.90K - $46.40K/yr
... communicate complex financial information to UW System and university administrators ... Review proposals and contractual documents to ensure adherence to institutional, state, and federal ...
Research Administrative Specialist
Menomonie, WI · On-site +1
$45.90K - $62.20K/yr
... communicate complex financial information to UW System and university administrators ... Review proposals and contractual documents to ensure adherence to institutional, state, and federal ...
Research Administrative Specialist
Menomonie, WI · On-site +1
$45.90K - $62.20K/yr
... communicate complex financial information to UW System and university administrators ... Review proposals and contractual documents to ensure adherence to institutional, state, and federal ...
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Chilton, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Chilton, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Appleton, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Appleton, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Green Bay, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Green Bay, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
De Pere, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
De Pere, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
De Pere, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
De Pere, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Oshkosh, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Oshkosh, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Menasha, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Menasha, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. Complies with ... Local travel may be required (based upon state/contractual requirements). Required Qualifications 1 ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Green Bay, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)
Green Bay, WI · On-site
$19.84 - $38.69/hr
... diagnosis information with physicians and/or Social Security Administration. • Complies with ... contractual requirements). Required Qualifications • 1 year of experience serving target groups ...
Contractual Informatica Admin information
What are the key skills and qualifications needed to thrive as a Contractual Informatica Admin, and why are they important?
What are the typical challenges faced by a Contractual Informatica Admin, and how can they be managed effectively?
What are Contractual Informatica Admins?
What is the difference between Contractual Informatica Admin vs Contractual Data Warehouse Developer?
| Aspect | Contractual Informatica Admin | Contractual Data Warehouse Developer |
|---|---|---|
| Certifications | Informatica certifications, SQL, ETL tools | Data warehousing, SQL, ETL tools, sometimes Informatica certifications |
| Work Environment | Data integration teams, IT departments | Data architecture teams, BI departments |
| Industry Usage | IT services, finance, healthcare | Retail, finance, telecom |
While both roles involve data management and ETL tools, the Contractual Informatica Admin primarily focuses on maintaining and managing Informatica environments, whereas the Contractual Data Warehouse Developer designs and develops data warehouse solutions. The roles often overlap but differ in scope and responsibilities.
Full-time
Posted 19 days ago
Prairie Ridge Health rating
8.2
Based on 9 frontline employees who took The Breakroom Quiz
90th of 990 rated hospitals
Job description
Position Description:
This position is the biller for patients and Health Plans; Government programs; Medicare, Medicaid, military and veterans' health care programs, Third Party Administrators (TPA), Worker's Compensation and commercial lines of business including primary and secondary insurance payers. All of these will be hereinafter referred to as "Payers". It is the primary liaison between patients and the organization regarding hospital and clinic billings, payments and collections. They are responsible for interactions with all Payers regarding timely and accurate claims filings, follow-up, appeals and applicable claims re-submissions. They oversee all aspects and edits of electronic and paper claims submissions and self-pay billings. They ensure billing compliance with federal guidelines and contractual agreements. They serve as a resource regarding the Centers for Medicare and Medicaid (CMS) guidelines for the business office and contractual agreements. They also analyze insurance credit balances to ensure accurate and timely refunding to appropriate parties.
EDUCATION EQUIREMENTS/LICENSURE/CERTIFICATION/REGISTRATION
- High school diploma (or equivalent) required.
- Experience paper and electronic billing for Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred.
- Experience with revenue codes, CPT, HCPCs, and ICD-10 coding experience strongly preferred.
- Experience with medical terminology strongly preferred.
- Previous experience with health insurance, collection techniques, or patient registration preferred.
Shift: Monday-Friday, days.
FTE: 1.0
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
About Prairie Ridge Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Columbus, WI, US
Year founded
1907