Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Medicare Community Sales Representative
$41K - $80K/yr
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Medicare Community Sales Representative
$41K - $80K/yr
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Medicare Community Sales Representative
Green Bay, WI · On-site
$41K - $80K/yr
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Medicare Community Sales Representative
Green Bay, WI · On-site
$41K - $80K/yr
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare ...
COB & Recovery Analyst
Menasha, WI · On-site +1
Medicare Part D COB is responsible for accurate coordination to ensure our PBM has correct information, preventing members from prescription delays. Location : Candidates must reside in the state of ...
COB & Recovery Analyst
Menasha, WI · On-site +1
Medicare Part D COB is responsible for accurate coordination to ensure our PBM has correct information, preventing members from prescription delays. Location : Candidates must reside in the state of ...
MDS Coordinator (BV)
Appleton, WI · On-site
$80K - $90K/yr
Be highly involved in determining skilled level of care for Medicare villagers and procuring required Medicare-specific documentation; be responsible for physician certification/recertification of a ...
MDS Coordinator (BV)
Appleton, WI · On-site
$80K - $90K/yr
Be highly involved in determining skilled level of care for Medicare villagers and procuring required Medicare-specific documentation; be responsible for physician certification/recertification of a ...
MDS Coordinator (BV)
Appleton, WI · On-site
$80K - $90K/yr
The MDS Coordinator is responsible for attesting to the completion of the Minimum Data Set (MDS) which is the key driver of the care plan, quality measures, and used for Medicare payment and Medicaid ...
MDS Coordinator (BV)
Appleton, WI · On-site
$80K - $90K/yr
The MDS Coordinator is responsible for attesting to the completion of the Minimum Data Set (MDS) which is the key driver of the care plan, quality measures, and used for Medicare payment and Medicaid ...
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)
Appleton, WI · On-site
$83 - $117/hr
Complete comprehensive in-home HRAs for Medicare Advantage patients * Review each patient's medical history, current medications, lifestyle, and key social factors * Conduct basic physical and mental ...
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)
Appleton, WI · On-site
$83 - $117/hr
Complete comprehensive in-home HRAs for Medicare Advantage patients * Review each patient's medical history, current medications, lifestyle, and key social factors * Conduct basic physical and mental ...
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)
Green Bay, WI · On-site
$106K - $137K/yr
Complete comprehensive in-home HRAs for Medicare Advantage patients * Review each patient's medical history, current medications, lifestyle, and key social factors * Conduct basic physical and mental ...
Quick apply
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)
Green Bay, WI · On-site
$106K - $137K/yr
Complete comprehensive in-home HRAs for Medicare Advantage patients * Review each patient's medical history, current medications, lifestyle, and key social factors * Conduct basic physical and mental ...
Complete comprehensive in-home HRAs for Medicare Advantage patients * Review each patient's medical history, current medications, lifestyle, and key social factors * Conduct basic physical and mental ...
Quick apply
Complete comprehensive in-home HRAs for Medicare Advantage patients * Review each patient's medical history, current medications, lifestyle, and key social factors * Conduct basic physical and mental ...
Patient Svc Rep I Med Ctr
$20.80 - $31.20/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Svc Rep I Med Ctr
$20.80 - $31.20/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Service Representative I Hospital
Oshkosh, WI · On-site
$20.80 - $31.20/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Service Representative I Hospital
Oshkosh, WI · On-site
$20.80 - $31.20/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Service Representative - Hospital
Oshkosh, WI · On-site
$20.80 - $31.20/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Service Representative - Hospital
Oshkosh, WI · On-site
$20.80 - $31.20/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Service Representative - Hospital
Oshkosh, WI · On-site
$17.25 - $21.75/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Patient Service Representative - Hospital
Oshkosh, WI · On-site
$17.25 - $21.75/hr
Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations andcomply withupdates on insurance pre ...
Co-Occurring Substance Abuse Disorder Therapist or Therapist-in-Training
Menasha, WI · On-site
$50 - $70/hr
Must be eligible for Medical Assistance, Medicare (if applicable) and other third-party reimbursement. Other Requirements * Family Services is able to obtain malpractice insurance on your behalf.
New
Co-Occurring Substance Abuse Disorder Therapist or Therapist-in-Training
Menasha, WI · On-site
$50 - $70/hr
Must be eligible for Medical Assistance, Medicare (if applicable) and other third-party reimbursement. Other Requirements * Family Services is able to obtain malpractice insurance on your behalf.
New
Must be eligible for Medical Assistance, Medicare (if applicable) and other third-party reimbursement. Other Requirements: * Family Services is able to obtain malpractice insurance on your behalf.
Must be eligible for Medical Assistance, Medicare (if applicable) and other third-party reimbursement. Other Requirements: * Family Services is able to obtain malpractice insurance on your behalf.
Maintain eligibility for reimbursement from Medicaid, Medicare (if applicable) or other insurance panels.Demonstrated commitment to diversity, equity and inclusion.Why Join Us?Family Services offers ...
Quick apply
Maintain eligibility for reimbursement from Medicaid, Medicare (if applicable) or other insurance panels.Demonstrated commitment to diversity, equity and inclusion.Why Join Us?Family Services offers ...
Co-Occurring Substance Abuse Disorder Therapist or Therapist-in-Training
Menasha, WI · On-site
$53K - $66K/yr
Must be eligible for Medical Assistance, Medicare (if applicable) and other third-party reimbursement. Other Requirements: * Family Services is able to obtain malpractice insurance on your behalf.
Co-Occurring Substance Abuse Disorder Therapist or Therapist-in-Training
Menasha, WI · On-site
$53K - $66K/yr
Must be eligible for Medical Assistance, Medicare (if applicable) and other third-party reimbursement. Other Requirements: * Family Services is able to obtain malpractice insurance on your behalf.
Patient Service Representative I
Oshkosh, WI · On-site
$19.80 - $29.70/hr
HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation ...
Patient Service Representative I
Oshkosh, WI · On-site
$19.80 - $29.70/hr
HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation ...
Patient Access Specialist - Green Bay Part-time
Green Bay, WI · On-site
$17 - $18.15/hr
Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented ...
Patient Access Specialist - Green Bay Part-time
Green Bay, WI · On-site
$17 - $18.15/hr
Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented ...
Medicare information
See Appleton, WI salary details
$14.30 - $17.20
4% of jobs
$19.80 is the 25th percentile. Wages below this are outliers.
$17.20 - $20.10
23% of jobs
$20.10 - $23
12% of jobs
The median wage is $24.60 / hr.
$23 - $25.90
20% of jobs
$27.60 is the 75th percentile. Wages above this are outliers.
$25.90 - $28.79
27% of jobs
$28.79 - $31.69
9% of jobs
$31.69 - $34.59
0% of jobs
$34.59 - $37.49
0% of jobs
$37.49 - $40.39
0% of jobs
$40.39 - $43.29
2% of jobs
$43.29 - $46.18
2% of jobs
$14
$26
$46
How much do medicare jobs pay per hour?
What is a Medicare?
A Medicare job typically involves working with the federal health insurance program that provides coverage for seniors and certain individuals with disabilities. Roles in this field can include customer service representatives, claims processors, billing specialists, and Medicare advisors. Responsibilities often include helping beneficiaries understand their coverage, processing claims, ensuring compliance with regulations, and assisting with enrollment. Many Medicare jobs are found in healthcare companies, government agencies, or insurance providers.
What are the key skills and qualifications needed to thrive in the Medicare position, and why are they important?
To thrive in a Medicare Specialist role, a deep understanding of Medicare regulations, claims processing, and health insurance fundamentals is essential, often requiring a background in healthcare administration or a related field. Familiarity with billing software, claims adjudication systems, and relevant certifications such as Certified Medical Reimbursement Specialist (CMRS) are highly valuable. Strong attention to detail, analytical thinking, and effective communication skills help distinguish top performers. These competencies ensure accurate claim handling, regulatory compliance, and positive interactions with providers and beneficiaries.
What are common challenges faced by Medicare specialists, and how are they addressed on the job?
Medicare Specialists often encounter challenges related to keeping up with frequently changing regulations and managing complex claims issues. Staying current with updates requires ongoing training and close attention to industry bulletins. Handling denials or appeals can be demanding, but most teams provide collaborative support and access to resources for resolving difficult cases. Effective time management and clear communication with both beneficiaries and healthcare providers help streamline processes and ensure compliance. Many organizations also offer opportunities for skill development to help specialists adapt to evolving policies.
What are popular job titles related to Medicare jobs in Appleton, WI?
For Medicare jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Medicare jobs in Appleton, WI look for?
The top searched job categories for Medicare jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Medicare jobs?
Cities near Appleton, WI with the most Medicare job openings:

$41K - $80K/yr
Full-time
Medical, Life
Re-posted 14 days ago
Molina Healthcare rating
8.0
Based on 199 frontline employees who took The Breakroom Quiz
170th of 315 rated insurance
Job description
JOB DESCRIPTION Job Summary
Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals. Collaborates with key departments across the enterprise to improve product and brand awareness. Utilizes market research and analysis, and current products and services to increase member and community engagement.
Essential Job Duties
Develops Medicare growth and community engagement strategies to procure referrals and other self-generated leads to meet sales and event targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences and other potential marketing sites.
Conducts business-to-business relationship building.
Generates member leads from referrals and local-tactical research and prospecting.
Schedules individual meetings and group presentations from assigned/self-generated leads.
Achieves/exceeds monthly enrollment or presentation/event targets.
Conducts presentations/events with potential customers, caregivers and/or decision makers on behalf of the beneficiary; customizes presentations and develops marketing and relationship building skills to increase rapport - assessing individual needs and communicating product features and differences.
Enrolls eligible individuals in Molina Medicare products; accurately and thoroughly completes and submits required enrollment documentation, consistent with Medicare requirements and enrollment guidelines, assists prospects in completion of the enrollment application, and forwards completed applications to appropriate administrative contact within 48 hours of sale.
Ensures Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process.
Tracks all marketing and growth activities, updates and maintains prospects/leads and tracks daily, weekly and monthly results in Salesforce or other tracking systems.
Collaborates closely with local health plan leadership and applicable departments to identify and educate potential members, participate in provider promotional activities, and cultivate community partnerships.
Required Qualifications
At least 2 years of experience in managed care community engagement, marketing, operations, account services, and/or health care delivery, or equivalent combination of relevant education and experience.
Knowledge/understanding of community resources.
Customer service/sales skills.
Multi-tasking and organizational skills.
Experience working with senior citizens and low income individuals.
Ability to work cross-functionally across a highly matrixed organization.
Effective verbal and written communication skills, and relationship building skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Active and unrestricted Life & Health insurance license.
#PJSales
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $41,264 - $80,464.96 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980