Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures. * Proven ability to interpret complex contractual language and translate it into system configuration ...
Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures. * Proven ability to interpret complex contractual language and translate it into system configuration ...
Patient Access Specialist - Part-time
Green Bay, WI ยท 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 - Part-time
Green Bay, WI ยท 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 Associate Specialist - PRN
Green Bay, WI ยท 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 Associate Specialist - PRN
Green Bay, WI ยท 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 ...
Associate Specialist, Patient Access
Green Bay, WI ยท 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 ...
Associate Specialist, Patient Access
Green Bay, WI ยท 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 ...
Associate Specialist, Patient Access (Min 6-8 hours weekly and as needed
Green Bay, WI ยท 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 ...
Associate Specialist, Patient Access (Min 6-8 hours weekly and as needed
Green Bay, WI ยท 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 Service Representative I
Oshkosh, WI ยท 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 ยท 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 Full Time
Green Bay, WI ยท 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 Full Time
Green Bay, WI ยท 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 Service Representative - Hospital
Oshkosh, WI ยท 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 and comply with updates on insurance pre ...
Patient Service Representative - Hospital
Oshkosh, WI ยท 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 and comply with updates on insurance pre ...
Patient Svc Rep I Med Ctr
Oshkosh, WI ยท 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 and comply with updates on insurance pre ...
Patient Svc Rep I Med Ctr
Oshkosh, WI ยท 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 and comply with updates on insurance pre ...
MDS Coordinator
Oshkosh, WI ยท On-site
$80K - $90K/yr
RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE
Quick apply
MDS Coordinator
Oshkosh, WI ยท On-site
$80K - $90K/yr
RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE
Speech Language Pathologist
$40 - $50/hr
Cell Phone, Movie Ticket, & other discounts Apply Today! 1625 E Main Street, Clintonville, WI 54929 Our facility follows the Centers for Medicare and Medicaid Services' COVID-19 vaccination ...
Speech Language Pathologist
$40 - $50/hr
Cell Phone, Movie Ticket, & other discounts Apply Today! 1625 E Main Street, Clintonville, WI 54929 Our facility follows the Centers for Medicare and Medicaid Services' COVID-19 vaccination ...
Speech Language Pathologist
Clintonville, WI ยท On-site
$40 - $50/hr
Cell Phone, Movie Ticket, & other discounts Apply Today! 1625 E Main Street, Clintonville, WI 54929 Our facility follows the Centers for Medicare and Medicaid Services' COVID-19 vaccination ...
Speech Language Pathologist
Clintonville, WI ยท On-site
$40 - $50/hr
Cell Phone, Movie Ticket, & other discounts Apply Today! 1625 E Main Street, Clintonville, WI 54929 Our facility follows the Centers for Medicare and Medicaid Services' COVID-19 vaccination ...
Weekend Associate Medical Director - 0.3 FTE
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Weekend Associate Medical Director - 0.3 FTE
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Associate Medical Director
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Associate Medical Director
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Associate Medical Director
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Associate Medical Director
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Weekend Associate Medical Director - 0.3 FTE
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Weekend Associate Medical Director - 0.3 FTE
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Weekend Associate Medical Director - 0.3 FTE
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Weekend Associate Medical Director - 0.3 FTE
Menasha, WI ยท On-site +1
Oversight responsibility for monitoring and evaluating Medicare Special Needs Plan Model of Care effectiveness * Perform second level review of provider appeals and disputes * Serve on committees as ...
Finance Director
Appleton, WI ยท On-site
$85 - $120/hr
Responsible for the preparation of the annual Medicare cost report and serves as the organization liaison to the Medicare fiscal intermediary. * Acts as the financial liaison to the Governing Body ...
Finance Director
Appleton, WI ยท On-site
$85 - $120/hr
Responsible for the preparation of the annual Medicare cost report and serves as the organization liaison to the Medicare fiscal intermediary. * Acts as the financial liaison to the Governing Body ...
Finance Director
Appleton, WI ยท On-site
Responsible for the preparation of the annual Medicare cost report and serves as the organization liaison to the Medicare fiscal intermediary. * Acts as the financial liaison to the Governing Body ...
Quick apply
Finance Director
Appleton, WI ยท On-site
Responsible for the preparation of the annual Medicare cost report and serves as the organization liaison to the Medicare fiscal intermediary. * Acts as the financial liaison to the Governing Body ...
Patient Access Registrar - PRN/Casual
Appleton, WI ยท On-site
$17.50 - $22.75/hr
Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and ...
Patient Access Registrar - PRN/Casual
Appleton, WI ยท On-site
$17.50 - $22.75/hr
Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and ...
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:

Full-time
Medical, Life, Retirement, PTO
Posted 16 days ago
Job description
The ideal candidate will possess or be wiling to learn a deep knowledge of healthcare reimbursement methodologies, payer contract interpretation, Epic Resolute Contract Management functionality. This individual will play a critical role in ensuring accurate expected reimbursement calculations, supporting contract negotiations, and maintaining contract integrity across hospital and professional billing environments.
Responsibilities:
- Responsible for Epic Hospital Billing (HB) and Professional Billing (PB) contract build including interpreting, building, migrating and updating complex payer contracts (Commercial, Medicare, Medicare Advantage, Medicaid) on the Epic Contract Management platform. Collect, build, and maintain third-party and government payer Expected Reimbursement Contracts
- Maintain contract builds and timely resolution of build errors
- Develop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timely
- Maintain and document the status of Epic contract build and applicable work queues
- Complete Epic contract modeling extracts that are used in contract negotiations
- Primary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teams
- Interpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculations
- Conduct testing to validate accuracy of contract build maintenance and updates
What's Available:
- Fulltime, 80 hours biweekly (1.0 FTE)
- Monday-Friday core business hours
- Remote work options for residents in WI or MI only, with occasional need to work onsite for support initiatives in either La Crosse, WI or Green Bay, WI.
- Immigration sponsorship (e.g., H-1B) is not available for this position.
- Based on experience, this position may also be filled at an Application Analyst or Senior Application Analyst level.
Qualifications:
- Education: Bachelor's degree or a related field or equivalent years of experience and education
- Experience: At least 2-4 years of relevant work experience
- Certifications: Epic Resolute PB or HB Billing Claims certification, Preferred.
- Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle operations.
- Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures.
- Proven ability to interpret complex contractual language and translate it into system configuration requirements.
- Strong analytical, problem-solving, and testing skills.
- Experience working cross-functionally with Revenue Cycle, Finance, Payer Relations, and IT stakeholders.
- Excellent organizational, communication, and documentation skills.
With so many amazing healthcare organizations in this area, why Emplify?
Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
- Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
- Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
- Professional Development: Access to online continuing education for career growth
- Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
- Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home
Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork, and humility - our pillars set our foundation and our future.
Emplify Health is an Equal Opportunity Employer.