Top 13 Claims advocate Jobs in Appleton, Wi

Patient Financial Advocate
ThedaCare —Appleton, WI
- Full-time
- 18 years or older
- Mid-level
- Office
Manager of Product Design Compliance
Miller —Appleton, WI
- Full-time
- Engineering
- 8 years
- Product management
Mission Team Leader - MSO
Goodwill NCW Jobs —Menasha, WI
- Full-time
- Clean driving record
- Microsoft Outlook
- Mid-level
Quick Apply
7d
Customer Service Representative - Phone (onsite first 30 days)
SD WHEEL CORP —Wrightstown, WI
- Full-time
- Ability to walk for extended periods
- High school diploma or GED
- Analysis skills
Quick Apply
4d
Director of Talent
Chick-fil-A —Ashwaubenon, WI
- $40,000 - $50,000 a year
- Weekends as needed
- Background check
- Bachelor of Science
- Restaurant management
- Paid training
- Mileage reimbursement
Quick Apply
Prepared Meals and Rotisserie Chicken Associate
Sam's Club —Appleton, WI
- $17 - $25 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
Senior Software Engineer: Site Reliability Engineering
Jack Henry & Associates —United States
- Full-time
- Remote
- Azure
- 6 years
- System design
6d

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Patient Financial Advocate

ThedaCare -
Appleton, WI

Apply Now

Job Details

Full-time

Qualifications

Collaborate with healthcare professionals
Computer operation
Overseeing health insurance pre-certification
Medicare
Medical insurance coverage verification
Patient advocacy
Medical coding guidelines
Mid-level
Patient financial aid assistance
High school diploma or GED
Charge capture (medical billing)
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical claims submission
Billing issue inquiries
Handling patient inquiries
Documentation review
Documentation reviews

Full Job Description

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness –

Lifestyle Engagement
- e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

Access & Affordability
- e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :

The Patient Financial Advocate advocates for financial assistance for patient treatments and medications by providing access to drug assistance programs. Reviews orders and checks for authorization of insurance payments. Ensures appropriate medical necessity of treatments as it pertains to insurance payment. Works collaboratively with the patient, the clinical treatment team, and various departments to establish a financial plan of action that minimizes the financial liability incurred by patients while facilitating the patient’s timely access to care.

Job Description:

Schedule:
Day Shift, No Weekends, No Holidays

Located in Appleton

KEY ACCOUNTABILITIES:

Uses knowledge of current payor requirements, medical necessity, and medical coding to request authorization to determine if services are reimbursable. Reviews daily revenue sheets and makes corrections as needed.
Performs pre-authorizations for services per insurance requirements. Understands services provided while utilizing NCCN guidelines to ensure accurate and timely claim submission.
Ensures accurate documentation of verification of benefits and authorization of services. Ensures proper documentation for Medicare and bundling compliance to achieve accuracy of patient charges and correct reimbursement for services rendered.
Serves as subject matter expert to providers and others regarding documentation requirements for accurate charge capture.
Demonstrates ability to act with sensitivity to assist and inform patients about costs of services integrated with the patient’s insurance coverage and limits. Reviews patient financial/insurance considerations and collaborates with multiple providers, payors, and patient accounting as appropriate to effectively and efficiently obtain proper authorization for services.
Contacts and/or meets with patients to discuss pre-authorization outcomes, billing questions, denials, or concerns. Refers patients to patient accounting as appropriate.
Supports patients in obtaining foundation/grant money to aid in medication coverage or refers them to other financial support services when need is identified.

QUALIFICATIONS:

High School diploma or GED preferred
Must be 18 years of age

PHYSICAL DEMANDS:

Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:

Climate controlled office setting with daily movement throughout the campus
Interaction with department members and other healthcare providers
Frequent sitting with movement throughout office space
Use of computers throughout the work day
Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Refine Your Search

claims advocate jobs in appleton, wi

Patient Financial Advocate

Manager of Product Design Compliance

Mission Team Leader - MSO

Customer Service Representative - Phone (onsite first 30 days)

Director of Talent

Prepared Meals and Rotisserie Chicken Associate

Senior Software Engineer: Site Reliability Engineering

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