Top 1970 Sr process Jobs in Milwaukee, Wi

Representative, Enrollment - Remote in Madison or Milwaukee
Molina Healthcare —Milwaukee, WI
- $13.55 - $26.42 an hour
- Full-time
- Remote
- HIPAA
- Research
- Data entry
- Health insurance
12d
Data Analyst
Planned Parenthood of Wisconsin, Inc. —Milwaukee, WI
- From $35.71 an hour
- Weekends as needed
- Hybrid work
- Spanish
- Customer service
- HIPAA
- Paid parental leave
- Paid holidays
Quick Apply
Senior Project Engineer, NA
Vantage Data Centers Management Company LLC —Port Washington, WI
- Full-time
- Construction site
- Military
- 3 years
- AD&D insurance
- Disability insurance
Quick Apply
Senior Financial Planning & Analysis Lead
Nelson-Jameson, Inc. —Milwaukee, WI
- From $80,000 a year
- Online Application
- Hybrid work
- CPA
- Office
- Microsoft Office
- Health savings account
- Health insurance
Quick Apply
Senior IT Construction Engineer, NA
Vantage Data Centers Management Company LLC —Port Washington, WI
- $106,000 - $115,000 a year
- Full-time
- Background check
- Computer science
- Computer Science
- AD&D insurance
- Disability insurance
Quick Apply
10d
Hospice RN DON_ Clinical Administrator
Presbyterian Homes & Services —Menomonee Falls, WI
- Full-time
- Nursing
- RN License
- Computer literacy
Dept. Lead - Senior Landscape Architect - Milwaukee, WI
JSD Professional Services, Inc —Waukesha, WI
- $100,000 - $999,999 a year
- Full-time
- Office
- Business development
- Project management
- Health savings account
- Health insurance
Quick Apply
8h
Senior Project Engineer
AQUALIS —Milwaukee, WI
- $100,000 - $110,000 a year
- Full-time
- AutoCAD
- Customer service
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
Senior Quality Engineer
Global Power Components —Milwaukee, WI
- $18 - $100 an hour
- Full-time
- Spanish
- 5 years
- Engineering
- Health insurance
- Dental insurance
Quick Apply
Senior Industrial Engineer
Global Power Components —Milwaukee, WI
- CAD
- 5 years
- Analysis skills
Quick Apply
Military Service - U.S. Air National Guard, All Source Intelligence Analyst
Military Service - U.S. Air National Guard Recruiting —Wisconsin
- From $49,838.78 a year
- Full-time
- High school diploma or GED
- Entry level
Senior Construction Materials Testing Technician
GESTRA Engineering, Inc. —Milwaukee, WI
- $25 - $30 an hour
- Full-time
- Microsoft Word
- Clean driving record
- Microsoft Excel
- Health savings account
- Disability insurance
Quick Apply
Global Category Manager
INNIO —Waukesha, WI
- Hybrid work
- Oracle
- Office
- Presentation skills
Quick Apply
Controller
Koru Health —Milwaukee, WI
- Full-time
- CPA
- Office
- Finance
- Health savings account
- Disability insurance
Quick Apply
Manufacturing Engineer - Assembly - Jenbacher Engines
INNIO —Waukesha, WI
- Monday to Friday
- Schematics
- Mid-level
- Travel
Quick Apply
General Manager
Cream City Concepts —Milwaukee, WI
- From $75,000 a year
- Weekends as needed
- Bar
- No education required
- ServSafe
- Health insurance
- Paid time off
Quick Apply
1d
Automotive Service Technician
RUSS DARROW GROUP —Milwaukee, WI
- Full-time
- ASE Certification
- Mechanic experience
- Dealership
- Paid training
- Health savings account
Quick Apply
Sr. Process Development Engineer
Lubrizol —Franklin, WI
- Full-time
- 8 years
- Analysis skills
- Mentoring
- Health savings account
- Paid holidays
Property Field Claims Adjuster Sr- Milwaukee, Wisconsin
COUNTRY Financial —Milwaukee, WI
- $77,600 - $106,700 a year
- Full-time
- Remote
- 7 years
- Senior level
- Disability insurance
- Health insurance
Senior Manager, Financial Planning & Analysis (FP&A)
ATI —Cudahy, WI
- CPA
- Finance
- Analysis skills
Quick Apply

I want to receive the latest job alert for sr process in milwaukee, wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

sr process jobs near milwaukee, wi

Representative, Enrollment - Remote in Madison or Milwaukee

Molina Healthcare -
Milwaukee, WI

Apply Now

Job Details

Full-time
$13.55 - $26.42 an hour
12 days ago

Benefits

Health insurance

Qualifications

Customer communication
Customer relationship building
Client rapport building
HIPAA
Employee relationship building
Health information regulatory compliance
Productivity software
Proofreading
Clinical confidentiality policies
Stakeholder relationship building

Full Job Description

JOB DESCRIPTION Job SummaryProvides support for member enrollment activities including preparation, processing and maintenance of new members and reenrollment. Processes and maintains health plan member and enrollment records, employer monthly reports and sends membership cards and materials accordingly. Provides customer service to plan members, providers, and employer groups by answering benefit questions, verifying enrollment status, researching and resolving enrollment system rejections and issues and providing support to callers.

Essential Job Duties

Resolves the following member eligibility exceptions within the required state/regulatory timeframes: member enrollment file errors, identification (ID) card generation errors, primary care physician (PCP) assignments and 834 enrollment files to vendor/third party administrators.
Processes member coverage of eligibility (COB) to ensure accurate information is represented in Molina’s enrollment system.
Assists with the support of newborn enrollment functions to include: call center requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/disenrollment activity and mass member moves.
Manages claims queue to ensure timely and accurate processing of claims pended due to enrollment or COB related issues.
Serves as subject matter expert (SME) for application data entries for the enrollment process.
Processes mail returned by members - providing updates or requested information.
Processes mail returned for insufficient or inaccurate addresses; remails as indicated, and reports inventory as required by department policy.
Maintains the intake process for department e-mails and distributes as appropriate.
Facilitates the IServe process and makes assignments to the vendor and/or senior level support as appropriate.
Completes the Centers for Medicare and Medicaid Centers (CMS) Online Enrollment Center (OEC) process - pulling applications from the online portal and managing the intake process accordingly.

Required Qualifications

Up to 1 year of experience in health care, and/or customer/provider services experience, or equivalent combination of relevant education and experience.
Customer service experience.
Data processing and proofing experience.
Attention to detail, organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

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: $13.55 - $26.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

sr process jobs in milwaukee, wi

Representative, Enrollment - Remote in Madison or Milwaukee

Data Analyst

Senior Project Engineer, NA

Senior Financial Planning & Analysis Lead

Senior IT Construction Engineer, NA

Hospice RN DON_ Clinical Administrator

Dept. Lead - Senior Landscape Architect - Milwaukee, WI

Senior Project Engineer

Senior Quality Engineer

Senior Industrial Engineer

Military Service - U.S. Air National Guard, All Source Intelligence Analyst

Senior Construction Materials Testing Technician

Global Category Manager

Controller

Manufacturing Engineer - Assembly - Jenbacher Engines

General Manager

Automotive Service Technician

Sr. Process Development Engineer

Property Field Claims Adjuster Sr- Milwaukee, Wisconsin

Senior Manager, Financial Planning & Analysis (FP&A)

I want to receive the latest job alert for sr process in milwaukee, wi

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected