Top 177 Member services representative Jobs in Weston, Wi

Denial Coordinator
Surgical Associates, SC —Wausau, WI
- From $20 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
14d
Member Services Representative
Planet Fitness —Wausau, WI
- $13.75 an hour
- 18 years or older
- Computer literacy
- High school diploma or GED
- Opportunities for advancement
Quick Apply
Financial Representative - Entry Level
Wisconsin Region - Modern Woodmen of America —Stevens Point, WI
- $97,000 - $192,000 a year
- Full-time
- Hybrid work
- 11+ years
- Recruiting
- Financial services
- Health insurance
- Dental insurance
Quick Apply
13d
Member Service Representative
CoVantage Credit Union —Weston, WI
- $18.00 - $30.56 an hour
- Full-time
- Bilingual
- Office
- Windows
- Health savings account
- Paid time off
Quick Apply
11d
Account Representative - State Farm Agent Team Member
RYAN HANSON - State Farm Agent —Schofield, WI
- $70,000 - $100,000 a year
- Full-time
- Office
- Communication skills
- Marketing
- Opportunities for advancement
Quick Apply
HOSPITAL REGISTRATION REPRESENTATIVE - PATIENT ACCESS
ASPIRUS HEALTH —Wausau, WI
- Full-time
- Anatomy knowledge
- Hospital
- Customer service
- Wellness program
- Paid time off
Consumer Care Representative
Delta Dental of Wisconsin Inc —Stevens Point, WI
- Full-time
- Hybrid work
- Computer literacy
- High school diploma or GED
- Typing
- Health insurance
- Dental insurance
Member Service Representative
Marathon County Employees Credit Union —Wausau, WI
- $15 - $18 an hour
- Full-time
- Background check
- Customer service
- Office
- Health savings account
- Health insurance
Quick Apply
8d
Member Experience Representative I
Valley Communities Credit Union —Mosinee, WI
- $18.50 - $20.00 an hour
- Full-time
- Mid-level
- 2 years
Quick Apply
14d
PT Customer Care Specialist
Saia Motor Freight Line LLC —Wausau, WI
- $21.75 - $26.55 an hour
- Part-time
- 18 years or older
- English
- Mid-level
Quick Apply
4d
Registered Nurse - Vascular Surgery
Surgical Associates, SC —Wausau, WI
- Full-time
- Nursing
- Anatomy knowledge
- Vital signs
- Health savings account
- Health insurance
Quick Apply
Workers Compensation Claims Representative
Wisconsin Municipal Mutual Insurance Company —Wisconsin
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
Long-Term Care Nurse Supervisor (LPN or RN)
Wood Aven Health and Rehabilitation —Wausau, WI
- $35 - $46 an hour
- Full-time
- Background check
- LVN
- English
- Health savings account
- AD&D insurance
Quick Apply
14d
1st & 2nd Shift - Break Press Operator
Schuette Metals Inc —Rothschild, WI
- Full-time
- Office
- High school diploma or GED
- Ability to lift 50 pounds
- Disability insurance
- Health insurance
Quick Apply
12d
Shift Leader - Rib Mountain
Goodwill NCW Jobs —Wausau, WI
- From $16.30 an hour
- Weekends as needed
- Background check
- Microsoft Outlook
- Computer literacy
Quick Apply
Welder/Fabricator
Schuette Metals Inc —Rothschild, WI
- $22 - $29 an hour
- Full-time
- Office
- High school diploma or GED
- Ability to lift 50 pounds
- Disability insurance
- Health insurance
Quick Apply
1d
Overnight Member Service Representative
Planet Fitness —Wausau, WI
- $15.25 an hour
- Overnight shift
- 18 years or older
- Computer literacy
- High school diploma or GED
- 401(k)
- Opportunities for advancement
Quick Apply
Baker
Festival Foods —Stevens Point, WI
- Weekends as needed
- Bakery
- In-person
- Entry level
- Paid parental leave
- Dental insurance
Team Member - 14-17$/hr
Jimmy John's Sandwiches —Wausau, WI
- $14 - $17 an hour
- Part-time
- Basic math
- English
- Ability to lift 50 pounds
- Employee discount
- Referral program
Quick Apply
8d
Field Service Technician
Morris Midwest —Wisconsin
- Schematics
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply

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Denial Coordinator

Surgical Associates, SC
Wausau, WI

Quick Apply

Job Details

Full-time
From $20 an hour
14 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Life insurance
Retirement plan

Qualifications

High school diploma or GED

Full Job Description

Company Overview

Surgical Associates, SC is a leading independent surgical group serving multiple communities across the region. With a team of highly skilled surgeons specializing in various fields, we are dedicated to providing exceptional surgical care through our clinics and affiliated surgical centers.

Summary

The Denial Coordinator is responsible for reviewing and resolving denied insurance claims to maximize reimbursement and ensure accurate payment for services rendered. This role investigates denial reasons, corrects claim errors, submits appeals, and works closely with insurance companies, providers, and billing staff to achieve timely claim resolution. The Denial Coordinator also monitors denial trends and recommends process improvements to reduce future claim denials and strengthen overall revenue cycle performance.

Essential Job Functions

· Reviews and analyzes insurance claim denials to determine the root cause and appropriate corrective action.

· Investigates denied claims for coding errors, missing documentation, authorization issues, or payer-specific requirements.

· Corrects claim errors and resubmits claims to insurance carriers in a timely manner.

· Prepares and submits written appeals for denied or underpaid claims, including supporting documentation as required.

· Communicates with insurance companies regarding claim status, denials, appeals, and reimbursement issues.

· Tracks and monitors denied claims to ensure timely follow-up and resolution.

· Identifies denial trends and provides recommendations to management to improve claim acceptance rates and reduce future denials.

· Collaborates with providers, coders, clinical staff, and revenue cycle team members to resolve billing and reimbursement issues.

· Maintains accurate records of denial activity, appeal outcomes, and payer communications.

· Assists with special projects, audits, reporting, and other revenue cycle functions as assigned.

· This list is not inclusive of all duties and responsibilities that may be assigned. They are only listed as typical. Any other duties and responsibilities assigned will be of a similar nature requiring the same relative skill and capabilities.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

· High school diploma or equivalent is required.

· Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Medical Billing and Coding, or related field is preferred.

· Minimum of two (2) to four (4) years of experience in medical billing, insurance claims processing, denial management, or a related healthcare revenue cycle role.

· Previous experience working with insurance appeals, reimbursement processes, and claim resolution is preferred.

· Experience working with Epic software or other Electronic Health Record (EHR) systems is preferred.

· Understanding of medical terminology, insurance regulations, and payer guidelines is required.

· Experience working with Epic software is preferred.

Competencies

· Demonstrates strong knowledge of medical billing, denial management, reimbursement processes, and insurance claims.

· Possesses working knowledge of ICD-10 diagnosis coding, CPT procedure coding, and payer-specific billing requirements.

· Demonstrates strong analytical and problem-solving skills with the ability to identify root causes of claim denials.

· Maintains a high level of attention to detail and accuracy.

· Possesses strong written communication skills for preparing professional appeal letters and supporting documentation.

· Demonstrates effective verbal communication and interpersonal skills when interacting with insurance representatives, providers, and staff.

· Proficient in Microsoft Office applications and healthcare information systems.

· Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment.

· Adheres to strict confidentiality standards and maintains compliance with HIPAA regulations.

· Demonstrates professionalism, accountability, and a commitment to revenue cycle excellence.

Physical/Mental Demands and Work Environment

The nature of the job requires sitting for extended periods of time. While performing the essential functions of the job one may occasionally walk, stand, bend/stoop, squat, push/pull. Some lifting/carrying up to10 lbs. is required. The use of hands for repetitive simple grasping is required. While performing the job, one will encounter continuous close paperwork, use of computer monitor, and frequent need for color vision, visual monotony. Must utilize hearing for occasional conversations, telephone use, background noise. The job requires occasional independent decision-making.

This job description is not a guarantee of employment. It is understood that employment is “at will,” and the employer or the employee may terminate employment at any time.

Pay: From $20.00 per hour

Benefits:

Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Application Question(s):

How did you hear of this opportunity?

Location:

Wausau, WI 54401 (Preferred)

Ability to Commute:

Wausau, WI 54401 (Required)

Work Location: In person

Quick Apply

Refine Your Search

member services representative jobs in weston, wi

Denial Coordinator

Member Services Representative

Financial Representative - Entry Level

Member Service Representative

Account Representative - State Farm Agent Team Member

HOSPITAL REGISTRATION REPRESENTATIVE - PATIENT ACCESS

Consumer Care Representative

Member Service Representative

Member Experience Representative I

PT Customer Care Specialist

Registered Nurse - Vascular Surgery

Workers Compensation Claims Representative

Long-Term Care Nurse Supervisor (LPN or RN)

1st & 2nd Shift - Break Press Operator

Shift Leader - Rib Mountain

Welder/Fabricator

Overnight Member Service Representative

Baker

Team Member - 14-17$/hr

Field Service Technician

I want to receive the latest job alert for member services representative in weston, wi

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