- R1 RCM (Chicago, IL)
- …HCPCS, modifiers) for diagnoses, treatments, and procedures for new charges, denials, and claim edits in assigned work queues while meeting daily quotas with 95% ... correct documentation; validate coder production + Coordinate provider queries and resolve escalated claims + Adhere to Standards of Ethical Coding by AHIMA and AAPC… more
- CVS Health (Springfield, IL)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School Diploma or equivalent GED… more
- AGCO Corporation (Morton, IL)
- …ID: 101194 Location: Morton, IL, US Brand: PTx Workplace Type: Onsite Not everyone can claim to feed the world, but it is part of our every day. Behind everything ... Impact** + Respond to customer quality requirements including non-conformance reports, Warranty claims , and 8D or similar requests + Collaborate and partner with… more
- Cognizant (Springfield, IL)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... monitoring, Storage monitoring, Connect Direct subsystem. + Contact different teams if requested by on-call + For application upgrade events, place job queues on HOLD for MOD and Patch instances + Responsible for performing and monitoring all backups on the… more
- Humana (Springfield, IL)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + ... Experience creating pivot tables and consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information** **Work-At-Home Requirements:** + WAH requirements: Must have the… more
- CVS Health (Springfield, IL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- ManpowerGroup (Itasca, IL)
- …insurance claim requests. + Manage rental requests and insurance claims inquiries effectively. + Gather situational information to proceed with service requests ... using internal and external systems. + Provide assistance with trip interruption and passenger transport inquiries. **What's Needed?** + Strong call center skills with a focus on problem-solving. + Ability to communicate clearly and effectively with customers.… more
- Birkeys Farm Store (Hoopeston, IL)
- …maintain all repair orders for accuracy and completeness. + Assist with all warranty claims and manufacturer claim forms. + Assist in maintaining up-to-date and ... organized service library of bulletins and reference material. + Process records of parts requisitions, parts invoices, material invoices and outside labor invoices to ensure proper accounting. + Maintain and reviews daily attendance records and assigned daily… more
- Carrington (Springfield, IL)
- …internal departments, in-house attorneys, and other stakeholders. + Conduct pre- claim title review including reviewing title records, organizing documents, creating ... chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier retained counsel. + Ensure compliance with… more
- International (Lisle, IL)
- …to identify risks and opportunities of future experience + Analyze warranty claims data to identify trends, anomalies, and potential cost reduction opportunities + ... 1831, to the 15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors,… more