- Snapsheet (Chicago, IL)
- …Job Department: Technology Team : R&D About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... the end-to-end claims process - delivering faster, modern experiences for claims organizations of all sizes. About the role: We're looking for a Lead… more
- Sedgwick (Moline, IL)
- …combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In ... depth knowledge of claims management, managed care and/or absence management processes and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Elevance Health (Chicago, IL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Kemper (Chicago, IL)
- …planning and analysis role you will support Kemper Property & Casualty Claims business leaders, providing critical insights to enable them to make data-driven ... + Provide analysis of monthly financial performance, primarily focusing on claims -related expenses. Interpret financial data and key performance indicators to help… more
- Robert Half Accountemps (Burr Ridge, IL)
- …play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ... accuracy in codes, drug quantities, and pharmacy delivery documentation. * Submit claims to insurance companies by printing and mailing forms, attaching primary… more
- Highmark Health (Springfield, IL)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for… more
- Canon USA & Affiliates (Springfield, IL)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Snapsheet (Chicago, IL)
- …drive efficiencies using data and technology to enable the fastest and most accurate claims processing in the industry. We are looking for a Senior Software Engineer ... to join one of two core teams at Snapsheet: Claims Management Team Our Claims Management team develops cutting-edge solutions for our main SaaS product,… more
- Superior Ambulance Service (Elmhurst, IL)
- …our clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts and responding to insurance carrier ... 72 hours of receipt + Responsible for resolving unpaid claims that are Greater than 60 days from date...days from date of service + Reviews previously worked claims a minimum of every 30 days + Responsible… more