- Walgreens (Deerfield, IL)
- …for verifying patient eligibility, coordinating benefits, running test claims , and determining patient coverage/responsibility for services. Handles inbound ... reviews FDA guidelines, and prior authorization requirements to ensure payment of claims . + Resolves questions and problems submitted by customers and Major Medical… more
- Walgreens (Deerfield, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Deerfield, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- R1 RCM (Chicago, IL)
- …answer relevant questions and obtain appropriate information in pursuit of resolving unpaid claims . To thrive in this role, you must be resourceful and have ... pertaining to the EOB + Works closely with third party payers to resolve unpaid claims in proving medical necessity of the patient's admission + Works with HIM and… more
- Owens & Minor (Downers Grove, IL)
- …and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments. + Ability to edit and resubmit ... claims for payment. + Prepares and reviews clean claims for submission to various insurances either electronically or y paper. + Working knowledge of Microsoft… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- AbbVie (Mettawa, IL)
- …applies technical programming skills and experience to analyze clinical, survey and claims databases. Role supports the department as a technical subject matter ... programing (SAS, SQL, R, Python) and experience in observational study analysis ( claims , survey, clinical and EMR analysis) required. + Ability to incorporate… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- CVS Health (Springfield, IL)
- …and handle contract related issues (ability to research and deep dive). + Claims research related to provider set up issues, payment resolutions and coordinate with ... Claims SME + Provider visits onsite, virtual, and telephonic...experience with Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance… more
- Kemper (Chicago, IL)
- …evaluation, coverage determination, negotiation, and settlement of non-complex property contents claims . Ensures claims are handled within best practices and ... Subrogation and outside vendors as required. **Position Responsibilities:** + Property claims handling including initial coverage review and contact of all parties… more