- Superior Ambulance Service (Elmhurst, IL)
- …Tasks within 72 hours of receipt + Responsible for resolving unpaid claims that are Greater than 60 days from date of service + Reviews previously ... clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts and responding to...worked claims a minimum of every 30 days + Responsible… more
- Humana (Springfield, IL)
- …to make an impact** **WORK STYLE:** Work at home/remote with 15-20% travel required **WORK HOURS :** Regular business hours are in EST (8 hours per day, ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...management skills + Strong Analytical skills + Core business hours align to Eastern Standard Time (EST) + Able… more
- Cognizant (Springfield, IL)
- …you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying ... outcomes, and resolution activities. *Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. *Analyze denial trends and… more
- Sumitomo Pharma (Springfield, IL)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials....shut-down period during the last week of December, 80 hours of paid sick time upon hire and each… more
- ICW Group (Lisle, IL)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims . The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... delivery. + Communicates effectively with medical providers, the assigned claims examiner, injured worker and policyholder and/or handling attorneys...Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per… more
- Sedgwick (Moline, IL)
- …escalate issues to the proper channels. . Attendance during scheduled work hours is required. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** . Performs other duties ... year of experience in construction management, restoration and/or insurance claims and customer service required. Chronicle software experience preferred._**… more
- Zurich NA (Schaumburg, IL)
- …bill litigation, research, and resolve issues by working with corporate law, Technical Claims and other, as necessary. + Prepare, attend and participate in any ... sharing technical knowledge. + Protect Zurich's reputation by keeping claims information confidential. + Maintain professional certifications and technical knowledge… more
- Walgreens (Evanston, 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
- CVS Health (Edwardsville, IL)
- …be eligible to apply into this role to complete your required US Internship hours that build upon your Pharmacist education to develop your knowledge, skills, and ... within **120-days** of the completion of required US Internship hours . While working as a Non-US Accredited Foreign Graduate,...+ Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in… more
- Veterans Affairs, Veterans Health Administration (Mount Vernon, IL)
- …multidisciplinary staff as appropriate Completing notes and encounters with 24 hours , assigned and/or required Talent Management Systems (TMS) trainings, and Ongoing ... requires a pre-employment physical. Requires lifting 15-44 pounds; pushing (approx. 2 hours ); reaching above shoulder; use of fingers and both hands; walking and… more
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