- Walgreens (Beach Park, 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
- Humana (Springfield, IL)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... data into reports and dashboards + Experience working with claims data + Experience working with big and complex...for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
- CVS Health (Springfield, IL)
- …requirements. + Apply clinical criteria and policies to member/provider claims and coordinate clinical resolutions with MD support. **Performance Improvement ... others. + Mentor peers on policy processes and participate in open office hours to improve team engagement. **Provider Communication** + Develop and edit provider… more
- Walgreens (Elmwood Park, 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 (Romeoville, IL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Walgreens (Westchester, 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
- CenterWell (Springfield, IL)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Exelon (Oakbrook Terrace, IL)
- …to operating equipment with degraded protection systems. Support power quality and claims investigations. Position may be required to work extended hours , ... to customer complaints. Provide system event information to support claims department investigations. + Utilize PI (SCADA Historian) to...+ Engineer in Training OR + 50% complete (by hours ) with advanced technical degree, MBA or Project Management… more
- ProSmile (Oak Park, IL)
- …Responsibilities The duties include, but are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on outstanding claims and ... following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions...per week) and Part Time Benefits Eligible Positions (30-35 hours per week): + Medical Insurance: Choice of five… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …Day: (9am-5pm, 10am-6pm) Evening: (12pm-8pm) DUTIES/RESPONSIBILITIES: + Process third-party billing, claim resolution, and adjudication + Manage FFS and PPS billing ... May sit or stand seven (7) to ten (10) hours per day + The employee is occasionally required...bend, walk + May be necessary to work extended hours as needed + May lift and/or move up… more
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