- Elevance Health (Chicago, IL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...and medical records prior to payment and uses required systems /tools to accurately document determinations and continue to next… more
- Transdev (Lombard, IL)
- …Position: Senior staff position within North American headquarters responsible to support FP&A Manager and Director of Accounting on a variety key projects. We offer ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...the US contract with Transdev to operate their transportation systems , maintain their vehicle and fleets, and deliver on… more
- Walgreens (Belleville, IL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient workflow of the… more
- Walgreens (Chicago, IL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... interpersonal. + Participates and assists in community events as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager .… more
- International (Lisle, IL)
- …representative for International supporting compliance related issues. The Regulatory Compliance Manager supports a variety of reporting requirements such as the ... GHG, NOX Emissions Tracking + Experience working with management systems aligned to standards such as ISO 31000 (Risk...15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle,… more
- Carle Health (Metamora, IL)
- …and established patients necessary for completion of electronic health record and insurance claim processing at each patient visit on patient accounting system . ... interests. Perform other duties as requested by Patient Care Manager to facilitate the smooth and effective operations of...Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight… more
- Carle Health (Champaign, IL)
- Overview Reports to the HIM Coding Manager and is responsible for coordinating and directing activities related to coding of individual patient health information ... for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding...works with them to implement changes. In collaboration with manager (or director) conducts regularly scheduled meetings with staff,… more
- Humana (Springfield, IL)
- …Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Oracle (Springfield, IL)
- …Design, configure, and implement Oracle Health's pharmacy solutions - including Medication Manager , Bedrock, and Retail Pharmacy systems . + Translate complex ... pharmacies really work. You thrive on solving problems, helping clinicians, and building systems that improve care. **Basic Qualifications** : + 5+ years of combined… more
- Rising Medical Solutions (Chicago, IL)
- …- CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager + Experience ... medical providers. + Set up files in all appropriate systems ; assign files, when applicable, to the nurse +...appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally… more