- Walgreens (Deerfield, IL)
- …and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers. ... problems and questions regarding third party prescription plans from stores, claims processors, Walgreens Direct Bill contracts and other applicable parties.… more
- Jacobs (Chicago, IL)
- …* Managing the contractor's work and coordinating with Design Manager, operations department, safety department, and engineering department personnel so that the ... railroads, third parties and other project stakeholders to continue their on-site operations throughout the project. * Judging the quantity, quality, fitness, and… more
- Centene Corporation (Springfield, IL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic… more
- UNUM (Springfield, IL)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- Intermountain Health (Springfield, IL)
- …Essential Functions* Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. ... Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.* Develops,… more
- Humana (Springfield, IL)
- …critical thinking/problem solving skills, an understanding of health plan operations , and strong interpersonal skills. The Provider Engagement Professional develops ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- Towne Park (Peoria, IL)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...divide with 10's and 100's; ability to perform these operations using units of American money + Ability to… more
- CVS Health (Springfield, IL)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both internal and external customers. Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent… more
- Walmart (Joliet, IL)
- …and policies Lists common tasks and activities performed by operations functions and subfunctions Partnership Collaboration Possesses knowledge of Stakeholder ... assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of … more
- Snapsheet (Chicago, IL)
- …Location: Remote Job Type: Full-Time 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 . What you'll get: + Remote working environment… more