- Sedgwick (Springfield, IL)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Aldridge (Libertyville, IL)
- …orders, and other related agreements. You will help manage and strategize construction claims and litigation and be responsible for overseeing claims and legal ... as required. + Draft and advise as to proper claim strategy and contract execution. + Provide advice to...across the organization. + Manage labor and employee relations claims as needed. + Manage outside counsel on litigation… more
- Reynolds & Reynolds (Warrenville, IL)
- …inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them ... understand their contract in relation to their maintenance claim requests. Responsibilities will include, but are not limited to:- Reviewing automotive contracts and… more
- CVS Health (Springfield, IL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... accounting system, including accounts receivable, accounts payable, auditing, and billing. ** Preferred Qualifications** + Resides in Amherst, New York, with the… more
- Amgen (Chicago, IL)
- …insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review ... + Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical… more
- 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
- Humana (Springfield, IL)
- …2 opening available. The Payment Integrity Professional 2 utilizes vendor platforms, claims processing platforms, and data to collaborate with key internal and ... external business stakeholders, while supporting claims code editing pre and post-implementation and functionality. The opportunity contributes to the overall goal… more
- Prime Therapeutics (Springfield, IL)
- …execution + May manage Medicaid subrogation activities including monitoring batch claim files, outgoing eligibility files, verification of letters of authority and ... some claims analysis. + Other duties as assigned **Minimum Qualifications**...Ability to implement defined objectives and to act independently ** Preferred Qualifications** + Previous PBM Experience + Experience working… more
- Rush University Medical Center (Chicago, IL)
- …This role includes performing re-bills, Debit & Credits, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer ... with a diverse number of internal and external contacts. ** Preferred Job Qualifications:** * Prior experience using Epic for...to contract allowable payment schedule. 2. Follow up on claims with the appropriate payer for reimbursement. 3. Work… more
- Rush University Medical Center (Chicago, IL)
- …and performing actions such as re-bills, debit & credit, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits. ... hospital setting, familiarity with medical terminology and patient fiscal matters. ** Preferred Job Qualifications:** * Prior experience using Epic for Hospital… more
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