- Walgreens (Aurora, 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
- Highmark Health (Springfield, IL)
- …August 2016. + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) ** Preferred ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- Intermountain Health (Springfield, IL)
- …**Qualifications** **Required** + Demonstrated experience in Revenue Cycle medical claims management + Demonstrates exceptional organizational skills. + Demonstrates ... an ability to maintain a high level of accuracy. ** Preferred ** + Bachelor's Degree in Finance, Business or related...experience + Five (5) years of experience in medical billing/ claims follow up **Physical Requirements** + Manual dexterity of… more
- Humana (Springfield, IL)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... and analytical results to higher-level business insights and key takeaways ** Preferred Qualifications** + Healthcare or managed care working experience + Experience… 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, including ... related to customer complaints. Provide system event information to support claims department investigations. + Utilize PI (SCADA Historian) to observe pre/post… more
- Humana (Springfield, IL)
- …**Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations… more
- Walgreens (Palatine, 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 (Milan, 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
- Sedgwick (Springfield, IL)
- …both the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred ; or bachelor's degree in health or human services field required with ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- The Robison Group (Springfield, IL)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... results (except when undergoing documented medical treatment). + College Degree preferred . TRAINING The Robison Group provides remote training to ensure that… more