- Evolent (Springfield, IL)
- …- Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in ... assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans,… more
- Walgreens (Peoria, 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
- Evolent (Springfield, IL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- Caterpillar, Inc. (Peoria, IL)
- …. **Job Summary:** + The **Warranty Analyst** analyzes claims against Caterpillar warranty and insurance policies ensuring compliance ... require up to 10% domestic travel **What You Will Do:** + Analyzes claims against Caterpillar warranty and insurance policies ensuring compliance with written policy… more
- Legacy Parking Company (Chicago, IL)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and make recommendations to improve the overall… more
- EFI Global (Moline, IL)
- …**Education & Licensing** Bachelor's degree from an accredited college or university preferred . Colleague to pursue CPCU, AIC and/or ARM or other related designation ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Rush University Medical Center (Chicago, IL)
- …**Senior Epic Application Analyst** certified in **Epic Resolute Professional Billing and/or Claims ** , and additional experience in **Epic Community Connect** . In ... research, and solve technically challenging problems involving integrated systems. ** Preferred Job Qualifications:** + Epic Resolute Professional Billing and/or … more
- CVS Health (Downers Grove, IL)
- …well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review, and prepare responses for all governmental, ... interpretation * Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and/or Network Performance Standards… more
- Humana (Springfield, IL)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...+ Familiar with healthcare industry regulations or adjacent sectors ** Preferred Qualifications** + Comprehensive knowledge of Medicare, Medicaid, and… more
- Walgreens (Evanston, 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