- R1 RCM (Chicago, IL)
- …edits and the design and implementation of future edits within a novel claim scrubber system . This position requires an analytical mindset, strong collaboration ... the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company...our R37 GenAI Lab Process Analyst in the Perfect Claim pillar, you will play a key role in… more
- Allied Universal (Champaign, IL)
- … claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Snapsheet (IL)
- …Team at Snapsheet, you'll own the strategy, roadmap, and execution of our assignment management system . This includes how claims enter our system , how they ... Job Type: [Full-time] About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and...You'll work with an assignment engine algorithm that considers claim attributes to assign work and add it to… more
- Walgreens (Deerfield, IL)
- …actions to system discrepancies, prescription and reimbursement data, vendor changes, claims processors, etc. Experience with query databases to pull claims ... Government, 340B and Walgreens Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores. Investigates Payer… more
- CVS Health (Springfield, IL)
- …related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- Invenergy (Chicago, IL)
- …of accurate records of claims across all lines of coverage. Generate regular claim reports and maintain open claims status by working closely with the ... external purposes. + Assist with a wide range of claim related activities - claim notice intake...who is able to efficiently become skilled at new systems and effectively manage deadlines. + Ability to communicate… more
- CVS Health (Springfield, IL)
- …effective solutions for our patients by billing Home Infusion and DME claims and invoices to governmental and commercial insurance companies for reimbursement for ... our patients' insurance claims . In this role, you will ensure timely and...role, you will ensure timely and accurate review and claim submission on all patient accounts subject to medical… more
- Robert Half Accountemps (Moline, IL)
- …What You'll Do: + Perform data analysis and entry related to claims , payments, collections, corrections, and insurance denials + Process payment postings and ... manage reconciliation tasks with accuracy. + Submit claims , review and correct errors, and resubmit for maximum...for maximum reimbursement. + Collaborate with insurance companies for claim resolutions, ensuring timely processing. + Work on … more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Sedgwick (Springfield, IL)
- …Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and ... Claims Examiner providing timely updates on changes in injured...is professionally documented and enters incident data into computer system . + Educates the assigned FCM on Sedgwick benchmarks… more