- 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
- Health Care Service Corporation (Chicago, IL)
- …for prosecution, recovery and litigation. Also, reviews operational controls, and claim system controls and protocols, and recommends enhancements to ... tools and techniques to conduct detailed investigations of potentially fraudulent claim activity by members, employees and providers, both internally and externally… more
- Sedgwick (Springfield, IL)
- …worker's injury, medical treatment, psychosocial needs, cultural implications and support systems . + Effectively communicates and builds relationships with the ... claims ' examiner, client, injured worker, attorney and supervisor. +...+ Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes… more
- Highmark Health (Springfield, IL)
- …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers… more
- CDM Smith (Joliet, IL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Management: The candidate must understand and be knowledgeable in project delivery systems , contracting strategies, and typical contract forms and terms. The role… more
- Baylor Scott & White Health (Springfield, IL)
- …and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission ... Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related… more
- Snapsheet (Chicago, IL)
- …Snapsheet's OOTB integration service. + Ensure seamless interoperability between Snapsheet's claims platform application and third-party systems . + Write ... Job Type: Full-time, direct hire About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims… more
- TEKsystems (Rockford, IL)
- …Outlook) and general computer literacy. + Familiarity with medical terminology, insurance claims , and EMR systems . + Excellent communication and organizational ... + Reviewing cases for eligibility and entering data into internal systems . + Preparing, tracking, and filing sensitive healthcare documentation. + Responding… more
- Carle Health (Champaign, IL)
- …varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system , assisting with various patient or payor ... coding and encoders as a means to ensure compliant billing of Carle claims . HIM Certified Coder is responsible for understanding and applying all regulatory coding… more
- Robert Half Finance & Accounting (Elmhurst, IL)
- …to regulations and policies, and will involve the use of various software systems to monitor business activities, maintain records, and aid in communication across ... departments. Job Description: * Utilize Sungard Protegent system for monitoring trading activity and real-time alerts. *...to ensure compliance. * Utilize CRM and ERP software systems to manage customer interactions and business resources. *… more