- 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 ... collected in accordance to contract allowable payment schedule. 2. Follow up on claims with the appropriate payer for reimbursement. 3. Work directly with various… more
- Kemper (Downers Grove, IL)
- …demonstrated proficiency in all areas including BI claims . + Ability to handle/review claims via on-line claims systems . + Must apply for and possess, ... **Position Summary:** Kemper is excited to add to our Claims Management team. Our managers are responsible for the...This includes the management of all property and casualty claims in the area serviced by the Branch. Responsible… 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. ... ensure that each account balance is processed correctly. 2. Follow up of claims to the appropriate payer for reimbursement: Work directly with various departments to… more
- AdventHealth (Glendale Heights, IL)
- …of the multi-disciplinary care team to effect timely, appropriate management of claims . + Utilizes advanced conflict resolution skills as necessary to ensure timely ... all required documentation in the Cortex platform and in the system 's electronic health record; *Escalating otherwise unresolved status conflicts appropriately and… more
- The Hartford (Chicago, IL)
- …maintain monitoring tools such as actual loss vs expectation. + Partner with the Claims Department to understand claim activity and trends, and inform reserve ... partnership with our Underwriting Divisions as well as Finance, Claims , and IT departments. Responsibilities As a key member...and Product teams. + Develop and maintain price monitoring systems and tools to support portfolio health. General +… more
- Prime Therapeutics (Springfield, IL)
- …in Microsoft Word, Excel, Project, PowerPoint, and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + ... Business Consultant serves as a project manager **,** business system or business process subject matter expert with a...satisfaction + May facilitate testing for new or improved systems or processes including creation of a test plan,… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …. + Design, develop, and maintain Salesforce Health Cloud and related CRM system integrations with internal and external systems , data platforms, and analytics ... Support will be responsible for managing and enhancing platform integrations across data systems , Salesforce Health Cloud and other CRM systems , analytics tools,… more
- CenterWell (Buffalo Grove, IL)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's… more
- Evolent (Springfield, IL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Towne Park (Quincy, IL)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...check receipt from all vehicles taken into the valet system . Consistently completes location on all key tags after… more
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