- Cognizant (Springfield, IL)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- Prime Healthcare (Aurora, IL)
- …key stakeholders on employment issues. This attorney must be experienced with wrongful termination claims , wage and hour class actions, PAGA claims , as well as ... discrimination claims . #LI-RK1 Qualifications Required qualifications: + JD from ABA Accredited Law School. + Member in Good Standing of State Bar of California. Preferred qualifications: + Minimum of seven (7) years of prior legal experience in law firm,… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Sharecare (Springfield, IL)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization...experience in healthcare, preferably helping members navigate benefits and claims , OR held one or more of the following… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Robert Half Accountemps (Northfield, IL)
- …If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply. Responsibilities: * Accurately post ... accounts to ensure all payments are properly allocated. * Process medical claims and ensure timely submission to insurance companies. * Investigate and resolve… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- TEKsystems (Chicago, IL)
- …resolve recoupment issues + Access payer websites to gather data and resolve claims + Communicate system access issues, payor trends, and workflow inconsistencies + ... experience including working with denials and appeals + UB-04/hospital claims experience + EPIC + Must sit in either...and Managed Care insurance + Familiarity with medical billing, claims submission, and medical terminology + Proven experience in… more
- Owens & Minor (Downers Grove, IL)
- …and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments. + Ability to edit and resubmit ... claims for payment. + Prepares and reviews clean claims for submission to various insurances either electronically or y paper. + Working knowledge of Microsoft… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more