- CVS Health (Springfield, IL)
- …and provides accurate claim information to support savings optimization for claims . Responds to customers on benefit inquiries. Maintains customer service standards. ... Executes both routine and non-routine business support tasks for the Medical Claims area under limited supervision, referring deviations from standard practices to… more
- Ally (Springfield, IL)
- …* Monitor, provide notifications and report on conditions to mitigate claims from weather events. * Develops weather risk mitigation strategies based ... and site visit results. * Be a technical resource for our underwriting, sales, claims and other internal departments. * Design and deliver training to clients and… more
- Exelon (Oakbrook Terrace, IL)
- …to operating equipment with degraded protection systems. Support power quality and claims investigations. Position may be required to work extended hours, including ... related to customer complaints. Provide system event information to support claims department investigations. + Utilize PI (SCADA Historian) to observe pre/post… more
- Humana (Springfield, IL)
- …**Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- Prime Therapeutics (Springfield, IL)
- …files, outgoing eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications** + Bachelor's ... diploma or GED required + 2 years of experience in healthcare, PBM, Eligibility or claims processing + Must be eligible to work in the United States without need for… more
- Evolent (Springfield, IL)
- …Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization ... times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable business insights to… more
- Deloitte (Chicago, IL)
- …and contribute to the formulation and critique of damages theories, claims , or conclusions. + Help prepare client presentations, reports, and deliverables ... on projects including accounting and fraud investigations, false claims act cases, and complex business litigation. + Demonstrate adaptability, attention to detail,… more
- Walgreens (Milan, 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
- Spectrum Billing Solutions (Skokie, IL)
- …| Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing ... Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist #RCMAnalyst | #RevenueCycleCredentialingSpecialist | #InsuranceSpecialist |… more
- Aston Carter (Vernon Hills, IL)
- …sales team. The role involves tracking shipments, managing investigations and claims , and communicating with clients about shipping details and promotions. ... Track shipments using UPS or other carriers and manage investigations and claims . + Communicate shipping dates, potential delays, and other pertinent information. +… more