- Trinity Health (Westchester, IL)
- …Case Management, and Managed Care to gather necessary information and ensure claims are processed efficiently. **Key Responsibilities:** + Proactively follow up on ... claim rejections and denials, make corrections, and take appropriate actions or refer claims to the necessary team for resolution. + Evaluate accounts and resubmit … more
- Bowman (Springfield, IL)
- …service to our clients. **Purpose** Responsible for the project billing process, including responding to client inquiries, verifying employee's chargeable ... time; in accordance with the established accounting standards and billing policy. **Responsibilities** **Leadership and Direction** + Perform work...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- Superior Ambulance Service (Elmhurst, IL)
- …our clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts and responding to insurance carrier ... 72 hours of receipt + Responsible for resolving unpaid claims that are Greater than 60 days from date...commercial/managed care carrier rules and processes in a professional billing environment + Attention to detail with the ability… more
- Humana (Springfield, IL)
- …clinical and coding experience to conduct reviews of provider codes and billing . + Decisions are typically related to resources, approach, and tactical operations ... + Experience validating and interpreting medical record documentation to ensure billing for services is complete and accurate. + Certified Professional Coder… more
- Walmart (Quincy, IL)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... compliance execution by others. Ensures appropriate operational execution of billing procedures, HIPAA compliance adherence, and standard operating procedures (SOP).… more
- Intermountain Health (Springfield, IL)
- …role ensures the integrity, accuracy, and efficiency of processes related to billing , follow-up, provider enrollment, credits, payment posting, EDI, and other RSC ... multiple RSC functions. Review and assess processes related to RSC (ie billing , follow-up, credits, provider enrollment, and payment posting) to identify gaps and… more
- Highmark Health (Springfield, IL)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- The Hartford (Naperville, IL)
- Team Leader Claims - CH08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... Team Leader is responsible for overseeing a small team within the Medical Billing department, ensuring efficient operations and timely completion of tasks. This role… more
- Walgreens (Spring Grove, IL)
- …technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing , clinical documentation, training, inventory management, and point of ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- Robert Half Legal (Chicago, IL)
- …* Compile and prepare special reports for insurance carriers to support claims . * Request and manage itemized bills and medical records from healthcare ... records and ensure compliance with case management software. * Assist in billing functions and calendar management to keep schedules organized and deadlines met.… more