- Cognizant (Springfield, IL)
- …skills to resolve accounts and meet quality and productivity standards. + ** Billing Guidelines** : Demonstrate knowledge of state/federal billing guidelines, ... preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. **Salary and Other Compensation** : Applications will be accepted… more
- Sunrise Senior Living (Westmont, IL)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and ... ongoing procedures to collect and review information needed to assist in billing and accounting support services to meet business performance results, deadlines, and… more
- Sedgwick (Moline, IL)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- CVS Health (Springfield, IL)
- …and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to ... + 2+ years experience working with medical terminology, claim forms, and physician billing coding. + 1+ years of experience with provider disputes. + Computer… more
- Evolent (Springfield, IL)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Evolent (Springfield, IL)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care,… more
- Cognizant (Springfield, IL)
- …teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based on ... documentation. + Analyze denial reasons, correct coding errors, and manage appeals, working with various departments to prevent future denials. + Review documentation to code diagnosis and procedures specific to cardiovascular coding (therapeutic and… more
- Option Care Health (Rockford, IL)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... **Travel Requirements** N/A **Preferred Qualification & Interests** Previous healthcare/medical billing experience preferred. May perform other duties as assigned… more
- Rush University Medical Center (Chicago, IL)
- …or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service. ... * Knowledge of insurance and governmental programs, regulations, and billing processes eg, Medicare, Medicaid, Social Security Disability, Champus, Supplemental… more
- TEKsystems (North Chicago, IL)
- …and prior authorization expertise (5+ years) + Experience with working denied claims for commercial and government payors (5+ years) + Call center experience ... + Deep understanding of commercial and government insurance programs, billing , reimbursement, prior authorizations, appeals, and specialty pharmacy operations. +… more