- Humana (Springfield, IL)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- EFI Global (Schaumburg, IL)
- …CARE, THERE'S A PLACE FOR YOU HERE EFI Global is a full- service engineering, fire investigation, environmental, health and safety, and specialty consulting services ... connect with you. **PRIMARY PURPOSE** : To manage accounts of multiple client service programs or single large national program; to maintain client, client broker… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... Food, Drug, and Cosmetics Act; FDA regulations; The Federal False Claims Act and Anti-Kickback statute; CMS and Veteran's Administration regulations regarding… more
- Prime Therapeutics (Springfield, IL)
- …D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ensure ... are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part D sponsors. + Resolves… more
- Walgreens (Glenview, IL)
- …answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members to deliver a distinctive and ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- US Tech Solutions (North Chicago, IL)
- …document the conclusion(s). + Assist Supervisors and Manager in monitoring complaint and claims workflow to ensure compliance and customer service . + Assist in ... FDA and international Competent Authorities. + In addition will process claims for financial **reimbursement and replacement products** in accordance with… more
- MAT Holdings, Inc (Long Grove, IL)
- …a key cross-functional liaison, collaborating closely with the Sales Team, Customer Service , Product Engineering, Supply Chain, and Accounting to support both sales ... with existing ones, and obtaining necessary approvals. + Support Customer Service and Sales by coordinating sample fulfillment, resolving shipping issues, and… more
- CVS Health (Springfield, IL)
- …day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... regarding confidentiality. -Assist in the research and resolution of claims payment issue **Required Qualifications** Effective communication, telephonic and… more
- Walgreens (Mount Prospect, IL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- Walgreens (Springfield, IL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more