- Carle Health (Normal, IL)
- Overview Proficient in Revenue Cycle Regional Representative 1. Responsible for handling escalated account and payer issues. Handles complex edits, appeals and ... care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related… more
- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary:** A Worker's Compensation Financial Services Representative is responsible for managing the billing and reimbursement process ... representing the patients. + Following up on outstanding claims, including timely appeals for denied or rejected claims. + Verifying insurance coverage and patient… more
- Cardinal Health (Springfield, IL)
- …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... Processes denials & rejections for re-submission (billing) in accordance with...changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with… more
- Carle Health (Champaign, IL)
- Overview The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated ... account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and… more
- Highmark Health (Springfield, IL)
- …of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as ... workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend… more