- Carle Health (Champaign, IL)
- …of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision ... works with them to implement changes. In collaboration with manager (or director ) conducts regularly scheduled meetings with staff, facilitates and collaborates on… more
- 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
- Zurich NA (Springfield, IL)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... Equivalent and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * Zurich Certified Insurance Apprentice, including… more
- Transdev (Lombard, IL)
- …staff position within North American headquarters responsible to support FP&A Manager and Director of Accounting on a variety key projects. We offer a competitive ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...to support valuation of significant estimates related to insured claims + Create and maintain pricing model related to… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The system director of provider education, working in a remote environment, will the provider ... and code selection to promote accuracy and foster appropriate reimbursement. The director serves as a primary resource for clinical documentation education, coding,… more
- Fujifilm (Springfield, IL)
- …Holdings America Corporation ("HLUS") Department reporting to the Corporate Compliance Director . The Compliance Manager will be responsible for managing the ... anti-money laundering (AML). Under the supervision of the Corporate Compliance Director , this individual will ensure the effectiveness of compliance frameworks,… more
- CVS Health (Chicago, IL)
- …to support staff. + Process Improvement: Work with Sr. Managers and Director to develop and implement strategies to streamline, policies, procedures, provider ... well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review, and prepare responses for all governmental,… more
- Leviton (Northbrook, IL)
- …Assist with pricing and rebate agreements with Regional Sales Director 's, ED Sales Representatives, and Centralized Account Representatives. Generate project-based ... Marketing Materials, and delivery status. Provide support for Customer Claims including deductions, pricing discrepancies, and return orders. Qualifications… more
- Cognizant (Springfield, IL)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare,… more
- Zurich NA (Schaumburg, IL)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... industryOR + Bachelors Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + Experience in… more