- Evolent (Springfield, IL)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Norgren (University Park, IL)
- …marital status, affectional or sexual orientation, gender identity or expression, disability , nationality, sex, or veteran status. Position Summary The Buyer II ... and place orders with mills preferred suppliers. + Prepare purchase orders, claims , vendor agreements, bids, proposals, etc. + Expedite shipments to assure parts… more
- Rush University Medical Center (Chicago, IL)
- …credit, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits. The Financial Services Representative 1 is also ... ensure that each account balance is processed correctly. 2. Follow up of claims to the appropriate payer for reimbursement: Work directly with various departments to… more
- MAT Holdings, Inc (Long Grove, IL)
- …subsidiaries offer a complete benefits package that includes medical, dental, vision, and disability insurance after 60 days of employment + Paid Time Off (PTO), ... with Marketing on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management. + Monitor and analyze market… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Nestle (Schaumburg, IL)
- …health care agencies and third party administrators for worker's compensation claims + Maintain confidential medical records to include pre-employment medical exams ... CPR and AED use **SKILLS & EXPERIENCE:** + Experience with Workers' Compensation claims management + Experience with OSHA recordkeeping and maintaining OSHA logs +… more
- Humana (Springfield, IL)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline: 10-31-2025… more
- Medtronic (IL)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and… more
- Humana (Springfield, IL)
- …+ Bachelor's degree + Previous experience in prior authorization, claims , and/or utilization management in healthcare, health insurance, evaluating medical ... volunteer time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Springfield, IL)
- …geographic barriers, close panel limitations, operational issues (IE Problems with claims payment, staffing, rates), and member-specific barriers. + Manage network ... volunteer time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. **About us** Humana Inc.… more