- Elevance Health (Chicago, IL)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... you will make an impact:** + Prepare financial reports and insights on Care Management programs. + Prepare analytical data sets in support of modeling studies. +… more
- Zurich NA (Chicago, IL)
- …and coordinating with the appropriate business partner for resolution (ie claims adjusters, underwriters). + For new and existing customers, assist underwriting ... regulatory requirements, reporting, risk engineering coordination, premium payment processes, claims flow issues, and money/currency movement. + Handle specific… more
- R1 RCM (Chicago, IL)
- …+ Review and apply client contract language and rates to resolve denied claims . + Utilize payer-provider and administrative manuals to dispute denied claims . ... staff team members and provide necessary feedback as requested by management . + Apply provider-specific reimbursement methodologies, payment policies, and provider… more
- Zurich NA (Chicago, IL)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Walgreens (Rochelle, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Walgreens (Crystal Lake, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Walgreens (Chicago, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… 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 ... communication, analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. + DG… more
- Walgreens (Kewanee, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Rush University Medical Center (Chicago, IL)
- …**Senior Epic Application Analyst** certified in **Epic Resolute Professional Billing and/or Claims ** , and additional experience in **Epic Community Connect** . In ... and documents user requirements. + Applies project planning and project management methodologies. + Coordinates and leads short duration projects; monitoring project… more