- Elevance Health (Chicago, IL)
- …analysis and expanding reporting. This role will center around mining complex claims , diagnosis, eligibility and patient data for valuable insights and then ... will make an impact:** + Serving as a subject-matter-expert on claims , eligibility, authorization and assessment datasets. + Tackling wide-reaching ambiguous data… more
- Elevance Health (Chicago, IL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… 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 (Chicago, IL)
- …filled at either Financial Institution Underwriter the Mid-Senior Level. The hiring manager will determine the appropriate level based upon the selected applicant's ... and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the...color, religion, sex, sexual orientation, gender identity, national origin, disability , or protected veteran status. Zurich does not accept… more
- Walgreens (Willowbrook, IL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (East Saint Louis, IL)
- …records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. + Performs duties as assigned by Pharmacy ... Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Park Ridge, IL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Chicago, IL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Evanston, IL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Conagra (Chicago, IL)
- …particular focus on those that overlap with support activities (eg, regulated label claims , product attribute claims ). + Provide support as needed on ... technical information to support product safety determinations and product claims substantiation. + Demonstrated ability to work collaboratively, think critically,… more