- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - $20.00 ... to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring...verify the accuracy of claim submission documents to prevent fraud and ensure compliance with policy terms. + Resolve… more
- CVS Health (Springfield, IL)
- …clinical or coding staff, federal regulators and vendor coding resources. + Leads dispute resolution. + Acts as mentor to provide education to internal staff based ... opportunities for providers, vendors and peers. + Expertise in medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more