- Rush University Medical Center (Chicago, IL)
- …& Credits, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits as well as notifying denial management of audits. ... Diploma or GED. * Two years of experience in health care or hospital billing with an understanding of...to contract allowable payment schedule. 2. Follow up on claims with the appropriate payer for reimbursement. 3. Work… more
- UIC Government Services and the Bowhead Family of Companies (Springfield, IL)
- …subcontractors to resolve on-site challenges. + Actively participate in and support the health and safety program, ensuring all work is performed in accordance with ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… 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 ... year of experience. * Two years of experience in health care or hospital billing with an understanding of...account balance is processed correctly. 2. Follow up of claims to the appropriate payer for reimbursement: Work directly… more
- EPAM Systems (Chicago, IL)
- …E2E testing strategies + Develop and communicate test strategies covering pharmacy claims processing, NCPDP transactions, and benefit designs + Design test scenarios ... leading large, complex, cross-functional teams + Extensive knowledge of pharmacy claims adjudication, NCPDP protocols, formulary management, and benefit design +… more
- AIG (Chicago, IL)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an ... actuaries in assessing the impact of loss trends and claims emergence. + Responsible for the success of the...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- Huron Consulting Group (Chicago, IL)
- …sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to ... sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to… more
- Oracle (Springfield, IL)
- …Outpatient Pharmacy** **Travel: Up to 50% | Location: Remote (US)** At Oracle Health , we're not just building software-we're transforming how health happens. Our ... identify opportunities for optimization. + Design, configure, and implement Oracle Health 's pharmacy solutions - including Medication Manager, Bedrock, and Retail… more
- Oracle (Springfield, IL)
- **Job Description** Oracle Health is dedicated to transforming healthcare by driving innovation, operational efficiency, and better outcomes through world-class ... technology. Our teams power the Oracle Health is dedicated to transforming healthcare by driving innovation, operational efficiency, and better outcomes through… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** Humana is a Fortune 50 market leader in integrated healthcare delivery. As a company whose ... on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of an insurer to… more
- Walmart (Robinson, IL)
- …Make An Impact: + Provide evidence-based vision care to ensure patients health and well-being by recommending and prescribing medications and other treatment options ... using evidence-based care guidelines.Educate patients and store associates on eye health , including contact lens care, disease state management, and safety factors.… more