- Humana (Springfield, IL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Walgreens (Evanston, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- UNUM (Springfield, IL)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- ProSmile (Oak Park, IL)
- …Responsibilities The duties include, but are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on outstanding claims and ... Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses. + Life & Disability Insurance: Employer-paid basic life and… more
- United Therapeutics (Springfield, IL)
- …Bachelor's Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 15+ years of overall pharmaceutical, healthcare , and/or ... or, + Master's Degree with 13+ years of overall pharmaceutical, healthcare , and/or broadened industry experience with focus in reimbursement, contract strategy,… more
- Fujifilm (Springfield, IL)
- …risks affecting the Medical Device businesses, including with respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, ... team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., wholly-owned subsidiaries of… more
- Evolent (Springfield, IL)
- … healthcare regulations and standards, such as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). ... in designing, building, integrating and maintaining data pipelines to support healthcare data integration and operations. This role involves managing data from… more
- J&J Family of Companies (Chicago, IL)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- J&J Family of Companies (Springfield, IL)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Cardinal Health (Springfield, IL)
- …Health is seeking a driven and skilled attorney with expertise in healthcare regulatory compliance, including third party billing and reimbursement. The Assistant ... to Cardinal Health's At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health… more