- 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 ... ensure that each account balance is processed correctly. 2. Follow up of claims to the appropriate payer for reimbursement: Work directly with various departments to… more
- Nestle (Schaumburg, IL)
- …health care agencies and third party administrators for worker's compensation claims + Maintain confidential medical records to include pre-employment medical exams ... CPR and AED use **SKILLS & EXPERIENCE:** + Experience with Workers' Compensation claims management + Experience with OSHA recordkeeping and maintaining OSHA logs +… more
- Cardinal Health (Springfield, IL)
- …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
- Humana (Springfield, IL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Walgreens (Oswego, IL)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient consultation, medication management, drug therapy reviews,… more
- Sanofi Group (Chicago, IL)
- …and assisting in patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, ... requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance...of Sanofi T1D products by health care providers and/or healthcare facilities. + Act as the main point of… more
- Humana (Springfield, IL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- Highmark Health (Springfield, IL)
- …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
- Walgreens (Chicago, IL)
- …using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health… more
- Humana (Springfield, IL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more