- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Cardinal Health (Springfield, IL)
- …right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected ... claims + Preparing, reviewing, and transmitting claims ... within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary… more
- Humana (Springfield, IL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Trinity Health (Westchester, IL)
- …involves proactive communication with patients, third-party payers, and insurance companies (including Medicare/Medicaid) to resolve outstanding balances, ... Case Management, and Managed Care to gather necessary information and ensure claims are processed efficiently. **Key Responsibilities:** + Proactively follow up on… more
- Snapsheet (IL)
- Must be from an Insurance Carrier settling total losses and handling salvage. Completing Total Loss valuations is a plus. As a Total Loss Settlement Adjuster at ... identifying and resolving the day-to-day challenges involved in auto claims handling, specifically understanding total loss evaluations, settlements with carrier… more
- Patten CAT (Addison, IL)
- …Warranty Admin. The primary function of this role is to manage the warranty claims process for assigned data center customer accounts for Altorfer's Inc. and Ind. ... Duties + Coordinate and manage Altorfer's data center warranty claims process to help ensure we deliver world class...benefit package: + Health, Dental, Vision, Disability, and Life Insurance + 401(k) + Paid Holidays + Paid Parental… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- R1 RCM (Chicago, IL)
- …Follow Up) is required + Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing ... and obtain appropriate information in pursuit of resolving unpaid claims . To thrive in this role, you must be...both verbally and in writing with staff, patients, and insurance plan administrators + Demonstrated ability to work successfully… more
- Owens & Minor (Downers Grove, IL)
- …teammates. Owens & Minor teammate benefits include: + Medical, dental, and vision insurance , available on first working day + 401(k), eligibility after one year of ... written instructions. + Answers questions from customers, clerical staff, and insurance companies. + Identifies and resolves patient billing complaints. + Handles… more
- Kemper (Chicago, IL)
- …evaluation, coverage determination, negotiation, and settlement of non-complex property contents claims . Ensures claims are handled within best practices and ... Subrogation and outside vendors as required. **Position Responsibilities:** + Property claims handling including initial coverage review and contact of all parties… more