- Walmart (Freeport, IL)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates… more
- ChenMed (Chicago, IL)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... as assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for 3rd party reimbursement efficiently and correctly to third-party insurance … more
- Highmark Health (Springfield, IL)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician… more
- Walgreens (Chicago, IL)
- …policies inclusive of participating in the billing and submission of claims to government- sponsored health care programs, including Medicare, Medicaid, and ... payment rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. + Manages and attains inventory budgets to… more
- Cognizant (Springfield, IL)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Guidehouse (Chicago, IL)
- …Power BI, Tableau, TIBCO Spotfire or others + Strong understanding of healthcare claims (facility or payer) data and/or HIT applications including those used to ... manage patient, financial, clinical, claims and/or operational data, is a strong advantage +...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Aston Carter (Vernon Hills, IL)
- …critical administrative support to the sales team, track shipments, manage claims , and handle customer communications, ensuring a seamless order processing ... UPS or other carriers; initiate and manage investigations and claims . + Communicate shipping dates, potential delays, and other...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- CVS Health (Springfield, IL)
- …analysis to assess the financial risks and implications of healthcare programs, insurance products, and benefit plan designs. + Completes financial forecasting and ... analysis to estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers and identifies… more
- BrightSpring Health Services (Danville, IL)
- …Company Culture + Competitive Pay + Employee Benefits; including Medical, Dental and Vision insurance + 401K + Daily Pay Option Available + Job Training + Career ... personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce… more
- Evolent (Springfield, IL)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more