- CVS Health (Springfield, IL)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... are developed. **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical … more
- Snapsheet (Chicago, IL)
- …direct hire Job Department: Technology About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... claims process - delivering faster, modern experiences for claims organizations of all sizes. We are looking for...wherever life takes you. + Choose from 3 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- Snapsheet (Chicago, IL)
- …Job Type: Full-time, direct hire About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... claims process - delivering faster, modern experiences for claims organizations of all sizes. Job Overview : The...wherever life takes you. + Choose from 3 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- Snapsheet (Chicago, IL)
- …Location: Remote Job Type: Full-Time About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... claims process - delivering faster, modern experiences for claims organizations of all sizes . What you'll get:...wherever life takes you. + Choose from 3 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- Humana (Springfield, IL)
- …and quality related topics. + Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- R1 RCM (Chicago, IL)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... As our Denials Mitigation Lead, you will play a critical role in reducing claim denials and optimizing revenue cycle processes. Every day you will leverage data… more
- R1 RCM (Chicago, IL)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... **Coding Associate III** , you will help ensure accurate medical coding and billing for our clients to optimize...diagnoses, treatments, and procedures for new charges, denials, and claim edits in assigned work queues while meeting daily… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** **Location:** Chicago, Illinois **Business Unit:** Rush Medical Center **Hospital:** Rush University Medical Center **Department:** Rev Cycle ... vary depending on the circumstances of each case. **Summary:** Rush University Medical Center is seeking a highly skilled **Senior Epic Application Analyst**… more
- US Tech Solutions (North Chicago, IL)
- …FDA and international Competent Authorities. + In addition will process claims for financial **reimbursement and replacement products** in accordance with ... to procedures. + Assess incoming documentation, including clinical forms and medical information, for complaint data and ascertain compliance to product… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Research and resolve insurance denials + File appeals on denied or underpaid claims + Check claim status on appropriate payor systems and contact insurances ... as needed + Send Medical Records and other documentation to payors as requested...Understanding of insurance benefits and reimbursement + Proficient in medical terminology, HIPAA and other critical governmental regulations +… more