- Humana (Springfield, IL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with...able to start with 30-60 days of hire. The Medical Director actively uses their medical background,… more
- Fujifilm (Springfield, IL)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for… more
- Humana (Springfield, IL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- CVS Health (Springfield, IL)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... needs by answering unasked questions. + Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.… more
- Robert Half Legal (Chicago, IL)
- …to support claims . * Request and manage itemized bills and medical records from healthcare providers. * Maintain accurate records and ensure compliance with ... * Communicate effectively with clients, insurance adjusters, opposing counsel, and medical providers to facilitate case progress. * Coordinate with insurance… more
- Sedgwick (Springfield, IL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Humana (Springfield, IL)
- …and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Intermountain Health (Springfield, IL)
- …by service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... + Minimum of one (1) year of full cycle medical billing experience, required + Minimum of six (6)...procedures such as debits/credits, required + Experience with insurance claim appeals, required + Excellent computer skills (including Microsoft… more
- Robert Half Finance & Accounting (Elmhurst, IL)
- …range for this position is $80,000-$85,000 and it comes with benefits, including medical , vision, dental, life, and disability insurance. To apply to this hybrid ... functions as required. * Use communication and auditing skills to administer claims and produce clear reports. Requirements Job Requirements: * Proficiency in… more
- Reyes Holdings (Rosemont, IL)
- …and provides guidance to team on short term disability/FMLA and Workers compensation claims , while updating all medical panels for panel states in workers' ... case managers and leave specialists + Evaluates vendors that provide medical management services for work or non-work-related injuries/illnesses. Recommends new… more