- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity ... with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards. Exemplifies the Rush mission, vision and… more
- Highmark Health (Springfield, IL)
- …analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability ... analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability… 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
- Snapsheet (Chicago, IL)
- …Job Type: Full-time Department: Technology About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative ... claims management technology, transforming the end-to-end claims ...wherever life takes you. + Choose from 2 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue ... charges in the Epic EHR. * Advanced knowledge of medical terminology as well as medical billing...accounts within the assigned Epic Account, Charge Review, and Claim Edit Work queues while solving edits related to… more
- Sedgwick (Springfield, IL)
- …Adjusting **PRIMARY PURPOSE** **:** Completes non-complex projects related to claims operations including field, desk and estimating software activities; networks ... department management. Projects may involve various specialty practice areas of claims such as engineering, forensic accounting, and fire investigation. + Assists… 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
- City of Chicago (Chicago, IL)
- **Description:** BID/JOB ANNOUNCEMENT ** MEDICAL SERVICES COORDINATOR - CPD** **OFFICE OF PUBLIC SAFETY ADMINISTRATION** ** Medical Section** **Number of ... Under supervision, works in the Office of Public Safety Administration's Medical Services' Section (MS) coordinating the administrative case management functions for… more
- CVS Health (Buffalo Grove, IL)
- …**Preferred Qualifications** + Experience with healthcare data sources, including pharmacy and medical claims + Familiarity with mental health and substance use ... each and every day. **Position Summary** The **Senior Clinical Pharmacist, Medical Affairs - Clinical Innovation and Regulatory Strategy** identifies opportunities… more
- CVS Health (Springfield, IL)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the Medical ... and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The… more