- Cognizant (Springfield, IL)
- …Determine if the appeal or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims ... Ability to maintain a high level of integrity and confidentiality of medical information Knowledge of data entry and transcription **Salary and Other Compensation:**… more
- Owens & Minor (Downers Grove, IL)
- …correctly. + Ability to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals ... our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working...payments. + Ability to edit and resubmit claims for payment. + Prepares and reviews clean … more
- Norstella (Springfield, IL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Humana (Springfield, IL)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …degree and 15+ years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current global Good Clinical ... Previous experience of working in the global pharmaceutical and medical device industry. + Experience working with external service...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …applying FDA design control requirements (21 CFR ) as applied to medical device software and medical device regulation (IEC-62304) **Competencies** ... a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Norstella (Springfield, IL)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... goals. + Drive the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable datasets + Identify and… more
- Pearle Vision (Schaumburg, IL)
- …practice. Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing ... and transcription of medical reports. An Optometric Office Technician role may combine...for priority patients * Scheduling appointments * Processing insurance claim forms * Patient and insurance billing * Optometric… more
- Veterans Affairs, Veterans Health Administration (Sterling, IL)
- …Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take ... (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- CVS Health (Springfield, IL)
- …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.… more