- CVS Health (Springfield, IL)
- …improvements across key provider journeys including self-service / digital transactions, claims management, dispute resolution, and more. They will directly support ... to rationalize findings & lessons learned related to provider abrasion and facility/physician claim issues + Help bring 'voice of the provider' into key workflow… more
- Elevance Health (Chicago, IL)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... within a commutable distance from an office._ The **Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more
- Sedgwick (Springfield, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do ... university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, DRG and...a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. +… more
- Cognizant (Springfield, IL)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a Product ... you will make an impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a valued member of the delivery… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Carle Health (Champaign, IL)
- …of the Epic modules and applications related to Revenue Cycle, the Claims Manager System, and other systems, interfaces, and processes related to billing. ... physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health… more
- Command Investigations (Chicago, IL)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
- The Hartford (Naperville, IL)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards...partner with internal and external customers + Knowledge of medical terms is strongly preferred + Possess analytical and… more
- Rush University Medical Center (Chicago, IL)
- …assisting in the oversight and management of professional and general liability suits and claims for Rush University Medical Center (RUMC) and Rush Oak Park ... + 5 years' experience as a litigation paralegal working with general liability and/or medical malpractice claims is strongly desired. + Knowledge of medical … more
- Sedgwick (Springfield, IL)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client.… more