- Sedgwick (Naperville, IL)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Naperville, IL - Hybrid Are you looking for an… more
- Sedgwick (Naperville, IL)
- …properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability - Naperville, IL - Hybrid...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Kelly Services (Quincy, IL)
- …Solid data entry skills average: 7,000+ keystrokes/hour + 6+ months of office clerical, medical , or insurance claims experience + Clear and concise written and ... always easy. That's where Kelly(R) Professional & Industrial comes in. We're seeking ** Claims Specialist** to work in a temporary to hire opportunity with a Top… 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, Medicare Advantage, and Medicaid requirements… 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
- Highmark Health (Springfield, IL)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... needed. Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims...Come In** The Medical Coding Auditor reviews medical claims submitted against medical … more
- Sedgwick (Springfield, IL)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and ... Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition,… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and… more
- Rush University Medical Center (Chicago, IL)
- …information and patient balance collections. **Responsibilities** + Prepares and submits medical claims weekly for Oncology, Infertility, Cystic Fibrosis, ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Home Infusion Solutions… more