- Robert Half Accountemps (Northfield, IL)
- …and ensure accurate and efficient financial workflows. Responsibilities: * Process and submit medical claims accurately and in a timely manner to insurance ... you will play a critical role in managing billing, claims , collections, and appeals processes for medical ...billing, claims , collections, and appeals processes for medical services. This is an excellent opportunity to contribute… more
- Cognizant (Springfield, IL)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was… more
- Sedgwick (Chicago, 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 - Chicago, IL or Eden Prairie, MN **ARE YOU AN… 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 ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY… more
- Sedgwick (Springfield, IL)
- …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Walgreens (Deerfield, IL)
- …School Diploma/GED and at least 1 year of experience in retail pharmacy, medical claims processing, and/or third party reimbursement. + Required certification in ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- Rising Medical Solutions (Chicago, IL)
- …a plus - CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager ... We are looking for a Medical Administrative Assistant (working title: Pre-Clinical Coordinator) to...verbal and/or written contacts with employers, clients, claimants, and medical providers. + Set up files in all appropriate… more
- Elevance Health (Chicago, IL)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This… more
- Elevance Health (Chicago, IL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims... medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- CVS Health (Springfield, IL)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and the ... with a passion for healthcare economics? Join our team as a **Manager, Medical Economics** and play a pivotal role in shaping cost-effective healthcare strategies.… more