- 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
- Rush University Medical Center (Chicago, IL)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access-Pre-Visit… more
- Cognizant (Springfield, IL)
- …other teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off… more
- Rush University Medical Center (Chicago, IL)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access **Work Type:** Full Time… more
- Elevance Health (Chicago, IL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the… more
- Walgreens (Peoria, IL)
- …for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with ... experience with Walgreens. + Experience in processes related to submitting medical claims , including but not limited to Medicare submission, knowledgeable in EOB… more
- Prime Therapeutics (Springfield, IL)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… 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
- UNUM (Springfield, IL)
- …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres… more
- Elevance Health (Chicago, IL)
- …with Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. + Quality certification such as CMQ, CQA, CQPA, ... Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. **For candidates working in person or virtually in the… more