• Pre-Authorization Specialist 1

    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 ...I may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim.… more
    Rush University Medical Center (08/13/25)
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  • Cardiovascular Medical Coder

    Cognizant (Springfield, IL)
    …teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based on ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...working with various departments to prevent future denials. + Review documentation to code diagnosis and procedures specific to… more
    Cognizant (08/13/25)
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  • Specialty Billing Technician

    Walgreens (Peoria, IL)
    …for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with ... + Ensure all Medicare documentation is received from the medical provider and submitted to Danville. + Review...with Walgreens. + Experience in processes related to submitting medical claims , including but not limited to… more
    Walgreens (08/08/25)
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  • Risk Analyst II - Workers' Compensation

    ALDI (Naperville, IL)
    …discover ways to improve our processes while growing your career. From managing claims to offering safety solutions for customers and employees, the work you ... of the nation's top grocers. Are you a dynamic and experienced Workers' Compensation claims professional looking to make a significant impact? Join our team at ALDI,… more
    ALDI (07/17/25)
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  • Auto Field Appraiser

    Sedgwick (Chicago, IL)
    …maker and sets time bound expected completion date per Client Guidelines + Review and assess the validity of all supplement request + Proactively provides customers ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
    Sedgwick (06/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,… more
    Elevance Health (08/13/25)
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  • Director, Integrated Evidence and Digital Health

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …with, and/or be a critical partner to Early Phase & Translational Medical , Clinical Development, Value and Real-World Evidence, Regulatory, Medical Affairs, ... on study concepts and study protocols in governance meeting and review processes + Prepare reports and presentations summarizing findings, recommendations and… more
    Otsuka America Pharmaceutical Inc. (07/01/25)
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  • Insurance & Corporate Risk Manager

    GE HealthCare (Chicago, IL)
    …This position is responsible for managing insurance program operations, claims oversight, and compliance activities. Operating with autonomy within established ... closely with the Risk Management Team. GE HealthCare is a leading global medical technology and digital solutions innovator. With over 100 years of healthcare… more
    GE HealthCare (08/08/25)
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  • Assistant Vice President

    Sedgwick (Springfield, IL)
    …new business plan with goals and objectives for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. ... and high quality delivery of case management and utilization review services to clients for multiple business lines; and...education and experience required to include five (5) years medical case management, two (2) years clinical experience, two… more
    Sedgwick (08/19/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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