- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more
- Aston Carter (Naperville, IL)
- …and White Glove items. This position is essential for handling emergency claims and ensuring seamless operations. Responsibilities + Arrange with appropriate network ... and non-network providers to complete claims that cannot be automatically dispatched. + Process provider...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- PCI Pharma Services (Rockford, IL)
- …This mainly autonomous position, is responsible for providing timely and effective medical and mental health crisis intervention, managing work-related and ... the scope of OHSA first-aid. + Manage Workers' Compensation claims , initiate and maintain medical case management,...HIPPA regulations & guidelines. + Lead the Rockford site's Medical Emergency Response Team (MERT) & Mental Health… more
- NTT America, Inc. (Springfield, IL)
- …developing, monitoring, and enforcing the corporate-wide personnel safety, environmental, health and regulatory management programs. This position has the ... **ESSENTIAL DUTIES & RESPONSIBILITIES** + Develops, organizes, and implements Environmental Health and Safety programs that meet or exceed local, regional, and… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with pharmacy appeal related processes and state regulations, and claims adjudication, including claims adjudication logic **Preferred… more
- Prime Therapeutics (Springfield, IL)
- …and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's ... our passion and drives every decision we make. **Job Posting Title** Health Informatics Analyst **Job Description** Design, document, develop and roll out financial,… more
- Centene Corporation (Springfield, IL)
- …everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization ... implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial,… more
- Ascension Health (Hoffman Estates, IL)
- …$21.23 - $28.73 per hour **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... the patient account record of all billing activities. + Maintain documentation of claims processed as part of the daily claims reconciliation process.… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: HB Govt ... is to manage the open receivable including, securing reimbursement, guarding the Medical Centers assets, minimizing financial risk, working on behalf of our… more