- Health Care Service Corporation (Belleville, IL)
- …Under Supervision, This Position Is Responsible For Processing Complex Claims Requiring Further Investigation, Including Coordination Of Benefits And Resolving ... Pended Claims . **Required Job Qualifications:** * High School diploma or...written and verbal communication skills. * Experience processing medical claims . **Preferred Job Qualifications:** * Referral preference given to… more
- Health Care Service Corporation (Chicago, IL)
- …Job Qualifications:** * High School diploma or GED. * 1 year of claims /membership experience. * Analytical Skills. * Clear and concise verbal and written ... communication skills. * PC proficiency to include Microsoft Word, Excel and Outlook. **Sponsorship is not available.** **This is a Union role.** INDM **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral… more
- Actalent (Bolingbrook, IL)
- Job Title: Pharmacy Technician Job Description Join an innovative pharmacy team focused on improving patient care by utilizing advanced automation and streamlined ... patient demographics and prescription data into processing systems. + Resolve claim rejects and insurance billing issues. + Escalate prescription-related questions… more
- Actalent (Romeoville, IL)
- Job Title: Pharmacy Technician Job Description Join a transformative pharmacy model that leverages automation and streamlined workflows to improve patient care. In ... and prescription data into processing systems with precision. + Resolve claim rejects and insurance billing issues promptly. + Escalate prescription-related… more
- Actalent (Bolingbrook, IL)
- Entry level Pharmacy technician Job Opportunity!! Responsibilities + Accurately process and distribute prescription medications using fulfillment systems. + Enter ... demographics and prescription data into processing systems with precision. + Resolve claim rejects and insurance billing issues promptly. Required Skills + Pharmacy … more
- Walmart (Flora, IL)
- …sessions performing onsite HVACR repairs for handson learning evaluating the Technician skill sets and reporting back to senior leadership Ensures working order ... Facilities requesting replacement HVACR equipment for facilities submitting warranty claims reviewing journals and invoices conducting price comparisons of… more
- Elevance Health (Chicago, IL)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Highmark Health (Springfield, IL)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate + Experience working in a managed care… more
- Elevance Health (Chicago, IL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- Elevance Health (Chicago, IL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more