- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- Humana (Springfield, IL)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- Rush University Medical Center (Chicago, IL)
- …of Benefits to identify claim denials and develop appeal strategies. + Rebilling claims and processing adjustments or refunds as needed. + Maintain patient ... **Work Type:** Full Time (Total FTE between 0.9 and 1 .0) **Shift:** Shift 1 **Work Schedule:** 8...of each case. **Summary:** A Worker's Compensation Financial Services Representative is responsible for managing the billing and reimbursement… more
- Rush University Medical Center (Chicago, IL)
- …Center Department: RUSH Legal Affairs **Work Type:** Full Time (Total FTE between 0.9 and 1 .0) **Shift:** Shift 1 **Work Schedule:** 8 Hr (8:00:00 AM - 5:00:00 ... Counsel and members of the Office of Risk and Claims Management (ORCM), this position is responsible for assisting...CMS by RUMC/ROPH. + Reports required information in MMSEA processing software within the assigned 7-day reporting time period… more
- Ryder System (Springfield, IL)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- CVS Health (Springfield, IL)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Patten CAT (East Peoria, IL)
- …for ensuring efficient parts sales, inventory management, and service order processing , while delivering outstanding customer service to both internal and external ... process and close work orders. + Help process warranty claims for machines for all central Illinois rental stores....Paid Time Off: Prorated 80 hours of PTO + 1 Floating Holiday + Education Assistance + Personal Tool… more
- UnityPoint Health (Rock Island, IL)
- …Experience: + 3-4 years of healthcare revenue cycle experience - understand healthcare financial terms, claims processing & adjudication, terminology. ... of Interest: Patient Services + Salary Range: 17.06-25.60* + FTE/Hours per pay period: 1 .0 + Department: Patient Access + Shift: M-F 8a-430p + Job ID: 173280… more