Medical Claims Jobs in Illinois
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Search Results - Medical Claims Jobs in Illinois
Powers & Moon, llcDeerfield (IL)
Job Description
Job Description
About Us
At Powers & Moon, LLC, we are dedicated to providing high-quality services to our health care provider clients to resolve workers compensation medical claims. We are seeking an experienced and proactive...
HumanaSpringfield
Overview
As a Medical Coding Auditor at Humana, you will review medical claims against records to ensure accurate CPT/HCPCS/ICD-10-CM coding. You will interpret coding guidelines and contribute to cost reduction while supporting APC outpatient...
Addison GroupNorth Chicago
healthcare environment with a combination of onsite and remote work after training.
Job Description:
The Medical Billing Specialist will be responsible for supporting the full medical billing process, including claim preparation, denial follow-up, account...
UnitedHealth GroupSpringfield
years of Python, SQL or R experience; experience with Snowflake or Databricks
• 2+ years of CMS Payment Model Implementations
• 2+ years of working with medical claims and enrollment data in large data warehouses (e.g., Integrated Data Repository...
American Orthopaedic Society for Sports MedicineChicago
medical claims, or patient experiences.
Social Platform Publishing, Community & Results (35%)
• Own the social publishing calendar and day-to-day execution for AOSSM and appropriate journal channels across LinkedIn, YouTube, X, Instagram, and Facebook...
SCAN Health PlanRockford
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Contact Government Services, LLCChicago
Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages...
TEKsystemsSpringfield
and appeal filings
• Knowledge of specialty pharmacy operations
• Must have pharmacy call center experience (A-level) or healthcare call center/medical claims experience (A- to A+ range)
• communication skills
• collaboration and teamwork
• attention...
Rising Medical SolutionsChicagoworkable.com
Reconcile supplementary reports for cash and bank transactions
• Previous knowledge of medical claims processing helpful
• BS in Accounting or related degree preferred but not required
Benefits
• Competitive benefits package, including health...
SedgwickChicago
Overview
In this role you perform clinical evaluations on disability claims, guiding medical review and ensuring documentation supports claim decisions. You act as a clinical resource to claims examiners and collaborate with providers to validate...
Chicagoicims.com
on multiple projects and manage timelines, achievements, and delivery efficiently
• Work with large health claims and risk datasets such as eligibility data, medical claims and prescription drug claims data from multiple different sources
• Develop...
Helen Ross McNabb CenterKnoxville (IL)
with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
• Ability to work well in a team environment and alone.
• Being able to triage priorities, delegate tasks if needed...
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