- AdventHealth (Hinsdale, IL)
- …patients *Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility ... are insured and, if so, gathers details (eg, insurer name, plan subscriber) *Performs Medicare compliance review on all applicable Medicare accounts in order to… more
- AdventHealth (Bolingbrook, IL)
- …patients + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility ... insured and, if so, gathers details (eg, insurer name, plan subscriber) + Performs Medicare compliance review on all applicable Medicare accounts in order to… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Transition of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator ... Rush Home Infusion Pharmacy or the HDM portfolio of pharmacies. The Specialist will educate patients, physicians, case managers and all customers regarding disease… more
- AdventHealth (Glendale Heights, IL)
- …with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician ... healthcare team. This includes quarterly and annual compliance updates from Medicare . * Effectively and appropriately communicates with physicians and other… more
- TEKsystems (Chicago, IL)
- Description: The Program Specialist is responsible for serving as the customer's primary point of contact providing operational and reimbursement support to complex ... surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (3:00:00 PM - 11:30:00 PM) **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Rush Copley Medical Center (Aurora, IL)
- Seeking experienced accounts receivable specialist responsible for working open accounts receivables greater than 30 days old. Investigates insurance denials and ... appeal when warranted. Communicates with payors including but not limited to Medicare , Medicaid, workers compensation, managed care and other third party entities… more
- TORKLAW (Chicago, IL)
- Are you an experienced Personal Injury Lien Reduction Specialist looking for a new opportunity? Join the team at TORKLAW, a prestigious and dynamic personal injury ... top-notch legal advocacy for our clients. As a Personal Injury Lien Reduction Specialist at TORKLAW, you will be responsible for negotiating and reducing medical… more
- Rush University Medical Center (Chicago, IL)
- …8 Hr (9:00:00 AM - 5:30:00 PM) **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior ... ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration and insurance… more
- Brookdale Senior Living (Chicago, IL)
- Overview Traveling: 10 days on, 4 days off, Social Services Specialist Opportunity! *5 years of Skilled Nursing Social Services background required. LCSW preferred ... processes until a new Social Services Director is hired The Social Services Specialist will continue to support the community and the Social Services function. +… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- **Overview** **Scope of Responsibilities:** The Intake Specialist is an experienced individual who is able to assist and manage the referral intake process. **Job ... plans and any changes that possibly may occur within the Insurance Payor, Medicare , or Medicaid + Responsible for completing all mandatory and regulatory training… more
- Elevance Health (Chicago, IL)
- …8:00am - 5:00pm within candidates own time zone The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical Management ... skills, capabilities, and experiences:** + Understanding of managed care or Medicaid/ Medicare strongly preferred. + For URAC accredited areas, the following… more
- Josselyn (Northbrook, IL)
- Job Summary The Billing Specialist is responsible for executing the essential recurring tasks of the billing department. Essential Responsibilities and Metrics + ... of 3 years progressive experience in behavioral healthcare billing; both Medicaid, Medicare , and MCOs and commercial payers; behavioral health preferred + Sound… more
- Medical Express Ambulance Service (Skokie, IL)
- MedEx Ambulance Service is seeking a full time, experienced Ambulance Billing Specialist . The duties include data entry, coding, medical necessity, and day-to-day ... billing. Applicants must have ambulance billing experience, including knowledge of Medicare and Medicaid compliance, coding, billing, posting, and good computer… more
- Medical Express Ambulance Service (Skokie, IL)
- …Service is seeking a full-time, experienced Ambulance Accounts Receivable Specialist . Responsibilities include accurate data entry, coding, medical necessity, and ... submissions. Applicants must have ambulance billing experience, including knowledge of Medicare , Medicaid and MCO compliance, coding, billing, posting, and excellent… more
- TEKsystems (Hoffman Estates, IL)
- …copy/paste, etc ) - Manage, coordinate and fulfill customer orders (from Medicare & Medicaid services) Hours: Monday-Friday 6:00am-2:30pm; 7-3:30 pm or 8 am ... - 4:30 pm Skills & Qualifications: Soft Skills: -Comfortable with repetitive tasks -Strong attention to detail -Team player -Good attendance -Great communication About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions… more
- Aston Carter (Hoffman Estates, IL)
- …like cut/paste, copy/paste, etc ) - Manage, coordinate, and fulfill customer orders (from Medicare & Medicaid services) - Become a key resource to sales as the ... Subject Matter Expert on order fulfillment processing - Identify and help implement enhancements to order management processes and tools to support a - Partner with other functions to resolve/escalate any issues preventing on-time order fulfillment. - positive… more
- CVS Health (Schaumburg, IL)
- …by both government and commercial insurances (ie, PPO, HMO, EPO, POS, Medicare , Medicaid, HRA's) and coordination of healthcare benefits, including requirements for ... referral, authorization, and pre-determination. - Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration… more
- Rush University Medical Center (Chicago, IL)
- …PM) **Summary:** This position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... high-level professional support in the growing efforts to conduct prospective Medicare Coverage Analysis for all clinical research studies. Exemplifies the Rush… more
- Rush University Medical Center (Chicago, IL)
- …Revenue Cycle, this position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... high-level professional support in the growing efforts to conduct prospective Medicare Coverage Analysis for all clinical research studies. Exemplifies the Rush… more