- Josselyn (Northbrook, IL)
- …are processed accurately to prevent financial losses for both patients and providers. Claims specialists strive for timely resolution to avoid delays in ... Conduct follow-up with payors, vendors, and clearinghouse on open insurance claims and balances in compliance with departmental policies and procedures. Resubmit… more
- Walgreens (Deerfield, IL)
- …Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores. Investigates Payer Inquiry Tickets from Payor ... Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims … more
- Walgreens (Deerfield, IL)
- …Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores. Investigates Payer Inquiry Tickets from Payor ... Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims … more
- Molina Healthcare (Kenosha, WI)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more