- Owens & Minor (Downers Grove, IL)
- …**POSITION SUMMARY:** This representative will be required to request Medical documentation and assure received documentation meets insurance payer guidelines. ... including: + Prepayment audits/development letters + Post payment requests for documentation + Overpayment refund requests + Medical necessity documentation … more
- Trinity Health (Maywood, IL)
- …Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team including ... not meeting medical necessary services for acute care. + Knowledgeable of Medicare , Medicaid and non-governmental payer regulations for patient care requirements. +… more
- AdventHealth (Hinsdale, IL)
- …patients + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility ... related denials through phone calls, emails, faxes, and payer websites, updating documentation as needed *Submits notice of admissions when requested by facility +… 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
- ChenMed (Dolton, IL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... IVR for authorization processing). + Completes orders with proper documentation on where patient is scheduled and how patient...patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively… more
- Trinity Health (Maywood, IL)
- …Part-time 32 hours weekly Under direct supervision, reviews physician/provider documentation in Inpatient health records to determine the principal diagnosis, ... secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs… more
- Fresenius Medical Center (Skokie, IL)
- …tracking and monitoring of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the 30-month coordination period ... patients + Provides IC Manager and Division management with documentation and follow-up for all patients categorized on status...quick and accurate resolution. + Works with the Insurance Specialist (IS) team to reconcile IC and Regional Insurance… more
- ChenMed (Chicago, IL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... IVR for authorization processing). + Completes orders with proper documentation on where patient is scheduled and how patient...patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively… more
- ChenMed (Chicago, IL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... IVR for authorization processing). + Completes orders with proper documentation on where patient is scheduled and how patient...patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively… more