- 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
- Insight Global (Arlington Heights, IL)
- Job Description Insight Global is looking for a billing reimbursement specialist . They will be working on the Medicare team for the follow up and reconciliation ... processes team. They will be contacting employers, insurance carriers and Medicare parties for interpretation of coverage. This involves meticulously checking each… more
- AdventHealth (Bolingbrook, 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
- 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
- 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
- TEKsystems (Chicago, IL)
- Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for ... and follow up on customer calls where necessary + Review all required documentation to ensure accuracy + Accurately process, verify, and/or submit documentation … more