- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director /Manager of Clinical Trials Research Revenue Cycle, this position will create ... coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and...regulatory documents to prepare a billing plan for all medical procedures and services required in a clinical… more
- Rush University Medical Center (Chicago, IL)
- …requirements specific to Research Billing. * Maintain a detailed understanding of Medicare 's Clinical Trial Policy (NCD 310.1) and related guidance documents. ... and OnCore reports for analysis and communicates findings to Director and team. * Provides resolution of escalated issues,...clinical trial management system(s) (CTMS) as well as medical billing software (ie OnCore, EPIC). * Excellent verbal… more
- Elevance Health (Chicago, IL)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... plans. + 8+ years of experience in the PBM domain (Commercial/Medicaid/ Medicare ) including claims processing, enrollment, and benefit administration. + Experience… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Orthopedic Surgery-GME **Work Type:** Full Time (Total FTE ... responsible for all GME activities, residency recruitment and match activities, medical student/resident rotation activities, all CME activities, and coordinates the… more
- AdventHealth (La Grange, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general ... supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a… more
- Surgery Care Affiliates (Mokena, IL)
- …in medical terminology + Must have experience with commercial, Medicare , Workers' Compensation insurance + Meets all punctuality and attendance requirements, ... patient benefits and obtain necessary authorization. + Coordinates efforts with the Director of Nursing to ensure availability of needed equipment, requested staff,… more
- Trinity Health (Maywood, IL)
- …third party payers. **Position Responsibilities:** Under the direction of the Director /Manager develops, implements and monitors administrative and clinical ... LPP) Health Plan, a delegated entity for BCBS HMO Medicare and Commercial coverage. Experience with mcg or Interqual...make a lasting impact. Under the direction of the Director /Manager oversees the daily caseloads of the UR/UM teams.… more