- Josselyn (Northbrook, IL)
- …Conduct follow-up with payors, vendors, and clearinghouse on open insurance claims and balances in compliance with departmental policies and procedures. Resubmit ... primary and secondary claims Identify potential claim issues and escalate to management....identify, and resolve root causes payor denials. Ensure that claims are processed accurately to prevent financial losses for… more
- Walgreens (Deerfield, IL)
- …and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers. ... problems and questions regarding third party prescription plans from stores, claims processors, Walgreens Direct Bill contracts and other applicable parties.… more
- Walgreens (Deerfield, IL)
- …and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers. ... problems and questions regarding third party prescription plans from stores, claims processors, Walgreens Direct Bill contracts and other applicable parties.… more
- Molina Healthcare (Kenosha, WI)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Froedtert South (Kenosha, WI)
- Refund Specialist Froedtert South Kenosha, WI (Hybrid) Full-Time Apply Now Job Details + POSITION PURPOSE + Prepares and submits properly executed claims to ... DUTIES + Independently performs all aspects of insurance precertification, claims billing, follow-up work, and appeals, including accessing, retrieving, and… more
- CDM Smith (Kenosha, WI)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Aldridge (Libertyville, IL)
- Senior Risk Specialist What we are looking for: Aldridge is seeking a Senior Risk Specialist to join our dynamic and energetic team. You will have the ... within our Corporate Risk Department and work with operational personnel on claims , insurance, contracts, and other compliance-related topics. Come join our team… more
- Walgreens (Libertyville, IL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- CDM Smith (Kenosha, WI)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Kenosha, WI)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Danaher Corporation (Richmond, IL)
- …that address the world's biggest health challenges. The Technical Application Specialist (TAS) for Leica Biosystems is responsible for product validation, clinical ... + Develop and execute clinical evidence studies to support product claims and marketing collateral. The essential requirements of the job include:… more
- Astellas Pharma (Northbrook, IL)
- …the responses to, management and analysis of labor and employment claims . + Oversees management of global e-discovery processes and litigation/investigation-related ... analytical ability. + Minimum of 8 years' experience with litigation, claims , and discovery. + Strong project management skills, including demonstrated ability… more
- Leviton (Northbrook, IL)
- …Marketing Materials, and delivery status. Provide support for Customer Claims including deductions, pricing discrepancies, and return orders. Qualifications ... Sample Order Requests, Marketing Materials, and delivery status. Provide support for Customer Claims including deductions, pricing discrepancies, and return orders. more
- CVS Health (Buffalo Grove, IL)
- …File Transfer setups on MFT tools for various file types such as Eligibility, Claims , EDI & Client reports. The right candidate will have a passion for secure ... file transfers and quality assurance. Manage and optimize file transfer processes to facilitate secure exchange of data between various internal and external stakeholders. In this role you will: + Execute on File Transfer Management to seamlessly integrate new… more
- Molina Healthcare (Kenosha, WI)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Scot Forge Company (Spring Grove, IL)
- …with all departments to best service them in handling of worker's compensation claims and other related matters. This role will develop, maintain, and grow the ... ESOP working knowledge + Review, examine, investigate, and analyze worker's compensation claims , inform management, third party claims handlers, and other… more