NewClaim Examiner II, Construction Markel Group IncClaim Examiner II, ConstructionRosemont, ILThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Litigation Specialist Warrior Insurance NetworkLitigation SpecialistBedford Park, ILRemote$75,000–$100,000 / yearFull timeConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Are you an experienced Litigation Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? .
NewLitigation Specialist First Chicago Insurance Company (FCIC)Litigation SpecialistBedford Park, ILRemote$75,000–$100,000 / yearConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.
NewLitigation Specialist First Chicago Insurance CompanyLitigation SpecialistILRemote$75,000–$100,000 / yearConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.
NewBilling Specialist -Full-Time ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLCBilling Specialist -Full-TimeMonee, ILThe Billing Specialist will utilize their knowledge of revenue cycle management, commercial and Illinois Medicaid billing requirements, and medical billing systems to support the company's medical billing and revenue operations. Skilled at establishing and maintaining positive and effective work relationships with co-workers, clients, members, providers, and other business partners.
Pharmacy Billing Specialist Solve IT Strategies, Inc.Pharmacy Billing SpecialistChicago, ILThis role ensures accurate and timely billing, supports audit readiness and response, maintains compliance with federal and state regulations, and leads process improvement initiatives related to pharmacy revenue cycle performance. Conducts scheduled and ad-hoc audits of pharmacy billing, charging, and collection practices to ensure alignment with payer contracts, Medicare/Medicaid guidelines, HIPAA, and other federal/state regulations at the direction of the Manager.
Inventory Control Specialist- Lockport Area RJW Logistics GroupInventory Control Specialist- Lockport AreaLockport, IL$23–$24 / hourEmployment-At-Will: It is the Company's policy that all associates, other than those covered by a written individual employment or labor agreement with the Company that has been authorized in writing by the Company's Chief Executive Officer or Board of Directors, are not employed for any fixed term and are employed at the will of the Company for an indefinite period. Computer Skills: To perform this job successfully, an individual must have knowledge of the Microsoft Office Suite for writing emails, reconciling data in spreadsheets, and interpreting and/or creating reports.
NewProperty Damage Subrogation Specialist First Chicago Insurance Company (FCIC)Property Damage Subrogation SpecialistBedford Park, IL$50,000–$65,000 / yearMust have the ability to determine, develop and negotiate the theory of liability with Third Party carriers, attorneys and uninsured motorists, as well as resolve files in accordance with company objectives and applicable state regulations. Contact appropriate parties, insurance carriers, and attorneys, to negotiate settlements which are in compliance with company objectives and applicable state regulations.
NewSr Litigation Specialist Argonaut Management ServicesSr Litigation SpecialistChicago, IL$75,276–$120,000 / yearJob DescriptionPosition SummaryThe Senior Litigation Specialist is responsible for the end-to-end management of complex, high‑exposure claims, primarily involving bodily injury under General Liability, Commercial Auto, and Personal Auto claims. CompanyFarm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage.
Billing Specialist The Salvation Army USABilling SpecialistChicago, IL$18.11–$21.73 / hourOccasional receptionist responsibilities are assumed for the Outpatient Clinic including receiving, informing and directing self-referred and scheduled patients; telephone inquiries are received, responding with appropriate general information or channeling theses inquires to appropriate staff members. Coordinates the collection of data from all departments; Responsible for submitting claims and following up with insurance companies; monitors DASA and other funding bodies and reviews all printouts for accuracy; reports any problems or discrepancy to the Director of Clinical Programs.
NewSr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteILRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Billing Reimbursement Specialist Endeavor HealthBilling Reimbursement SpecialistArlington Heights, IL$19.89–$28.84 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Benefits: • Career Pathways to Promote Professional Growth and Development • Various Medical, Dental, and Vision options • Tuition Reimbursement • Free Parking at designated locations • Wellness Program Savings Plan • Health Savings Account Options • Retirement Options with Company Match • Paid Time Off • Community Involvement Opportunities.
Medical Billing Specialist destinationone ConsultingMedical Billing SpecialistChicago, Illinoisdestinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. Disclaimer: We're proactively building a databank for opportunities in Healthcare, Health Tech, Government, Non-Profits, Legal, and more.
Senior Salvage Recovery Specialist Argo Group International Holdings IncSenior Salvage Recovery SpecialistChicago, IL$111,384–$132,498 / yearEssential Responsibilities: Working under limited technical direction and within broad limits and authority, partner with adjuster, auto/property owner, and/or our vendor(s) to gather necessary documentation and ensure an accurate and timely salvage process, potentially with significant impact on departmental results. Qualifications / Experience Required: An advanced knowledge of the salvage function, as well as an exceptional customer service focus typically obtained through: A minimum of five years' experience managing the salvage function (including title work) and salvage vendor (such as Copart) management.
Litigation Management Support Specialist Argo Group International Holdings IncLitigation Management Support SpecialistChicago, IL$29.37–$34.18 / hourPanel management liaison - manage outside panel counsel, including but not limited to inclusion of firm on panel, addition or removal of panel counsel, and in collaboration with claims leaders, appropriately assign panels to appropriate panel lists. This involves aggregating, analyzing, extrapolating, and manipulating data and in order to identify trends to understand where there are gaps or identify exceptional firms to be used more broadly in areas where they are particularly effective.
Bilingual Triage Specialist Argo Group International Holdings IncBilingual Triage SpecialistChicago, IL$26.76–$30.80 / hourOur Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Litigation Management Support Specialist Argo Group International Holdings Ltd.Litigation Management Support SpecialistChicago, IL$29.37–$34.18 / hourPanel management liaison - manage outside panel counsel, including but not limited to inclusion of firm on panel, addition or removal of panel counsel, and in collaboration with claims leaders, appropriately assign panels to appropriate panel lists. This involves aggregating, analyzing, extrapolating, and manipulating data and in order to identify trends to understand where there are gaps or identify exceptional firms to be used more broadly in areas where they are particularly effective.
Senior Salvage Recovery Specialist Argo Group International Holdings Ltd.Senior Salvage Recovery SpecialistChicago, IL$111,384–$132,498 / yearEssential Responsibilities: Working under limited technical direction and within broad limits and authority, partner with adjuster, auto/property owner, and/or our vendor(s) to gather necessary documentation and ensure an accurate and timely salvage process, potentially with significant impact on departmental results. Qualifications / Experience Required: An advanced knowledge of the salvage function, as well as an exceptional customer service focus typically obtained through: A minimum of five years' experience managing the salvage function (including title work) and salvage vendor (such as Copart) management.
Revenue Cycle Specialist Specialty1 PartnersRevenue Cycle SpecialistChicago, IL$55,000–$70,000 / yearThis position holder stays up with emerging technologies and payor practices and is viewed as a thought leader in revenue cycle management, who eliminates obstacles by implementing solution road maps. As the Revenue Cycle Specialist, you will be responsible for identifying, processing, and reducing missed payments, collections, and denied claims.
Pharmacy Prior Authorization Specialist Onco360Pharmacy Prior Authorization SpecialistWoodridge, IllinoisWhat You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.
Reimbursement Specialist - Liability Midwest Orthopaedics at RUSHReimbursement Specialist - LiabilityWestchester, IllinoisFounded in 2003, MOR is comprised of internationally renowned Orthopedic and Spine surgeons who pioneer the latest advances in technology and surgical techniques to improve the lives and activity levels of patients around the world. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity.
NewSpecialist, Accounts Receivable Lundbeck LLCSpecialist, Accounts ReceivableILRemoteWorking with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Documents client's host system utilizing the 5 W's framework and related policies/procedures to ensure accurate and complete documentation and then copies account notes into Amplify's workflow tool.
NewThird Party Reimbursement Specialist Covenant LivingThird Party Reimbursement SpecialistSkokie, IllinoisPropose adjustments and write offs, per CL Policy 5201, to ensure accurate representation of the aging at any point in time; Review of Medicare Part B therapy log, as needed, to ensure proper diagnosis code information is entered under Medicare Part B payer in Vision. Tact and posses excellent communication skills (written and verbal, English skills required) to effectively Genuine compassion for senior adults and the disabled, project a friendly character, support customer service and team concepts.
Denials Management Specialist Endeavor HealthDenials Management SpecialistArlington Heights, IL$22.14–$33.21 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Collaborates in the collection of data and sends monthly "Managed Care Denial Report" to appropriate department Leaders including: Physician Coding Manager; Physician Billing Manager and Director, VP of EEH Physician Practices and Vice President of EEH Revenue Cycle.
Warranty Specialist WarrCloudWarranty SpecialistChicago, ILRemoteWe are looking for a professional who is ready to leave the paperwork behind and embrace a high-tech workflow: Expertise: Minimum of 3 years of automotive warranty administration experience, preferably with high-volume dealerships or a warranty processing company. We’re not just a company; we are the future, using cutting-edge proprietary software, including first-of-its-kind AI/ML technology, to redefine efficiency and deliver unparalleled warranty claim results for automotive dealerships and OEMs.
NewProperty Damage Subrogation Specialist First Chicago Insurance CompanyProperty Damage Subrogation SpecialistIL$50,000–$65,000 / yearMust have the ability to determine, develop and negotiate the theory of liability with Third Party carriers, attorneys and uninsured motorists, as well as resolve files in accordance with company objectives and applicable state regulations. DUTIES & RESPONSIBILITIES: Review evidence required supporting property damage subrogation activity on claims in accordance with policy contract, corporate claims policy and state regulations.
Benefits Specialist AIRLINE PILOTS ASSOCIATION INTERNATIONALBenefits SpecialistChicago, ILRemote$80,884–$115,549 / yearEmployees do not have to pay premiums if they enroll in the Aetna High Deductible Health Plan or the Kaiser HMO Plan; 15 days paid vacation and 13 holidays per year plus 2 volunteer days per year; Generous sick and bereavement leave; Competitive parental leave; Company-paid coverage for long term disability, life insurance, and accidental death & dismemberment; Flexible Spending and Health Savings accounts; Retiree health plan and a retiree health account (retiree HRA). The Benefits Specialist helps to develop and implement the United Airlines Master Executive Council's goals by providing professional and technical support to the United Airlines pilots in the understanding of the United welfare and retirement benefit programs, specifically, Group Life, Health, Dental, Disability, Retirement Plans (both defined contribution and market-based cash balance plans), and Section 125 Plans.
NewPharmacy Benefits Verification Specialist Onco360Pharmacy Benefits Verification SpecialistWoodridge, IllinoisSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Benefits Specialist Air Line Pilots Association, Int'l.Benefits SpecialistChicago, IllinoisRemote$80,884–$115,549 / yearEmployees do not have to pay premiums if they enroll in the Aetna High Deductible Health Plan or the Kaiser HMO Plan; 15 days paid vacation and 13 holidays per year plus 2 volunteer days per year; Generous sick and bereavement leave; Competitive parental leave; Company-paid coverage for long term disability, life insurance, and accidental death & dismemberment; Flexible Spending and Health Savings accounts; Retiree health plan and a retiree health account (retiree HRA). The Benefits Specialist helps to develop and implement the United Airlines Master Executive Council’s goals by providing professional and technical support to the United Airlines pilots in the understanding of the United welfare and retirement benefit programs, specifically, Group Life, Health, Dental, Disability, Retirement Plans (both defined contribution and market-based cash balance plans), and Section 125 Plans.
Inpatient Medical Coding Specialist - Per Diem Huron Consulting ServicesInpatient Medical Coding Specialist - Per DiemChicago, IllinoisRemotePHYSICAL DEMANDS : This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.
Coding Specialist II InsightCoding Specialist IIChicago, IllinoisUtilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required.
Senior Cash Application Specialist GallagherSenior Cash Application SpecialistRolling Meadows, IllinoisFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact : Gallagher Bassett is seeking a Senior Cash Application Specialist to join our dynamic team and play a vital role in ensuring the seamless flow of financial operations.
Inpatient Medical Coding Specialist - Per Diem Huron Consulting GroupInpatient Medical Coding Specialist - Per DiemChicago, ILRemote$26.44–$37.50 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. KEY RESPONSIBILITES: Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.
Accounts Receivable Specialist Full-Time On-Site Restoration 1 of Chicago Lincoln ParkAccounts Receivable Specialist Full-Time On-SiteNiles, ILFull timeWe operate three Chicago-area locations — Lincoln Park, Winnetka, and Chicago North Shore — helping homeowners and businesses recover from property damage with speed, quality, and care. Restoration billing involves homeowners, property managers, and insurance adjusters, so you'll need to be equally comfortable with a friendly reminder call and a firm, professional escalation.
Accounts Receivable Specialist Full-Time On-Site Restoration 1Accounts Receivable Specialist Full-Time On-SiteNiles, IllinoisWe operate three Chicago-area locations — Lincoln Park, Winnetka, and Chicago North Shore — helping homeowners and businesses recover from property damage with speed, quality, and care. Restoration billing involves homeowners, property managers, and insurance adjusters, so you'll need to be equally comfortable with a friendly reminder call and a firm, professional escalation.
Estimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)IL$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
NewMedical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)ILThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
NewMarket Development Project Specialist Visual ComfortMarket Development Project SpecialistChicago, ILProduce accurate basic lighting layouts and supporting documentation utilizing company-approved software and tools (e.g., Scope, Bluebeam).Accurately processes quotes, orders (including bulbs) and returns. We are proud to offer a market-leading range of premium products across categories, styles and price points, remaining committed to beautiful design and, above all, a world-class customer experience.
Leave & Benefits Specialist Foley & Lardner LLPLeave & Benefits SpecialistChicago, IL$77,500–$108,500 / yearServe as subject matter expert and primary administrator for all leave of absence and salary replacement programs while on leave, including FMLA, applicable state and local leave programs, and firm-specific leaves (personal, military, bereavement), as well as short-term disability, paid parental leave, PTO, and vacation. Coordinate leave-related impacts across employee relations, payroll, benefits, and operations, including pay calculations, benefits continuation, premium handling, and billable hour considerations, partnering closely with Payroll, Accounting, and HR.
Reimbursement Specialist, Appeals Belay Diagnostics IncReimbursement Specialist, AppealsChicago, IL$70,000–$85,000 / yearUtilizing next-generation sequencing (NGS), our cerebrospinal fluid (CSF) testing platform detects arm level chromosomal alterations and mutations, enabling diagnostic insights to help guide clinical decisions. The specialist prepares, submits, and tracks multi-level appeals to ensure appropriate reimbursement while maintaining full compliance with HIPAA and applicable regulatory requirements.
Clinical Risk Specialist RN Captive ResourcesClinical Risk Specialist RNItasca, IllinoisThe Clinical Risk Specialist RN is responsible for providing high quality case management and claims management consulting, including identification, assessment and projections of high-cost cases to assist in the underwriting process. ESSENTIAL EDUCATION AND EXPERIENCE : ASN or BSN in nursing licensed in the State of Residence; at least two (2) years of clinical experience, AND at least two (2) years of stop loss or health payer experience.
Senior Hospice Revenue Cycle Specialist curantissolutionsSenior Hospice Revenue Cycle SpecialistAddison, IllinoisYou'll work directly with hospice and palliative care organizations utilizing the Curantis platform—managing NOEs, levels of care billing, claim corrections, and the day-to-day realities of getting hospice claims out the door and paid. Medicare Hospice Billing Knowledge Apply deep knowledge of Medicare hospice billing regulations and reimbursement methodologies, including: Levels of care billing (Routine Home Care, Continuous Home Care, General Inpatient, Respite).
Benefit Verification Specialist Retina Institute of IllinoisBenefit Verification SpecialistHuntley$21.43–$22.43 / hourFull timeVerifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams.
Regulatory Affairs Specialist - Medical Device iMPact Business GroupRegulatory Affairs Specialist - Medical DeviceCary, ILEvaluating proposed preclinical, clinical, and manufacturing changes for regulatory filing solutions and proposing plans or strategies for changes that do not require submissions. Evaluating the regulatory environment and contributing to internal advice throughout the product lifecycle (e.g., concept, development, manufacturing, marketing) to ensure product compliance.
Product Development Specialist Philadelphia Insurance CompaniesProduct Development SpecialistNaperville, IL$76,700–$85,700 / yearYou'll develop new products and strengthen existing offerings by drafting and updating coverage forms, endorsements, and rate/rule pages - making sure our products are clear, competitive, and compliant. Superior interpersonal, communication, and time management skills and ability to develop and foster relationships with key internal and external stakeholders and contribute in a dynamic, fast-paced environment and effectively deliver on multiple priority matters.
Internal Controls & Audit Specialist Lions Clubs InternationalInternal Controls & Audit SpecialistOak Brook, IL$78,000–$88,000 / yearYou'll also act as the business liaison for finance on technology projects and enhancements, actively participate in the claims compliance process, and conduct internal audit testing across the organization as needed. What You'll Do: Conduct internal audit reviews, document process flows, perform testing, summarize results, outline remediation efforts if needed and improvement opportunities where possible.
Sr. Oncology Sales Specialist- S2 - (Arlington Heights, IL) (Field Based) Eisai USSr. Oncology Sales Specialist- S2 - (Arlington Heights, IL) (Field Based)Chicago, ILExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
Intake Specialist AdaptHealth CorpIntake SpecialistElmhurst, ILPhysical Demands and Work Environment: • Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting to 10 pounds • Professional office setting with variable stress levels during authorization deadlines, appeals processes, and urgent patient authorization needs • Proficiency with computers, office equipment, payer portal systems, and healthcare software applications • Sustained concentration, diligence, and ability to manage confidential patient and insurance information with discretion • Communication: Professional verbal and written communication skills for payer interactions and healthcare provider coordination at all organizational levels • Ability to work independently with minimal supervision and availability for extended hours when required • Mental alertness to perform the essential functions of position. Competency, Skills and Abilities: • Ability to appropriately interact with patients, referral sources and staff • Decision Making • Analytical and problem-solving skills with attention to detail • Strong verbal and written communication • Excellent customer service and telephone service skills • Proficient computer skills and knowledge of Microsoft Office • Ability to prioritize and manage multiple tasks • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form • Ability to work independently as well as follow detailed directives • Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
Supervisory Health System Specialist U.S. Department of Veterans AffairsSupervisory Health System SpecialistHines, IL$125,776–$163,514 / yearSuch a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individuals progress and appropriate adjustment of the training program. The incumbent provides technical and administrative supervision to a section of two (2) Health Systems Specialists, GS-0671-13 for data analysis; two (2) Nurse (RN) Informaticists; three (3) Health System Specialists, GS-0671-12/13 for program and administrative oversight, direction, and management; one (1) Administrative Officer, GS-0341-9/11 for program management; and two (2) Program Support Assistants, GS-0303-7 for administrative support.
NewAdvocacy Coordination Team Specialist Sedgwick Claims Management Services, Inc.Advocacy Coordination Team SpecialistChicago, ILProvides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims. PRIMARY PURPOSE: Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims.