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Claims Review Nurse jobs - Chicago, IL

Viewing 41 - 50 of 147 jobs

  • Registered Nurse (RN) - Specialty Clinics

    Veteran Health Administration - Chicago, IL

    Registered Nurse (RN) - Specialty Clinics Chicago, IL Duties: The Ambulatory Care Staff Nurse functions as an integral ... The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and...

    3 days ago from Veteran Health Administration

  • Nurse Medical Mgmt I/II (Telecommute) - 113732VMJ

    Anthem - Chicago, IL

    *Nurse Medical Management II:* * Requires AS/BS in nursing; 3 years acute care clinical experience; or any combination o ... **Job** *Medical* **Title:** *Nurse Medical Mgmt I/II (Telecommute) - 113732VMJ* **Location:** *IL-Chicago* **Requisitio...

    9 days ago from Anthem, Inc

  • Coding & Reimbursement Specialist

    Dupage Medical Group - Downers Grove, IL

    Review medical documentation to verify accurate and complete assignment of CPT/HCPCS and ICD codes following policies/pr ... or billing issues, and makes decisions on whether to appeal claims for payment. Assist other departments in various...

    5 days ago from DuPage Medical Group

  • Human Resources Director (172180)

    Riveredge Hospital - Forest Park, IL

    publish, and administer personnel policies. Cyclically review and make recommendations to CEO for improvement of ... discipline and terminations for the hospital. Review all employment actions for risk. Design and implement...

    30+ days ago from Universal Health Services

  • Human Resources Director

    Wekiva Springs - Forest Park, IL

    publish, and administer personnel policies. Cyclically review and make recommendations to CEO for improvement of ... and maintains statistical data relative to premiums, claims, and costs. Resolves administrative problems with the...

    30+ days ago from Wekiva Springs

  • Director, Forecasting and Commercial Assessment

    Lundbeck - Deerfield, IL

    working with advanced audit data sources, such as medical claims databases * Strong Financial background, including financial reporting and P&L assessments * Experience in Commercial Assessments TRAVEL: * Willingness/Ability to travel up...

    8 days ago from Lundbeck LLC

  • Manager of Clinical Appeals - Office Based - Multiple Locations

    UnitedHealth Group - Schaumburg, IL

    Previous appeals experience Experience working with claims Call center or phone queue experience Experience working in a managed care environment Experience in preparing and giving presentations OptumHealth helps nearly 60 million...

    11 days ago from UnitedHealth Group

  • Senior Consultant, Data Management & Architecture (DM&A) Life Sciences & Health Care

    Deloitte - Chicago, IL

    Medicare Advantage, Medicare Part(s) A, B, D; enrollment, claims, billing and payments. PBM We are seeking candidates ... of prescription drug programs, pharmacy, administration of claims and benefits, drug utilization, distribution, disease...

    5 days ago from Deloitte Development LLC

  • Managed Care Coordinator Assistant

    Arthur J. Gallagher & Co - Itasca, IL

    and help service programs, including Nurse Triage, OSHA, Claims Reporting and other programs as assigned by GB’s ... Position Summary: PC365 (Nurse Triage Program) · Monthly status report distribution to clients · Review pending PC365 lo...

    30+ days ago from Arthur J. Gallagher & Co

  • Health Management Senior Consultant

    Towers Watson - Chicago, IL

    solutions, disability/absence management strategies and claims audit services. Product based solutions such as our ... fits within overall benefits strategy Perform technical review of work products Contribute to the development of new...

    15 days ago from Towers Watson