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Claims Review Nurse jobs - Chicago, IL

Viewing 61 - 70 of 194 jobs

  • Manager PAS Appeals

    Accretive Health - Chicago, IL

    or commercial payers. Position involves thorough review of patient clinical and hospital course documentation ... tools and standards. Responsibilities: Conducts detailed review of patient medical records and payer denial...

    30+ days ago from Glassdoor

  • Foreign Service Consular Adjudicator - Chinese Mandarin

    U.S. Department of State - Pleasantville, NY

    Clearance following a review by a Suitability Review Panel of the candidate’s record for conduct in accordance ... BENEFITS: You can review our benefits at:

    30+ days ago from U.S. Department of State

  • 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 to 15%...

    20 days ago from Jofdav

  • Staff Nurse

    Triton College - River Grove, IL

    1. Three years in educational, industrial, or out-patient clinic setting. Knowledge: 1. Familiarity with safety and health codes, plus experience with processing Workers Compensation claims. Preferred Qualifications: Special Instructions...

    30+ days ago from Triton College

  • Coder II

    Elmhurst Memorial Healthcare - Elmhurst, IL

    to coding on charges entered into charge workqueues Review claim denials in a worqueues Communicate with Coding ... manner. Assist in entering coded charges as needed and review account information to confirm that patient and...

    30+ days ago from Elmhurst Memorial Healthcare

  • Network Management Representative

    WellCare - Chicago, IL

    Manages incoming provider inquiries: identifies potential claims trends and follows-up with provider and internal departments to ensure that identified problems have been resolved. Strategizes for membership growth and retention. Special...

    30+ days ago from WellCare

  • Billing Adjudicator I

    Fast Switch - Des Plaines, IL

    of online submission of claims. Key Responsibilities: Review and research rejected Third-Party claims taking ... appropriate action to resolve. Work backlog of denied claims for timely resubmission. Manage assigned queues...

    30+ days ago from Fast Switch, Ltd.

  • Patient Service Specialist (Part Time 20 hrs Elmhurst, IL - East)

    ATI Physical Therapy - Elmhurst, IL

    activities required to ensure accurate billing and clean claims. Individual is also responsible for assisting ... others, physicians, physician office staff, attorneys and nurse case managers. Clearly communicates with all ATI...

    20 days ago from ATI Physical Therapy

  • Medical Denials Insurance Follow Up Representative

    Advanced Resources - Chicago, IL

    setting handling denied and appeals with outpatient claims. Candidates with recent EPIC experience are ... registrars, medical billing specialists, medical coders, claims processing and medical collection positions. Billing,...

    9 days ago from Advanced Resources

  • Bilingual Customer Service Rep

    Infinity Consulting Solutions - Chicago, IL

    staff (*) - Approve services that do not require a medical review in accordance with the benefit plan (*) - Performs non-medical research including eligibility verification, COB, and benefits verification (*) Documentation and...

    10 days ago from Infinity Consulting Solutions