Senior Claims Operations Analyst Requisition ID 2024 25152 Job Locations US IL Lake Zurich Position Type Regular Full Time Category Finance & Accounting Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support s

This position defines and executes the enterprise risk management framework across the organization. Leads activity to balance risk and reward within the enterprise risk appetite. Provides business risk advice, information and results to functions across the organization to provide reasonable assurance regarding the achievement of strategic objectives. Position Compensatio

Responsible for providing a wide variety of support services to promote the company's product portfolio via the telephone and internet to support Medicare Solutions Network to increase company revenue and profit. ESSENTIAL DUTIES AND RESPONSIBILITIES Sales Promote the company's product portfolio and provide service assistance to consumers; Respond to consumer inquiries th

A Client Implementation Analyst is responsible for the electronic setup, testing and go live of IT projects that involve Client Claims Processing. These claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time technology). The analyst is involved end to end in the process to implement both new business workflows and existing

To perform this job successfully, an individual must be able to perform each primary duty satisfactorily. Support the team maintaining relationships with approximately 15 clients per person, including key clients Support team members who respond to complex inquiries and resolve problems independently through explanation of facts and details; explain trade processing and c

Superior customer service skills with ability to address and successfully resolve complex and sensitive field issues Expert technical knowledge Excellent communication skills, both written and verbal NRF Benefits Great pay package, 401K, company sponsored retirement plan, educational assistance, performance based incentive pay, medical, dental and vision insurance, parent

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for de

Analyze and develop solutions addressing customer Electronic Data Interchange (EDI) and punchout catalog needs. Qualify, develop and implement EDI and punchout catalog partnerships with Uline's customers. Serve as liaison between Uline's eCommerce, Sales and IT teams and our customers. Assist with testing new EDI and punchout catalog implementations and troubleshooting is

include but are not limited to Follow up and collection of all inpatient and outpatient accounts from admission to discharge and final resolution of accounts. Other duties will include billing and cash posting responsibilities. KNOWLEDGE, SKILLS, AND ABILITY Knowledge of coding Knowledge of basic business office/average to high math skills. Knowledge of third party procedu

Reporting to the Student Health Insurance Office Program Manager, the Sr. Insurance Representative provides advanced guidance and support to students and visiting scholars to assist them in making decisions regarding their health insurance. The Sr. Insurance Representative disseminates information to students individually and in group settings regarding Northwestern's ins

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for co

Insurance Verification Representative II Position Highlights Position Insurance Verification Representative II Location Arlington Heights, IL Full Time/Part Time Full time, Mon Fri Onsite Hours Hours rotate Monday Friday during normal business hours What you will do Reviews and analyzes all required demographic, insurance/financial, and clinical data procured by patient i

Position Highlights Position Insurance Pre Authorization Representative Location 4201 Winfield Rd, Warrenville IL Full Time 40 hours per week Hours M F, 8 00AM to 4 30PM Required Travel No What you will do Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time. Prepare

Position Highlights Position Provider Relations Specialist Location Warrenville, IL Part Time Hours M F 8 30am 12 30pm Responsible for the timely credentialing and re credentialing updates of provider members in Behavioral Care Partners in accordance with requirements established by contracted Managed Care Organizations and NCQA. Under direction of Supervisor, is responsi

Position Highlights Position Insurance Representative I Location Skokie, IL Full Time/Part Time Full Time Hours Monday Friday, 8am 4 30pm What you will do Initial collection on hospital accounts on the insurance portion Ensure correct payment received based on expected reimbursement for What you will need Education High School Graduate, required 2yrs post high school or d