Claims Jobs in Chicago

Role: Project Manager with Payer/ Medicaid/Medicare/ Provider/claims/Benefits Location: 100% Remote Duration: Contract Job Description: Must Haves: A minimum 5 years of experience in a Project Management role 7 for a Project Manager Senior A minimum 3 years of experience in t More...

Epic Resolute Professional Billing have experience in both PB and PB claims Provide Epic product function design build and testing expertise and experience for assigned Epic module Required Skills : epicAdditional Skills : EHR Analyst

Job Title: Sr. Client Account Representative Location: Chicago IL (Remote) Duration: 10 Months Contract Experience: 5 Years This role can sit remote anywhere in the United States! Job Summary Are you looking to expand your commercial lines experience with a global organization th More...

Role: QNXT Tester Location: Remote Duration: Contract Job Description: Need Strong Tester in Healthcare experience. Must have Skills: QNXT Medicaid/Medicare Enrollment/Claims/Provider/Billing/Finance.

MustHaves Masters degree in healthcarerelated field or JD required. CPHRM is required within 6 months of hire CPPS preferred CPHQ optional. At least 5 years of direct clinical care and 5 or more years of progressive leadership in risk or quality required Requires strong organi More...

Role: Healthcare QA Location: 100% Remote Duration: Contract/C2C/W2 Job Description: Must have Skills: QNXT Medicare/Medicaid Jira Skills: Enrollment Claims Billing Service provider

Job Title: Senior Provider Technical Specialist Location: Corvallis OR 97330 Shift: Days (08:0017:00) no weekends Contract: 13 weeks Department Description Client operates a portfolio of health plan products under several different legal structures: Intercommunity Health Plans Inc. More...

Job Description: We are looking for manage Commercial Benefit Configuration team. We are looking for someone with solid Commercial Benefit Configuration experience 23 years strong management experience and QNXT experience preferred. Candidate should have knowledge of claims end More...

Company is a leading provider of premium professional revenue cycle management services which resolves challenging healthcare insurance claim denials and delays to positive resolution for our partners. Our mission is to be the trusted partner of health systems and hospitals in their More...

DUTIES: Responsible for researching and resolving all unpaid insurance claims and following up on all customer inquiries/complaints related to unpaid balances. Other duties as assigned. Answers patient calls and researches and responds to patient concerns within 24 work More...

Duties Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for: Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans. R More...

Java profile with healthcare experience (MUST) Remote Client: Coviti Required Skills Final Action Experience * Building from Scratch * DROOLS exp * Claims Data experience * Java 17 * Springboot REST Job Duties Developing Software Job Requirements Optimization and More...

Job Description: Insurance Agent at Primerica Job Responsibilities: Serve as a trusted advisor to clients by providing them with insurance solutions tailored to their needs Generate leads and cultivate relationships to increase client base Educate customers on various insurance More...

Guaranteed hours: 40 Shift: MonFri 85. required Position Summary: Serves as the principal point of contact for charging related issues. Responsible for managing coordinating and implementing all edits to the chargemaster. Works closely with clinical departments to educate in charge More...

Client offices in Texas Louisiana and Florida is growing! We are looking for an attorney with firstparty insurance defense experience to join our Kingwood Texas team to defend firstparty property claims and litigation. We provide a positive worklife balance and have a great group of p More...

DEPARTMENT DESCRIPTIONSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health More...

Bachelors degree in computer science Information Technology or a related field. Masters degree preferred. Minimum of 6 years of handson experience in test automation with a focus on TOSCA toolset and insurance domain expertise. Strong proficiency in designing and implementing test au More...

POSITION Sr Business Systems Analyst LOCATION Remote EST hours DURATION Temp 6 Months INTERVIEW TYPE Video VISA RESTRICTIONS Only GC or Citizens REQUIRED SKILLS Healthcare claims and claimsbased platforms Previous cloud migration project experience More...

Duties: Essential FunctionsDesigns codes tests debugs documents and maintains those programs.Manages projects in all aspects of information systems lifecycle (info planning business requirements definition implementation productions support). Communicates and manages project scope.Coo More...

Description: 1. Collects enters processes sorts and tabulates information according to departmental process and procedure. At higher classification levels processes involve a wide range of procedures research decision making and discretion. 2. Answers telephones takes and relays mess More...