• Medicaid Provider Hospital

    Humana (Springfield, IL)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (05/10/25)
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  • Provider Contracting Executive

    Humana (Springfield, IL)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (05/07/25)
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  • Regional Account Executive

    Walgreens (Deerfield, IL)
    …enterprise growth. + **Account Management** - Demonstrates the ability to work within hospital systems, IDN's and provider groups / networks to coordinate care ... within the targeted accounts and be able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar (Medicare Part B/D,… more
    Walgreens (03/27/25)
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  • Pre-Authorization Specialist 1

    Rush University Medical Center (Chicago, IL)
    …to resolve issues while also analyzing necessary information that will ensure hospital reimbursement . 9. Appropriately informs the patients of hospital ... to resolve issues while also analyzing necessary information that will ensure hospital reimbursement . 13. Maintains a working knowledge of applicable Federal,… more
    Rush University Medical Center (05/02/25)
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  • Accredited Coder - Inpatient

    Trinity Health (Maywood, IL)
    … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Utilizes encoder software applications, which includes all ... **Description:** Part-time 32 hours weekly Under direct supervision, reviews physician/ provider documentation in Inpatient health records to determine the principal… more
    Trinity Health (05/03/25)
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  • Inpatient DRG Quality Auditor

    Humana (Springfield, IL)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (05/03/25)
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  • Ambulatory Pharmacy Tech

    Prime Healthcare (Chicago, IL)
    …with pharmacy financial assistance programs, insurance processing, and insurance systems (Medicare/ Medicaid ) preferred. Saint Mary of Nazareth Hospital offers ... Time, Monday through Friday Days Facility: Prime St Mary of Nazareth Hospital Location:Chicago, IL Company is an equal employment opportunity employer. Company… more
    Prime Healthcare (04/08/25)
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  • Ambulatory Pharmacy Tech

    Prime Healthcare (Evanston, IL)
    …pharmacy financial assistance programs, insurance processing, and insurance systems (Medicare/ Medicaid ) preferred. Saint Francis Hospital offers competitive ... Schedule: Full Time Monday through Friday Days Facility: Prime St Francis Hospital Location:Evanston, IL Company is an equal employment opportunity employer. Company… more
    Prime Healthcare (04/02/25)
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  • Senior Manager, Outsourced Accounting - Skilled…

    Wipfli LLP (Tinley Park, IL)
    …budgets and forecasts * Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems * Ensure client accounting engagements are completed ... development of best practices. You will oversee and manage multiple client teams, provide training to and promote development of staff, have direct client contact… more
    Wipfli LLP (05/07/25)
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