- Highmark Health (Springfield, IL)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Cardinal Health (Springfield, IL)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Springfield, IL)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Springfield, IL)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Springfield, IL)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- ADM (Decatur, IL)
- …exempt position. The Process Safety Regional Leader is the regional leader and coordinator for the TPS program across all businesses and process technologies for a ... the EHS and TPS COEs. + Lead, facilitate or participate in Root Cause Investigations (RCIs) in the region, depending on the severity of the event and/or complexity… more
- ADM (Decatur, IL)
- …Discuss disciplinary actions with the plant Human Resource Manager, Production Coordinator , and Department Superintendents as needed + Safety Compliance & Reporting ... and housekeeping. + Analyzes safety incidents by preparing and completing Incident Investigations by end of shift. Escalate incidents to Plant Safety Manager and… more