• Supervisor Coding

    Highmark Health (Springfield, IL)
    …technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to ... coding . Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all… more
    Highmark Health (04/29/25)
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  • Programmer 3

    GovCIO (Springfield, IL)
    …responds to problems by diagnosing and correcting errors in logic and coding ; implements and/or maintains assigned portions of a scientific programming project, ... the user and consultation with and approval of the supervisor or higher-level staff + This Programmer may assist...programs under close direction of higher level staff or supervisor , and may assist higher level staff by independently… more
    GovCIO (03/28/25)
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  • Sr Coordinator, Individualized Care (Case Manager)

    Cardinal Health (Springfield, IL)
    …standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The ... and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to have a strong attention to detail **TRAINING… more
    Cardinal Health (04/30/25)
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  • Environmental Claims Specialist

    Sedgwick (Springfield, IL)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more
    Sedgwick (04/29/25)
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  • Registered Nurse Manager Revenue Integrity Audit…

    Intermountain Health (Springfield, IL)
    …revenue cycle experience). + Two years in a professional level leadership role ( Supervisor or Above) in a hospital setting. + Demonstrated skills and experience in ... Medical Billing, Computer Coding , Business Office, Revenue Cycle, + Insurance Reimbursements, Leadership, Revenue Integrity and Provider Enrollment. **Preferred… more
    Intermountain Health (04/26/25)
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  • Provider Relations Manager

    Molina Healthcare (Springfield, IL)
    …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and… more
    Molina Healthcare (04/19/25)
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  • QNXT Product Consultant

    Cognizant (Springfield, IL)
    …bringing the closure on a given assignment | Performs analysis, design, coding , testing and implementation of quality solutions within the software development life ... customers and team to assess progress against plan and communicates progress with supervisor as necessary. Works to resolve issues in a timely and accurate manner… more
    Cognizant (04/18/25)
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  • Sr. Claims Specialist, Medical Malpractice (LTC)

    Sedgwick (Springfield, IL)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **QUALIFICATION** + Performs other duties as assigned. + Supports the organization's quality program(s). **Experience** Six (6) years of claims management experience or equivalent combination of… more
    Sedgwick (04/10/25)
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  • Premium Audit Reviewer II

    Zurich NA (Springfield, IL)
    …enters relevant items into Premium Audit system. + Consults with Premium Auditor/ Supervisor to research details of particular audits. + Finalizes accurate audit ... insurance industry experience + 3 or more years of premium audit experience, rating, coding or a combination of both + Intermediate Microsoft Excel skills At Zurich,… more
    Zurich NA (04/08/25)
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  • Surety Claims Advisor

    Sedgwick (Springfield, IL)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more
    Sedgwick (03/04/25)
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