Starting pay is $29.07/hour + $0.90 shift differential Shift 6PM 6AM (2 2 3 shift) What we offer you Starting pay is $29.07/hour $0.90 shift differential for night shift Overtime available Quarterly incentive bonuses based on safety training completion + plant incidents Comprehensive benefits package, including medical & prescription, dental, vision, life & AD&D insurance

Responsible for reviewing clinical information obtained from physicians, department queues and other clinical providers, ensuring data is substantial enough to authorize services for appropriate visit account types. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. Ability to properly obtain insurance

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Reviews each credit balance for Medicare and Medicaid

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. This position coordinates the nursing activities betw

The Appeals Coordinator is responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsib

Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and recurring accounts. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. R

Job Description Serves as a liaison between internal/external stakeholders to facilitate the workers' compensation claim process throughout the continuum of care. Responsible for caseload within assigned region. Provides data and analytics to drive performance improvement. Participates in implementing loss control initiatives and education. Job Responsibility 1.Advocates

We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its

Position Highlights Position Supervisor, Insurance Location 4901 Searle Parkway, Skokie, IL Full Time/Part Time Full Time Hours Monday Friday, 8am 4 30pm What you will do Assist Manager to recruit, interview and hire candidate for open positions Conduct employee performance with Manager and achievement of goals Supervise staff of Insurance AR 1 and 11 to perform initial c

Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

Position Highlights Position Location 4201 Winfield Rd, Warrenville, IL Full Time 40 hours Hours Monday Friday 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. Prepares pre authorizations and FMLA/disability f

Responsible for taking a leadership role in the monthly and annual Medicare and Medicaid filings (i.e. cost reports, wage index, provider tax) of a multi hospital system comprised of acute care, Children's, and teaching facilities, and the audit of those filings. Oversees the Reimbursement Associate's work related to preparation of Medicare bad debt submission. Serves as

Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz