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1 - 10 of 14 matches in 0.01 seconds
Sales Delivery Support Specialist I (8121560)
Last Updated: 2021-05-10
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:EG-1041685
Description:

BASIC FUNCTION:
This position is responsible for billing account setup and maintenance activities for national and local accounts. Duties include setting up customer accounts and pricing rules on the AR billing platform based on contractual content, monitoring reports for anomalies, interfacing with internal/external teams, peer reviews…

Reimbursement Analyst (8120149)
Last Updated: 2021-05-08
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:CH-1041748
Description:

BASIC FUNCTION:
This position is responsible for developing reports based on a number of internal/external databases using SAS or a similar programming language; reporting includes pricing models for network negotiations and fee schedule updates used for claims adjudication; validating and researching report results using the original…

Senior Underwriter (8111594)
Last Updated: 2021-05-06
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:EG-1042344
Description:

Job Purpose: This position is responsible for quoting and rating proposals and renewal projections and approves cases within established authority guidelines.
Required Job Qualifications:

  • Bachelor degree or 3 years of experience in a group health insurance function.
  • 3 years of experience underwriting cases of lessor complexity OR…
Associate Business Consultant - Reporting & Analyt (8111587)
Last Updated: 2021-05-06
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:MD-1042268
Description:

Job Purpose:The Business Enablement Solutions team supports Enterprise Sales, Customer Service, and Underwriting divisions on solution delivery for pre-sale (quoting, account, and opportunity management) and post-sale (account installation, OE readiness) activities for new and renewing large/custom group business. This position will have a primary focus on…

Advanced Underwriter (8111583)
Last Updated: 2021-05-06
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:EG-1042345
Description:

Job Purpose: This position is responsible for quoting and rating proposals and renewal projections and approves cases within established authority guidelines.
Required Job Qualifications:

  • Bachelor degree or 2 yearsexperience in a group health insurance function.
  • 2 years of experience underwriting cases of lessor complexity OR Demonstrated capability…
Clinical Process Improv Spec (8111572)
Last Updated: 2021-05-06
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:WS-1042211
Description:

This role must be located in either Downers Grove, Chicago or the Richardson, TX local areas. This will be considered a hybrid role for work space once offices are re-opened.
BASIC FUNCTION:
This position is responsible for developing and evaluating clinical business processes to support the…

Associate Underwriter (8111564)
Last Updated: 2021-05-06
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:EG-1042125
Description:

Job Purpose: This position is responsible for quoting and rating proposals and renewal projections and approves cases within established authority guidelines.
Required Job Qualifications:

  • Bachelor degree or 2 years experience in a group health insurance function.
  • Math skills including the four basic math calculations (addition, subtraction, division…
Primary Nurse Case Administrator I (8104905)
Last Updated: 2021-05-04
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:AK-1041793
Description:

We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and…

Coding Compliance Specialist (8099362)
Last Updated: 2021-05-03
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:WS-1041071
Description:

BASIC FUNCTION:
Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding…

Coding Compliance Specialist (8099358)
Last Updated: 2021-05-03
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:WS-1041069
Description:

BASIC FUNCTION:
Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding…

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