NewTravel Nurse RN - Medical-Surgical - $2,186 per week in Springfield, IL TravelNurseSourceTravel Nurse RN - Medical-Surgical - $2,186 per week in Springfield, ILSpringfield, IL$2,185.56ID: 64185795 Shift: AM 4 × 12 hr shifts × 48 hrs/week12 hrs per shift Description: Start Date: ASAPShift: 12D EOW (36 or 48hrs/wk)Bill Rate: $85RTO at time of submissionIL license in hand1 year experience in specialty requiredBLS, NIHSST will need to pass dysrhythmia exam. Job Code: 2410Job Req & PID: R1036725 - P70014622 Restated - Travel and Local Regular Guaranteed Hours: Contract Weeks:90
Billing Specialist Memorial HealthBilling SpecialistSpringfield, IllinoisFull timeThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.
Billing Specialist Taylorville Memorial HospitalBilling SpecialistSpringfield, ILThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Experience: Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.
Application Analyst - Epic Resolute Billing -FT - Days - DIO South Broward Hospital DistrictApplication Analyst - Epic Resolute Billing -FT - Days - DIOILPartners with other business applications management teams and contractors to identify synergies and opportunities for improvement, and works with vendors to ensure upgrades and configuration changes are maintained and accurate. Performs work of moderate complexity for assigned business application including collecting and auditing information, analyzing data, and generating reports, preparing operating instructions, and compiles documentation of program development.
Call Center Memorial HealthCall CenterSpringfield, IllinoisFull timeResponsible for the collection and follow-up of all outstanding self pay and liability balances of ALMH and TMH Patient Accounts in accordance with policies and procedures, and determines customers’ eligibility for financial assistance programs. Corresponds with collection agencies regarding payments and other situations with accounts including: review and report of bad debt payments, and review and approval of suit authorizations.
Call Center Taylorville Memorial HospitalCall CenterSpringfield, ILPosition Summary: Responsible for the collection and follow-up of all outstanding self pay and liability balances of ALMH and TMH Patient Accounts in accordance with policies and procedures, and determines customers' eligibility for financial assistance programs. Corresponds with collection agencies regarding payments and other situations with accounts including: review and report of bad debt payments, and review and approval of suit authorizations.
Hospital Outpatient Coder Lundbeck LLCHospital Outpatient CoderILRemoteThis role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred | Two years' experience with formal coding training - considered.
Hospital Outpatient Specialty Coder Lundbeck LLCHospital Outpatient Specialty CoderILRemoteThis role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
Coder, Outpatient Lundbeck LLCCoder, OutpatientILRemoteThis role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
NewCharge Master Analyst Sutter HealthCharge Master AnalystIL$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Clinical Application Support Specialist Jardogs.aiClinical Application Support SpecialistHillsboro, IllinoisExceptional verbal and written communication skills, with a proven ability to explain complex information clearly and concisely to diverse audiences (including busy healthcare providers). You will be the primary point support contact for users with concerns with medical billing, focusing on explaining the logic behind our AI-driven medical coding suggestions and ensuring a smooth user experience.
Lab Services Technician Memorial HealthLab Services TechnicianSpringfield, IllinoisFull timeLogs calls in tracking software, answers all questions pertaining to phlebotomy draws, specimen collection, transport of specimens, provides lab results, supply requests, forensic autopsy cases, and administrative questions. Overview: Registers, orders, labels specimens with appropriate barcode labels and receives all lab specimens arriving at MMC Lab for both inpatient, outpatient, and outreach services.
Denial Appeals Specialist Memorial HealthDenial Appeals SpecialistSpringfield, IllinoisFull timeThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and Medicaid-compliant information accompanies the claim.
Credit/ Refund Specialist Memorial HealthCredit/ Refund SpecialistSpringfield, IllinoisFull timeIdentifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable. Communicates orally and in writing with internal and external insurance representatives and/or governmental agencies (as applicable) to obtain insurance verification and to resolve account questions and billing issues.
Lab Services Technician Taylorville Memorial HospitalLab Services TechnicianSpringfield, ILLogs calls in tracking software, answers all questions pertaining to phlebotomy draws, specimen collection, transport of specimens, provides lab results, supply requests, forensic autopsy cases, and administrative questions. Escalates callers to management or technical departments when necessary if unable to resolve all question Correctly enters outpatient and non-patient demographic, insurance, and diagnosis information into the hospital registration system, answering all questions in each field and updating any information that is not current.
Denial Appeals Specialist Taylorville Memorial HospitalDenial Appeals SpecialistSpringfield, ILThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and Medicaid-compliant information accompanies the claim.
Credit/ Refund Specialist Taylorville Memorial HospitalCredit/ Refund SpecialistSpringfield, ILIdentifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable. Communicates orally and in writing with internal and external insurance representatives and/or governmental agencies (as applicable) to obtain insurance verification and to resolve account questions and billing issues.
Sr. Manager Field Reimbursement - Midwest Integra LifeSciencesSr. Manager Field Reimbursement - MidwestSpringfield, IL$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). + Execute regional payer strategies , including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
Patient Access Specialist I Memorial HealthPatient Access Specialist ISpringfield, IllinoisPart timeIdentifies and reviews services requiring pre-authorization or pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers to ensure eligibility requirements are met prior to service; communicates with physician offices and uses appropriate technology. Negotiates with patients and families to collect co-pays and/or deposits at point of service and supports Patient Access Services (POS) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
Follow-Up Specialist Memorial HealthFollow-Up SpecialistSpringfield, IllinoisFull timeThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Investigates assigned patient accounts with incomplete/incorrect information and resolves problems or errors to ensure complete and compliant information accompanies the claim.
Follow Up Specialist Taylorville Memorial HospitalFollow Up SpecialistSpringfield, ILThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Other Knowledge/Skills/Abilities: Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.
Account Representative Memorial HealthAccount RepresentativeSpringfield, IllinoisFull timePost insurance and/or personal payments as well as adjustments as directed and indicated on EOB’s, balancing input amounts against the control totals for the individual accounts upon completion of entry. Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.
PATIENT ACCESS SPECIALIST I Memorial HealthPATIENT ACCESS SPECIALIST IJacksonville, IllinoisFull timeAccountable for Admissions and/or Registrations (Outpatient/ED/Pre), to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s), which includes Bedside registrations, Pre-Registration, Point of Service Registrations, Bed Assignments and Facility to Facility Transfers, Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information. Demonstrates superior patient relations and interpersonal skills; demonstrates an appropriate level of mental and emotional tolerance and even temperament when dealing with staff, patients and general public, using tact, sensitivity and sound judgment; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
Account Representative Taylorville Memorial HospitalAccount RepresentativeSpringfield, ILPost insurance and/or personal payments as well as adjustments as directed and indicated on EOB's, balancing input amounts against the control totals for the individual accounts upon completion of entry. Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.
PATIENT ACCESS SPECIALIST I Taylorville Memorial HospitalPATIENT ACCESS SPECIALIST IJacksonville, ILAccountable for Admissions and/or Registrations (Outpatient/ED/Pre), to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s), which includes Bedside registrations, Pre-Registration, Point of Service Registrations, Bed Assignments and Facility to Facility Transfers, Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information. Demonstrates superior patient relations and interpersonal skills; demonstrates an appropriate level of mental and emotional tolerance and even temperament when dealing with staff, patients and general public, using tact, sensitivity and sound judgment; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
Field Reimbursement Manager - Kidney (Chicago, IL) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (Chicago, IL)IllinoisCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Revenue Cycle Training Specialist Lundbeck LLCRevenue Cycle Training SpecialistILRemoteOvation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. Working with Ovation Healthcare and ruralMED, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Director, Project Accounting Farnsworth Group IncDirector, Project AccountingSpringfield, IL$150,000–$220,000 / yearThis role manages a team of 10-15 Project Accountants who serve as the primary financial resource for Group Leaders and Project Managers throughout the full project lifecycle from contract setup and invoicing through revenue recognition and closeout. Expert-level proficiency in Deltek VantagePoint or Deltek Vision is essential, as is a demonstrated ability to lead, develop, and retain a high-performing team while maintaining the financial rigor and accuracy that complex, multi-contract project environments demand.
NewManager, Clinic Operations (Petersburg) Memorial HealthManager, Clinic Operations (Petersburg)Petersburg, IllinoisFull timeResponsibilities: Responsible for routine managerial functions, including, but not limited to; physician and employee staffing and work assignments; employee satisfaction; payroll preparation; hiring and direct supervision of clinic personnel; orientation and/or training of employees; conducting physician and staff meetings; implementation of clinic policy, procedures, and process; assisting in the development and implementation of the budget and strategic plan, including access and growth; fulfillment of managed care requirements; financial reporting; maintenance of facilities and equipment; stocking of supplies; purchasing of equipment; patient satisfaction; identifies quality improvement opportunities and uses appropriate QI tools and techniques to evaluation potential solutions; leads problem solving to ensure resolution of clinical care issues and adoption of “best practices”. Overview: The Clinical Operations Manager is responsible for the day-to-day operation of the clinic, including line management responsibility for non-physician personnel, as directed by the Regional Administrator or Clinic Director.
CUSTOMER SERVICE ASSOCIATE Memorial HealthCUSTOMER SERVICE ASSOCIATESpringfield, IllinoisFull timeDuties will be performed mainly in an office setting via fax or phone directly with customers, physician offices, facility case managers including hospitals and nursing homes. Ensure that each customer receives outstanding service by providing a friendly environment, which includes greeting and acknowledging every customer, maintaining solid product knowledge and all other aspects of customer service.
NewManager, Accounts Receivable Lundbeck LLCManager, Accounts ReceivableILRegardless, the position is responsible for optimizing revenue cycle performance and maximizing cash while maintaining compliance with healthcare regulations and payer requirements The Manager will lead a team of A/R specialists and work collaboratively with other departments to improve cash flow, reduce denials, and enhance financial performance. Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management.
CUSTOMER SERVICE ASSOCIATE Taylorville Memorial HospitalCUSTOMER SERVICE ASSOCIATESpringfield, ILDuties will be performed mainly in an office setting via fax or phone directly with customers, physician offices, facility case managers including hospitals and nursing homes. Ensure that each customer receives outstanding service by providing a friendly environment, which includes greeting and acknowledging every customer, maintaining solid product knowledge and all other aspects of customer service.
Clinical Trial Reimbursement (CTR) Senior Manager, HE&R AbbottClinical Trial Reimbursement (CTR) Senior Manager, HE&RIllinoisLead the strategic review and interpretation of clinical investigative plans and payer policies, including Medicare, Medicare Advantage, Medicaid, and commercial payers, to establish comprehensive coverage and reimbursement strategies for IDE, PAS and PMS, Coverage with Evidence Development, and other sponsored trials across all therapy areas including Cardiac Rhythm Management, Electrophysiology, Heart Failure, Neuromodulation, Structural Heart, and Vascular. Provide expert guidance on Clinical Trial Agreements and Informed Consent Forms by identifying financial and compliance risks, recommending mitigation strategies, and ensuring alignment with reimbursement frameworks and regulatory requirements across multi-site and complex trial designs.
Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNIL$17–$18.15 / hourResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist - Springfield Part Time Ensemble Health PartnersPatient Access Specialist - Springfield Part TimeLitchfield, IL$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Associate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessLitchfield, IllinoisPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
NewRegistered Dietitian (Registry) Advocate Health and Hospitals CorporationRegistered Dietitian (Registry)IllinoisMay provide clinical support to various hospital-based outpatient medical destination programs (e.g., cancer center, transplant clinic, digestive health programs, bariatric, cardiac rehab, heart failure, etc.) Enters charges for outpatient nutrition charge capture in electronic medical record. The Clinical Dietitian prescribes orders for therapeutic diets, oral nutrition supplements, and nutrition support regimens, including vitamins/minerals, fluid management, and lab work as indicated within the scope of the Medical Nutrition Therapy (MNT) protocol.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)IL$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
NewField Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerSpringfield, ILJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world. The Field Reimbursement Manager will be responsible for ensuring that target accounts within their geography understand the necessary steps to receive reimbursement through the appropriate payer when ordering products, consistent with company compliance policies, company procedures, and approved materials.
Coder IV- IP DRG - Remote (Selected States Only) Denver Health and Hospital AuthorityCoder IV- IP DRG - Remote (Selected States Only)IllinoisRemoteHB & PB Coding Services Remote opportunity for residents of Colorado, Illinois, Kentucky, Mississippi, New Hampshire, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs.
Revenue Cycle Performance Manager - Full Time - Hybrid Experity IncRevenue Cycle Performance Manager - Full Time - HybridIL$75,350–$95,525 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
NewCT Technologist Advocate Health and Hospitals CorporationCT TechnologistIllinoisPhysical Requirements and Working Conditions: - Able to respond to request to work on short notice - Flexible in starting times to meet demand - As required, must be able to transport, move, and lift patients - May require rotating shifts and alternate days - Exposed to infectious diseases - Must take call - Willing to work overtime when requested - Musculoskeletal hazard from large amount of job lifting - Musculoskeletal hazard from repetitive motions. $35.50 - $53.25 Major Responsibilities: Performs Computed Tomography procedures utilizing General Electric Revolution, Lightspeed, Brightspeed, and HD750 Computerized Tomography Systems according to established operating procedures, clinical protocols, and imaging techniques.
NewSoftware Developer II - Financials Full Stack, Front End Affinegy Inc. (Inactive)Software Developer II - Financials Full Stack, Front EndILOur Members have over 18 million end customers (residential and businesses who receive power, internet, television and/or telephone services) that our enterprise software solution enables our Members to compete effectively in the industry, while excelling in customer service. This position would be on our iVUE Connect Financials Development team, which is NISC''s solution providing functionality to support and enhance the business processes of General Accounting, Human Resources, Payroll, Materials Management, Plant Accounting and Purchasing.
Senior Renewal Plan Build CVS Health CorpSenior Renewal Plan BuildSpringfield, IL$46,988–$122,400 / yearContributes to the success of the team and individual team members by sharing knowledge, information, experience, skill, and creative ideas within and across teams; build relationships, give and seek input from others, cross-trains to other departments, ability to assist others in complex builds, quality reports and projects to achieve goals. Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, Place of service, Healthcare Reform, etc.), this is similar to entry level IT programming.