Top 297 Claims representative Jobs in Downers Grove Il

Medicaid Billing Specialist II
Ignite Medical Resorts —Park Ridge, IL
- Full-time
- English
- Mid-level
- Office
- Health savings account
- AD&D insurance
Quick Apply
Warranty Administrator
Napleton Downtown Chicago —Chicago, IL
- $70,000 - $80,000 a year
- Full-time
- Dealership
- Mid-level
- In-person
- Paid holidays
- Health insurance
Quick Apply
Dental Front Desk
United Dental Partners —Naperville, IL
- $18 - $20 an hour
- Part-time
- Background check
- Dental office
- High school diploma or GED
- Dental insurance
- Paid time off
Quick Apply
3d
Customer Service Representative
Randstad —Itasca, IL
- $18.00 - $18.01 an hour
- Part-time
- No degree
- In-person
- Entry level
- AD&D insurance
- Disability insurance
Quick Apply
6d
Customer Service Agent
Brilliant Staffing LLC —Palatine, IL
- $19 - $22 an hour
- High school diploma or GED
- Entry level
Quick Apply
Bilingual Insurance Customer Service Representative | $50K$70K+ | Established Allstate Agency | Career Growth
Nicole Hupp & Associates —Aurora, IL
- $50,000 - $60,000 a year
- Full-time
- Mid-level
- Office
- Paid time off
- Opportunities for advancement
Quick Apply
Account Representative - State Farm Agent Team Member
Michael Ventura - State Farm Agent —Arlington Heights, IL
- $45,000 - $75,000 a year
- Full-time
- Communication skills
- Entry level
- 401(k)
- 401(k) matching
Quick Apply
5d
Dental Front Office
United Dental Partners —Elgin, IL
- $18 - $20 an hour
- Full-time
- Background check
- Spanish
- Dental office
- Paid training
- Health savings account
Quick Apply
4d
Commercial Auto Claims Representative
CNA Insurance —Downers Grove, IL
- $47,000 - $78,000 a year
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- Communication skills
7d
VP, Account Executive, Professional & Cyber Solutions
The Baldwin Group —Chicago, IL
- $150,000 - $175,000 a year
- Full-time
- Office
- Bachelor's degree
- Team management
Insurance Sales Representative
Cliffard Jenkins Farmers Insurance —La Grange, IL
- $40,000 - $65,000 a year
- Weekends as needed
- No experience needed
- High school diploma or GED
- Communication skills
- Paid training
- Paid time off
Quick Apply
3d
Customer Service Representative - State Farm Agent Team Member
Esha Patel - State Farm Agent —Glendale Hts, IL
- $50,000 - $75,000 a year
- Full-time
- Spanish
- Office
- Communication skills
- Tuition reimbursement
- Paid time off
Quick Apply
Account Manager- Employee Benefits
Connor & Gallagher Benefit Services —Lisle, IL
- $65,000 - $80,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Sales
- Paid holidays
- Disability insurance
Quick Apply
14d
Comprehensive Personal Liability Represented Claims Adjuster -Remote
Allstate —Illinois
- $56,000 - $111,550 a year
- Full-time
- Remote
- Research
- Mid-level
- Residential
- Work from home
10d
Sales Manager Trainee
Scott Carpinelli Farmers Insurance —Chicago, IL
- $35,000 - $50,000 a year
- Full-time
- Communication skills
- Entry level
- Commercial
- Opportunities for advancement
Quick Apply
11d
Sales Representative
Scott Carpinelli Farmers Insurance —Arlington Hts, IL
- $35,000 - $50,000 a year
- Full-time
- Mid-level
- Communication skills
- Commercial
- Opportunities for advancement
Quick Apply
11d
Bilingual Customer Service - Spanish
Howard Wright - State Farm Agency —Joliet, IL
- $45,000 - $75,000 a year
- Full-time
- Spanish
- English
- Office
- Paid time off
- Opportunities for advancement
Quick Apply
5d
General Liability Claims Consultant
CNA Insurance —Downers Grove, IL
- $72,000 - $141,000 a year
- Full-time
- Hybrid work
- 8 years
- Analysis skills
- Experience equivalent to degree accepted
7d
Workers' Compensation Claim Adjuster
CCMSI —Lisle, IL
- $55,000 - $65,000 a year
- Monday to Friday
- Hybrid work
- Computer literacy
- Writing skills
- Mid-level
- Paid holidays
- Disability insurance
13d
Multi-Line Claim Consultant
CCMSI —Chicago, IL
- $65,000 - $75,000 a year
- Hybrid work
- Spanish
- 5 years
- Computer literacy
- Paid holidays
- Disability insurance

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claims representative jobs near downers grove il

Medicaid Billing Specialist II

Ignite Medical Resorts -
Park Ridge, IL

Quick Apply

Job Details

Full-time

Benefits

Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance
Pet insurance

Qualifications

English
High school diploma or GED
Medicaid health insurance
Medicaid regulations
Medicaid
Medical billing account reconciliation
Payment reconciliation

Full Job Description

Description:

Get FIRED up Chicago! Ignite Medical Resorts Home Office in Park Ridge, Illinois is HIRING a Medicaid Billing Specialist II.

SUMMARY: Reporting directly to the Director of Central Billing, the Medicaid Billing Specialist II is responsible for managing Medicaid billing and collections with increased independence and accountability. This role ensures the accuracy of claims, adjustments, and receivables while identifying and resolving discrepancies that impact reimbursement. The Medicaid Billing Specialist II works closely with facility Business Office Managers to address eligibility and authorization issues, provides training support to Specialist I staff, and contributes to departmental performance by monitoring trends, documenting payer activity, and participating in AR reviews

Essential Duties and Responsibilities:

Prepares and submits all Medicaid billing, turnaround documents and claim adjustments.
Communicates closely with facility Business Office Manager to ascertain status of pending applications, level of care determinations and re-certifications.
Utilizes company approved system to document and follow up on payer commitments
Identifies payment discrepancies and unpaid claims; takes appropriate action to resolve balance.
Prepares A/R adjustments and corrections as needed.
Identifies, researches and resolves credit balances according to policy and payer requirements.
Identifies adverse facility trends resulting in returned or denied claims (e.g., repeated failure to obtain prior authorization) and communicates to Business Office Manager for follow-up.
Reports status of claims and AR balances to supervisor, upon demand and/or according to established schedule and procedures.
Participates in monthly AR review.
Prepares account write-off when collection efforts exhaust and submits to supervisor.
Assists with training and orientation of Medicaid Billing Specialist I.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

If you are dedicated, compassionate, dependable and energetic – WE WANT YOU!

Awesome Benefits that Ignite Team Members can expect:

GENEROUS BENEFITS PACKAGE INCLUDING HEALTH, DENTAL & VISION
401K PLAN WITH EMPLOYER MATCH
PAID TIME OFF
HOLIDAY PAY
VOLUNTARY BENEFITS - LIFE/AD&D, STD, LTD, CRITICAL ILLNESS, ACCIDENT, HOSPITAL INDEMNITY
SHORT-TERM AND LONG-TERM DISABILITY
EMPLOYEE ASSISTANCE PROGRAM (EAP)
HEALTH SAVINGS ACCOUNT (HSA)
EMPLOYER PAID LIFE INSURANCE
RASMUSSEN COLLEGE 20% DISCOUNT FOR IN PERSON CLASSES
HOSPITALITY AND TEAMWORK FOCUSED CULTURE
50% OFF IN OUR ON-SITE RESTAURANT AND LUXECAFE PROUDLY SERVING STARBUCKS
A COMMITMENT TO TECHNOLOGY
FREE PLANET FITNESS MEMBERSHIP
ON DEMAND PAY
COMPANY SPONSORED DOORDASH DELIVERY SERVICE
ADVANCEMENT OPPORTUNITIES
SUPER PERKS PROGRAM PET INSURANCE 12%-30% DISCOUNTS
SUBSIDIZED CHILD CARE BENEFITS

Ignite Medical Resorts is an Equal Opportunity Employer.

Requirements:

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

High school diploma or G.E.D.
Minimum of three (3) years’ experience in health care insurance billing, preferably for skilled nursing facility providers.
Comprehensive knowledge of Medicaid programs, including eligibility criteria, covered services, billing rules, recipient rights and provider responsibilities
Must be able to read, write, speak, and understand the English language.
Excellent interpersonal skills
Ability to manage, analyze and reconcile billing and payment details.
Ability to work well in a team-oriented, cooperative environment.
Strong organizational skills and communication skills.

PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Be able to move intermittently throughout the workday.
Must be able to cope with the mental & emotional stress of the position
Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

Quick Apply

Refine Your Search

claims representative jobs in downers grove il

Medicaid Billing Specialist II

Warranty Administrator

Dental Front Desk

Customer Service Representative

Customer Service Agent

Bilingual Insurance Customer Service Representative | $50K$70K+ | Established Allstate Agency | Career Growth

Account Representative - State Farm Agent Team Member

Dental Front Office

Commercial Auto Claims Representative

VP, Account Executive, Professional & Cyber Solutions

Insurance Sales Representative

Customer Service Representative - State Farm Agent Team Member

Account Manager- Employee Benefits

Comprehensive Personal Liability Represented Claims Adjuster -Remote

Sales Manager Trainee

Sales Representative

Bilingual Customer Service - Spanish

General Liability Claims Consultant

Workers' Compensation Claim Adjuster

Multi-Line Claim Consultant

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