Top 2389 Senior patient services Jobs in Illinois

Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
- $104,872 - $138,737 a year
- Remote
- 7 years
- Writing skills
- HIPAA
- Disability insurance
Healthcare Documentation Specialist
RLDatix —Chicago, IL
- Email
- Remote
- Research
- Mid-level
- Paid holidays
- Disability insurance
9d
Physical Therapist
Oasis Therapy Services —Prospect Heights, IL
- $38 - $55 an hour
- Full-time
- CPR Certification
- Skilled nursing facility
- BLS Certification
Quick Apply
Certified Occupational Therapy Assistant (COTA)
Oasis Therapy Services —Burr Ridge, IL
- $25 - $30 an hour
- Full-time
- Skilled nursing facility
- In-person
- Entry level
Quick Apply
Physical Therapist
Wabash Senior Living and Rehab —Carmi, IL
- From $50 an hour
- Part-time
- Anatomy knowledge
- Hospital
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Quick Apply
PRN Certified Occupational Therapy Assistant (COTA)
Oasis Therapy Services —Joliet, IL
- $30 - $35 an hour
- Part-time
- Skilled nursing facility
- In-person
- Entry level
Quick Apply
10d
LCPC - Behavioral Health Manager
Signet Health Corporation —Springfield, IL
- Full-time
- Management
- Pass drug screening
- Licensed Clinical Social Worker
- Paid time off
16h
Dental Hygienist
Dentologie —Chicago, IL
- $50 - $57 an hour
- Full-time
- Background check
- Dental office
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
3d
Home Health Physical Therapist
Centerwell —Rock Island, IL
- $59 - $83 an hour
- Full-time
- CPR Certification
- Management
- BLS Certification
- Paid parental leave
- Paid holidays
20h
Certified Occupational Therapy Assistant (COTA)
Oasis Therapy Services —Crest Hill, IL
- $25 - $30 an hour
- Full-time
- Skilled nursing facility
- In-person
- Entry level
Quick Apply
Supervising Psychologist
Clarity Clinic —Arlington Heights, IL
- $60 - $75 an hour
- Full-time
- Hybrid work
- Outpatient experience
- Doctor of Philosophy
- Psychology
- Health insurance
- Dental insurance
Quick Apply
Physical Therapist - Home Health Care
Assure Home Healthcare, Inc. —McHenry, IL
- $46 - $53 an hour
- Full-time
- CPR Certification
- Clean driving record
- Microsoft Excel
- Travel reimbursement
- Profit sharing
Quick Apply
5d
Supervising Psychologist
Clarity Clinic —Chicago, IL
- $60 - $75 an hour
- Full-time
- Hybrid work
- Management
- Outpatient experience
- Doctor of Philosophy
- Health insurance
- 401(k)
Quick Apply
Occupational Therapy Assistant - FT
Renewal Rehab —Long Grove, IL
- $25 - $32 an hour
- Full-time
- Skilled nursing facility
- Organizational skills
- Associate's degree
- Continuing education credits
- Health insurance
Quick Apply
Counselor II - Senior Alcohol & Drug Counselor
Abraxas Youth and Family Services —Chicago, IL
- $22.00 - $24.05 an hour
- Full-time
- Background check
- Licensed Clinical Social Worker
- No experience needed
- Paid training
- Health insurance
Quick Apply
LCSW - Behavioral Health Manager
Signet Health Corporation —Springfield, IL
- Full-time
- Management
- Pass drug screening
- Licensed Clinical Social Worker
- Paid time off
16h
Scheduler (CNA Certification Required) - Weekend PM
CLARK-LINDSEY VILLAGE —Urbana, IL
- $23.80 - $26.80 an hour
- Full-time
- Skilled nursing facility
- Microsoft Outlook
- HIPAA
- Disability insurance
- Health insurance
Physical Therapist - FT
Renewal Rehab —Aledo, IL
- $36 - $43 an hour
- Full-time
- Skilled nursing facility
- Bachelor of Science
- Physical & Rehabilitation Medicine
- Continuing education credits
- Health insurance
Quick Apply
Assessment & Referral RN (Days Weekend Baylor Fri. Sat. Sun.) FT
LAKE BEHAVIORAL HOSPITAL —Waukegan, IL
- $33 - $46 an hour
- 8 hour shift
- Acute care
- Nursing
- Vital signs
- Free parking
- Paid holidays
Quick Apply
Physical Therapist - FT
Renewal Rehab —Macomb, IL
- $36 - $43 an hour
- Full-time
- Skilled nursing facility
- Bachelor of Science
- Physical & Rehabilitation Medicine
- Continuing education credits
- Health insurance
Quick Apply

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Sr. Manager Claims (Remote)

American Medical Association -
Chicago, IL

Apply Now

Job Details

$104,872 - $138,737 a year

Benefits

Disability insurance

Qualifications

Staff supervision
Confidential information handling
HIPAA compliance
Team leadership
Writing skills
Presentations for conferences or internal meetings
HIPAA
Medical claims processing software
High school diploma or GED
Team development
ICD-9
ICD-10
HCPCS
Managing insurance claims teams
Medical terminology

Full Job Description

Sr. Manager Claims (Remote)

FL, IL, IN and WI

AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part of the American Medical Association (AMA), a nonprofit, and the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.

At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve.

We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.

We have an opportunity for a remote Sr. Manager Claims on our AMA Insurance team. This role will manage AMA Insurance Claims Department by establishing claims polices and managing all claims related data, processes and procedures for AMA Insurance. Responsible for the timely and accurate processing of claims, ensuring adherence to all carrier requirements and federal/state regulations.. Serves as Agency subject matter expert and primary point of contact for all claims related functions; working closely with internal and external business partners. Responsible for process improvement and the development and utilization of key processing metrics. Manages team of claims processors.

RESPONSIBILITIES:

Compliance

Ensures AMAI remains in compliance with all claims related processing; must adhere to all carrier and/or state regulatory requirements with regards to timeliness, accuracy, and payments.
Leads annual carrier claims audits for Agency. This includes gathering files/information, communicating findings, and working directly with carrier audit team to resolve implement any required changes. Communicates findings with Agency senior management.
Responsible for periodic regulatory updates required on a state level. Collaborates with Legal to understand changes and then responsible for updating processes.
Responsible for accurately calculating benefits, benefit periods and interest calculations associated with claims payments as defined by carrier requirements.
Manages the internal AMAI claims review program; develops AMAI response on Claims reviews, complaints, and appeals; includes necessary research and coordinating with Legal and Leadership as needed.
Develops and implements processing changes as needed.

Claims Workflow Management

Responsible for the development, implementation and management of procedures and workflows to ensure AMAI meets all claims handling and compliance requirements throughout the entire claim life cycle.
Performs workload balancing daily based on incoming claims volumes and staff capacity.
Continually reviews team performance metrics to identify any process or quality gaps based on claims department goals and carrier Service Level Agreements.
Develops claims data reporting and workflow monitoring reports as needed to gain deeper insight into processing performance; results to drive process improvements.
Leads Claims and Customer Service team response when handling complex customer service matters.
Manage error resolution process (ex. issues with data file transfers), coordinating between AMAI IT and vendors (as needed) to identify, fix, and if needed, update processes to prevent errors from recurring.

Relationship Management

Act as a primary contact on claims related topic with partner carriers claims and compliance departments (including management teams); serves as an internal subject matter expert in both AMAI processes and claims regulations.

Manages the relationships with claims process vendors; includes negotiating terms/pricing, leading problem resolution with vendor and/or AMAI IT; coordinating updates to processes, and providing expert opinions.

Staff Management

Lead, mentor, and provide management oversight for staff.
Responsible for setting objectives, evaluating employee performance, and fostering a collaborative team environment.
Responsible for developing staff knowledge and skills to support career development.

May include other responsibilities as assigned

REQUIREMENTS:

1. Bachelor's degree preferred or equivalent work experience and HS diploma/equivalent education required.

2. 7+ years experience in health claims management.

3. Experience in people management required; able to attract and develop talent. Proven claims experience with multiple products including Medicare Supplement, major medical, hospital indemnity, life and disability insurance required.

4. Expert knowledge of medical terminology, ICD-9/ICD-10 codes, CPT/HCPCS and revenue codes required.

5. In-depth understanding of claims systems and electronic processing of medical claims (HIPAA ANSI 5010 electronic transactions) and imaging systems required.

6. Excellent organizational skills and attention to detail with the ability to manage multiple priorities and meet deadlines.

7. Ability to make sound judgments using strong critical thinking, analytical, research and problem-solving skills.

8. Demonstrated sense of discretion when handling confidential information.

9. Ability to effectively present information and respond to questions from staff, management, plan participants and business partners, using excellent verbal and written communications skills including creating and writing reports, business correspondence and procedure manuals.

This role is an exempt position, and the salary range for this position is $104,872 - $138,737. This is the lowest to highest salary we believe we would pay for this role at the time of this posting. An employee’s pay within the salary range will be determined by a variety of factors including but not limited to business consideration and geographical location, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association’s benefits offerings, please click here.

We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.

THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION

Apply Now

Refine Your Search

senior patient services jobs in illinois

Sr. Manager Claims (Remote)

Healthcare Documentation Specialist

Physical Therapist

Certified Occupational Therapy Assistant (COTA)

Physical Therapist

PRN Certified Occupational Therapy Assistant (COTA)

LCPC - Behavioral Health Manager

Dental Hygienist

Home Health Physical Therapist

Certified Occupational Therapy Assistant (COTA)

Supervising Psychologist

Physical Therapist - Home Health Care

Supervising Psychologist

Occupational Therapy Assistant - FT

Counselor II - Senior Alcohol & Drug Counselor

LCSW - Behavioral Health Manager

Scheduler (CNA Certification Required) - Weekend PM

Physical Therapist - FT

Assessment & Referral RN (Days Weekend Baylor Fri. Sat. Sun.) FT

Physical Therapist - FT

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