Top 472 Claims specialist Jobs in Illinois

Credentialing & Provider Enrollment Specialist
Cardiothoracic & Vascular Surgical Associates, S.C. —Oakbrook Terrace, IL
- $65,000 - $75,000 a year
- 8 hour shift
- Hybrid work
- Background check
- Surgery
- Research
- Health savings account
- Health insurance
Quick Apply
Commercial Operations Specialist
Hydro —Rosemont, IL
- $75,000 - $82,000 a year
- Mid-level
- 3 years
- Bachelor's degree
- Disability insurance
- Health insurance
12d
Trade Compliance Specialist
Echo Incorporated —Lake Zurich, IL
- $95,000 - $110,000 a year
- Hybrid work
- 5 years
- Databases
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Transplant Insurance Follow-Up Specialist/Account Specialist
Wolcott, Wood and Taylor Inc. —Chicago, IL
- $22 - $26 an hour
- Full-time
- Microsoft Outlook
- Writing skills
- Mid-level
11d
EHS Professional
The Visual Pak Companies —Waukegan, IL
- $70,000 - $85,000 a year
- Full-time
- Spanish
- Research
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Auto and General Liability Claims Specialist
The Hartford —Naperville, IL
- $107,600 - $161,400 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
5d
Claim Specialist - Property Field Inspection
State Farm Mutual Automobile Insurance Company —Chicago, IL
- $64,965.62 - $99,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Claims Specialist -- Trucking
Spotter —Lemont, IL
- Remote
- Mid-level
- Analysis skills
- Organizational skills
- Opportunities for advancement
Quick Apply
Claims Specialist - Professional Liability
Tokio Marine North America (TMNA) —Naperville, IL
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Senior Claims Specialist I
Liberty Mutual —Hoffman Estates, IL
- $67,000 - $126,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
9d
Claims Consultant - Miscellaneous and Allied Health Professional Liability
The Hartford —Naperville, IL
- $122,400 - $183,600 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Training & development
DISABILITY CLAIMS SPECIALIST
State of Illinois —Springfield, IL
- $6,460 - $112,044 a year
- Full-time
- Bilingual
- Background check
- Nursing
- Paid parental leave
- Paid holidays
10d
Talent Acquisition and Talent Integration Specialist
Guidehealth —Chicago, IL
- $84,000 - $94,000 a year
- Full-time
- Remote
- Background check
- 5 years
- HIPAA
- Paid parental leave
- Disability insurance
ABA Billing Specialist
Early Ascent ABA —Illinois
- $25 - $32 an hour
- Part-time
- Remote
- Background check
- Mid-level
- Organizational skills
- Flexible schedule
Quick Apply
Medical Benefits & Case Management Specialist (Remote)
Allied Benefit Systems —Chicago, IL
- $50,000 - $60,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Contracts
- Disability insurance
- Health insurance
10d
Claims Specialist - Professional Liability
Philadelphia Insurance Companies (PHLY) —Naperville, IL
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Claim Specialist - Complex Liability Solutions
The Hartford —Naperville, IL
- $107,600 - $161,400 a year
- Full-time
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
4d
Utilization Review & Quality Assurance Specialist
ExamWorks —Rockford, IL
- $45 - $52 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Complex Claims Specialist
Hiscox —Chicago, IL
- $115,000 - $130,000 a year
- Full-time
- Hybrid work
- Office
- 8 years
- Business development
- Wellness program
- Paid parental leave
Stop Loss Claims Specialist II-Specific
Allied Benefit Systems —Chicago, IL
- $24 - $26 an hour
- Full-time
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Disability insurance
- Health insurance

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claims specialist jobs near illinois

Credentialing & Provider Enrollment Specialist

Cardiothoracic & Vascular Surgical Associates, S.C.
Oakbrook Terrace, IL

Quick Apply

Job Details

Full-time
$65,000 - $75,000 a year

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance
Retirement plan

Qualifications

Managed care
Health insurance policy knowledge
Certified Provider Credentialing Specialist
Research
High school diploma or GED
Attention to detail
Productivity software
Technical Proficiency

Full Job Description

Located throughout the Chicagoland area, Cardiothoracic & Vascular Surgical Associates (CTVSA) brings together board-certified physicians with extensive training in diseases of the heart, lung, chest, and vascular systems. Along with our skilled team of clinical and administrative staff, CTVSA offers our patients access to high quality, cutting-edge services and care. Our practice is dedicated to serving our communities.

The Credentialing & Provider Enrollment Specialist is a full-time, salaried position responsible for the coordination, management and administration of credentialing and reappointment for all Cardiothoracic & Vascular Surgical Associates (CTVSA) medical staff and allied health professionals at CTVSA contracted locations. This role will maintain and update all credentialing and re-credentialing information for all providers and share this information with CTVSA billing partners.

Position Description:

Completing all initial payer enrollment applications for commercial and government payers including timely follow up on said applications
Completing and maintaining all CAQH profiles for all providers
Updating and maintaining National Provider Identification files for providers
Obtaining and maintaining payer portal access for credentialing and billing department
Ensuring timely re-credentialing to prevent any lapse in enrollment or hospital privileges
Communicating with hospitals, payers, providers and other entities to quickly and accurately obtain or provide information beneficial to the credentialing or enrollment needs of the organization

Position Requirements:

High school diploma or general education degree (GED) required, college degree preferred; minimum of 2 years of credentialing and/or payer enrollment experience or equivalent in a medical setting.
Knowledge and thorough understanding of current health plan and agency requirements, and managed care operations including enrollment, credentialing, contracting and claims
Knowledge of payer processes, local, state and federal requirements
Excellent written and oral communication; organizational, problem solving and decision-making skills; strong attention to detail; research and follow up skills
Ability to prioritize and manage multiple projects and issues effectively and simultaneously, as well as being able to work both independently and in a team setting
Tech savvy, knowledge of Microsoft Office products, comfortable using multiple systems at once
Certified Provider Credentialing Specialist (CPCS) certification or Provider Enrollment Specialist Certificate (PESC) a plus

Schedule:

8 hour shifts
Monday to Friday
3 days on site, 2 days remote

Job Type: Full-time

Pay: $65,000.00 - $75,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Health savings account
Life insurance
Paid time off
Retirement plan
Vision insurance

Application Question(s):

What are your salary expectations?

Experience:

Credentialing Specialist : 2 years (Preferred)

Ability to Commute:

Oakbrook Terrace, IL 60181 (Required)

Ability to Relocate:

Oakbrook Terrace, IL 60181: Relocate before starting work (Required)

Work Location: Hybrid remote in Oakbrook Terrace, IL 60181

Quick Apply

Refine Your Search

claims specialist jobs in illinois

Credentialing & Provider Enrollment Specialist

Commercial Operations Specialist

Trade Compliance Specialist

Transplant Insurance Follow-Up Specialist/Account Specialist

EHS Professional

Auto and General Liability Claims Specialist

Claim Specialist - Property Field Inspection

Claims Specialist -- Trucking

Claims Specialist - Professional Liability

Senior Claims Specialist I

Claims Consultant - Miscellaneous and Allied Health Professional Liability

DISABILITY CLAIMS SPECIALIST

Talent Acquisition and Talent Integration Specialist

ABA Billing Specialist

Medical Benefits & Case Management Specialist (Remote)

Claims Specialist - Professional Liability

Claim Specialist - Complex Liability Solutions

Utilization Review & Quality Assurance Specialist

Complex Claims Specialist

Stop Loss Claims Specialist II-Specific

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