Top 232 Care specialist Jobs in Springfield, Il

Market Appeals Specialist
UHS - Nashville Regional Office —Illinois
- $69,000 - $89,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
7d
Training Specialist
Sevita —Springfield, IL
- $55,231.83 a year
- Full-time
- Classroom
- Customer service
- Mid-level
Child Welfare Specialist
Rutledge Youth Foundation —Springfield, IL
- Up to $55,000 a year
- Full-time
- Hybrid work
- Background check
- Driver's License
- 21 years or older
- Paid training
- Paid parental leave
Quick Apply
Patient Access Specialist - Urgent Care
Springfield Clinic —Springfield, IL
- $16.86 - $23.60 an hour
- Full-time
- OSHA
- Computer literacy
- Urgent Care
Patient Access Specialist - Urgent Care Plus (PRN)
Springfield Clinic —Springfield, IL
- $16.86 - $23.60 an hour
- Part-time
- OSHA
- Computer literacy
- Urgent Care
Patient Access Specialist - Urgent Care (30 Hours/week; 3 - 10 Hour shifts)
Springfield Clinic —Springfield, IL
- $16.86 - $23.60 an hour
- Part-time
- OSHA
- Computer literacy
- Urgent Care
JUVENILE JUSTICE YOUTH & FAMILY SPECIALIST OPTION I (UMP)
State of Illinois —Springfield, IL
- $6,404 - $9,187 a month
- Full-time
- Bilingual
- Background check
- Writing skills
- Paid parental leave
- Paid holidays
23h
Senior Specialist, Patient Access - Specialty Operations
Option Care Enterprises, Inc. —Springfield, IL
- $21.07 - $35.12 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Marketing Communications and Experience Specialist
Springfield Clinic —Springfield, IL
- $59,238.40 - $88,878.40 a year
- Full-time
- Public speaking
- Research
- Mid-level
- Travel reimbursement
- Mileage reimbursement
6d
Manager, Care Management
Humana —Springfield, IL
- $86,300 - $118,700 a year
- Full-time
- Microsoft Word
- Nursing
- Microsoft Excel
- Mileage reimbursement
- Paid parental leave
Nutrition Care Coordinator
Option Care Enterprises, Inc. —Springfield, IL
- $18.72 - $31.20 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
Mobile Intake Youth & Family Specialist Supervisor (Sangamon County)
State of Illinois —Springfield, IL
- $7,933 - $11,553 a month
- Overtime
- Bilingual
- Background check
- Writing skills
- Paid parental leave
- Paid holidays
23h
Information Services Specialist II, Option A (Salesforce Release Technician)
State of Illinois —Springfield, IL
- $6,460 a month
- Overtime
- Microsoft PowerPoint
- Bilingual
- Background check
- Paid parental leave
- Paid holidays
8d
Regenerative Therapy Specialist - Springfield, IL
Coloplast —Springfield, IL
- $75,000 - $95,000 a year
- Full-time
- Hospital
- Clinic
- Bachelor's degree
8d
Senior Specialist, Patient Access - Specialty Operations
Option Care Health —Springfield, IL
- $21.07 - $35.12 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Payment Application Specialist
Memorial Health —Springfield, IL
- $16.50 - $24.82 an hour
- Full-time
- Microsoft Excel
- Basic math
- HIPAA
Clinical Research Regulatory Specialist - SMS-3831
SIU Medicine —Springfield, IL
- $3,657.33 - $4,023.07 a month
- Day shift
- Microsoft Access
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
13d
Curriculum Development Specialist - SMS-3824
SIU Medicine —Springfield, IL
- $5,000 - $5,500 a month
- Day shift
- 7 years
- Clinic experience
- Mid-level
- Paid holidays
- Disability insurance
13d
Follow-Up Specialist
Memorial Health —Springfield, IL
- $18.34 - $28.42 an hour
- Full-time
- Microsoft Excel
- Basic math
- Research
Patient Services Specialist
Gailey Eye Clinic —Springfield, IL
- $17.00 - $19.74 an hour
- Full-time
- Word processing
- High school diploma or GED
- Analysis skills

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Market Appeals Specialist

UHS - Nashville Regional Office
Illinois

Quick Apply

Job Details

Full-time
$69,000 - $89,000 a year
7 days ago

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Appeals
Microsoft Excel
Writing skills
LPC
Inventory management software
Master's degree
Database management
Case appeal in utilization management
Bachelor's degree
Utilization management
Resource utilization in healthcare
Microsoft Teams
Productivity software
Clinical documentation standards
Insurance claims appeal handling
LCSW-C

Full Job Description

BH Shared Services (a UHS company) is currently seeking an experienced Market Appeals Specialist to join our established team in the Central Appeals Office.

POSITION SUMMARY: This position supports utilization management and shared services within the behavioral health division. This role oversees and completes all standard appeals within a designated market, including both Cerner and non-Cerner facilities.
A successful candidate must have knowledge of utilization management operations, including experience with appeal letters and payer engagement. The ability to apply clinical acumen in a behavioral health setting both verbally and in writing is essential to this role. *This is a fully remote position.

RESPONSIBILITIES:

Complete all standard appeals timely and manage appeal inventory through ongoing tracking and monitoring.
Act as a liaison with local facilities and payers to ensure timely appeal processing including appropriate follow-up with payers for facility reimbursement.
Participate in local facility UM team meetings to support the standard appeal process.
Provide feedback to providers and UM team on opportunities impacting facility recoveries (e.g., documentation)
Performs other duties as assigned/required by this position

This opportunity provides the following:

UHS offers a challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan.
401k plan with company match
Generous Paid Time Off

REQUIREMENTS:

Bachelor's degree required, Master's preferred
RN License or Master's level clinician required,Licenusre preferred
3-5 years related experience required, 5-8 preferred
Knowledge of utilization management operations, including experience with appeal letters and payer engagement.
Proficient in Excel, Microsoft Office/Teams, Word, and database inventory management.
Knowledge of payer requirements for reimbursement across all levels of care and behavioral health business office operations.
Strong oral communication skills to represent patient progress and treatment in behavioral health.
Understanding of medical necessity criteria application for all levels of care.
Ability to apply clinical acumen in behavioral health to written correspondence.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay: $69,000.00 - $89,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Education:

Master's (Preferred)

License/Certification:

LCSW-C (Preferred)
LPC (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

care specialist jobs in springfield, il

Market Appeals Specialist

Training Specialist

Child Welfare Specialist

Patient Access Specialist - Urgent Care

Patient Access Specialist - Urgent Care Plus (PRN)

Patient Access Specialist - Urgent Care (30 Hours/week; 3 - 10 Hour shifts)

JUVENILE JUSTICE YOUTH & FAMILY SPECIALIST OPTION I (UMP)

Senior Specialist, Patient Access - Specialty Operations

Marketing Communications and Experience Specialist

Manager, Care Management

Nutrition Care Coordinator

Mobile Intake Youth & Family Specialist Supervisor (Sangamon County)

Information Services Specialist II, Option A (Salesforce Release Technician)

Regenerative Therapy Specialist - Springfield, IL

Senior Specialist, Patient Access - Specialty Operations

Payment Application Specialist

Clinical Research Regulatory Specialist - SMS-3831

Curriculum Development Specialist - SMS-3824

Follow-Up Specialist

Patient Services Specialist

I want to receive the latest job alert for care specialist in springfield, il

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