12 jobs found in downers grove

As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path? Apply today! You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform utilization management, utilization review for IVF population Determine medical appropriateness of outpatient services for Infertility following evaluation of medical guidelines and benefit determination Interacting with various facilities: hospitals, clinics vendor services Identify solutions to non-standard requests and problems Work with minimal guidance; seeks guidance on only the most complex tasks Translate concepts into practice Provide explanations and...

Remote Medical processing EDI Medical Claims, Downers Grove, IL During this 6-month+ contract position you will be responsible for the accurate and timely submission and reconciliation of electronic files related to claims and patient statements. Makes corrections to EPIC Provider and Payor master files as directed. This is a temporary full-time position working Monday-Friday from (8:00am to 4:30pm). Training will be onsite located in Downers Grove, IL for part or all of the first 3 weeks. Once training is successfully completed you will have the option to work 100% remote from home Education and Experience • Experience working in Passport/ClaimSource is preferable. • Experience working in Epic & Proficient in MS Word and Excel. • Familiarity using FTP client. • Effective in communicating verbally and in writing with other staff and departments related to electronic claim files and patient statements • Schedules and prioritizes for self. Establishes...

Remote Medical processing EDI Medical Claims, Downers Grove, IL During this 6-month+ contract position you will be responsible for the accurate and timely submission and reconciliation of electronic files related to claims and patient statements. Makes corrections to EPIC Provider and Payor master files as directed. This is a temporary full-time position working Monday-Friday from (8:00am to 4:30pm). Training will be onsite located in Downers Grove, IL for part or all of the first 3 weeks. Once training is successfully completed you will have the option to work 100% remote from home Education and Experience Experience working in Passport/ClaimSource is preferable. Experience working in Epic & Proficient in MS Word and Excel. Familiarity using FTP client. Effective in communicating verbally and in writing with other staff and departments related to electronic claim files and patient statements Schedules and prioritizes for self....

As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path? Apply today! You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform utilization management, utilization review for IVF population Determine medical appropriateness of outpatient services for Infertility following evaluation of medical guidelines and benefit determination Interacting with various facilities: hospitals, clinics vendor services Identify solutions to non-standard requests and problems Work with minimal guidance; seeks guidance on only the most complex tasks Translate concepts into practice Provide explanations and...

Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs...

Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a(n) [position title] within PNC's [name of division] organization, you will be based in [city/state location of position]. Job Description Recommends loan solutions to existing firm's customers and/or perspective clients sourced through firm's strategic initiative platforms. Manages a portfolio of customer relationships. Seeks prospective opportunities to retain and/or develop new clients. Develops and prepares loan solutions and refers products and services. Reviews documentation to ensure compliance. Manages customer pipeline for efficiency. Collaborates with internal and external stakeholders to complete mortgage transactions. Collects and analyzes customer financial information for multifaceted and/or complex borrowers. PNC Employees take pride in our reputation and to...

Remote Payment Poster to work near Downers Grove, IL for 6 months + You will be responsible for but not limited to: Electronic downloading payments, balancing daily reports, payment posting using online resources or payer websites. Having the ability to handle account research to expedite payment application is required. 1-2 days a week in office first month for training Education and Experience • Requires a high-school level of education and two to three years of physician billing experience. • Requires a working knowledge of Accounts Receivable as it relates to the department. • A working knowledge of Insurance Carrier Explanation of Benefits If you or anyone you know of is interested in this position, please email all resumes to us for immediate consideration. Job Requirements: Duties and Responsibilities • Efficiently posting payments to company's accounts receivable systems. • Responsible for operational and system training and process...

Position OverviewAt PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a Remote Mortgage Operation Manager within PNC's Retail Lending Services organization, you will be 100% remote*. *100% Remote (If located within 50 miles of Jacksonville FL, Downers Grove IL, Pittsburgh PA, or Miamisburg OH, you could be require to work out a PNC office)Candidate Minimum Requirements:• 5 years minimum of "Mortgage Loan Processor" experience with Government and/or conventional - Purchase and Refinance.• 2 years of work experience at a "supervisory or manager" capacity. • Experience with loan variety of Jumbo, conventional, FHA, VA.Job DescriptionExecutes operating plan and communicates strategy to operations team. Responsible for one or more functions across one or more sites. Manages supervisors and/or individual contributors.Manages and is responsible for achieving desired...

Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a(n) [position title] within PNC's [name of division] organization, you will be based in [city/state location of position].Job Description Recommends loan solutions to existing firm's customers and/or perspective clients sourced through firm's strategic initiative platforms. Manages a portfolio of customer relationships. Seeks prospective opportunities to retain and/or develop new clients. Develops and prepares loan solutions and refers products and services. Reviews documentation to ensure compliance. Manages customer pipeline for efficiency. Collaborates with internal and external stakeholders to complete mortgage transactions. Collects and analyzes customer financial information for multifaceted and/or complex borrowers. PNC Employees take pride in our reputation and to continue building...

Position OverviewAt PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a(n) [position title] within PNC's [name of division] organization, you will be based in [city/state location of position].Job Description Recommends loan solutions to existing firm's customers and/or perspective clients sourced through firm's strategic initiative platforms. Manages a portfolio of customer relationships. Seeks prospective opportunities to retain and/or develop new clients. Develops and prepares loan solutions and refers products and services. Reviews documentation to ensure compliance. Manages customer pipeline for efficiency. Collaborates with internal and external stakeholders to complete mortgage transactions. Collects and analyzes customer financial information for multifaceted and/or complex borrowers. PNC Employees take pride in our reputation and to continue building...

Sr. Analytics Manager Remote Opportunity Responsibilities Identify analytic needs and requirements of the institutions by working closely with senior management; projects may include: root cause/regression analyses; benchmarking and best practice identification; financial and business impact of key initiatives and new ideas and external market analyses Work within cross-functional and cross-institution project teams to solve business problems. Lead a small team of data scientist with a hands-on approach to Selects and manage features, builds and optimizes classifiers using machine learning techniques. Perform data mining using state-of-the-art methods. Leverage third party sources of information to enhance data models. Create and manage data collection procedures to ensure information is relevant for building analytic systems. Ensure the integrity of data used for analysis and models. Work to enhance effective data and information flow between the institutions Work...

You will need to have your own technology equipment during this time- specifics of the required equipment are as follows:Laptop or DesktopMonitor, Keyboard, MouseInternet- Hard WiredManagement and Leadership Functions:The qualified candidate will provide leadership and direction to a team of Underwriting or Quality Control professionals responsible for providing quality loan decisions on a variety of mortgage loan products. You will monitor workflow and ensure compliance within the team to Chase procedures. The MB UW Supervisor will be responsible for team performance as it pertains to loan quality, productivity, and expected turn times. You will be responsible for empowering your staff by providing them the tools and the training necessary to ensure they can excel in their jobs. You will manage productivity and efficiency of the team via reporting, system reviews, and management of work queues based on capacity and volumes. You and your staff will be required to interact with other...