-
Business Systems Analyst, Content Authoring
2 weeks ago
AbbVie Mettawa, United StatesJob Description · Job DescriptionCompany Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives acr ...
-
Lead Project Control
3 weeks ago
Renewable Energy Grid Solutions Oakbrook Terrace, United States**Job Description Summary**: As related customer equipment, facilities or infrastructure projects: responsible for project delivery, profit & loss accountability, and customer satisfaction through management of project related activities and resources. Impacts departmental operat ...
-
Security Analyst
3 weeks ago
Streamline Healthcare Solutions Oak Brook, United StatesAbout Streamline: · Streamline's mission is to build innovative technology solutions that empower people who improve behavioral health and quality of life of those in need. We are a high growth technology company that delivers web-based software for healthcare organizations to pr ...
-
Business Analyst Ii
3 weeks ago
Chamberlain Group Oak Brook, United StatesThis role is within Chamberlain Group's Engineering function. A successful incumbent is expected to (I) Work with business stakeholders to understand business needs and software development requests to elicit and document requirements as high-level use cases and (ii) Translate hi ...
-
UX Writer
5 days ago
Inspira Financial Oak Brook, United States**HOW YOU WILL SOAR**: · The UX Writer will report to the Manager, UX Writing in the Product Management Department. This role is responsible for translating often complex product information and workflows into engaging and intuitive user experiences. This involves creating clear ...
-
Benefits Department Analyst
13 hours ago
Illinois Municipal Retirement Fund (IMRF) Oak Brook, United States**INTRODUCTION** · The Illinois Municipal Retirement Fund (IMRF) provides death, disability, and pension retirement benefits to employees of local governments and school districts in Illinois (with the exception of the City of Chicago and Cook County). We are the second largest—a ...
-
Accounts Receivable/deductions Analyst
2 weeks ago
uni Brands Corporation Wheaton, United StatesThe Accounts Receivable/Deductions Analyst will be primarily responsible for the collection of outstanding accounts receivable as well as identifying, recording and investigating customer disputes and deductions. This position will be a key contributor to the success of uni Brand ...
-
Supply Chain Analyst
2 weeks ago
Eaton Glendale Heights, United StatesEaton's ES AMER ARS division is currently seeking a Supply Chain Analyst. This role is located out of our Glendale Heights, IL facility. · The expected annual salary range for this role is $ $ a year. This position is also eligible for a variable incentive program. · The Supply C ...
-
Inventory Manager
3 weeks ago
G&W Electric Bolingbrook, United States**Innovating since 1905, G&W Electric has grown into a global leader in engineered electrical power grid solutions. Working with us means joining a worldwide team of passionate manufacturing professionals striving to continually improve the technologies the world depends on to de ...
-
Restoration Job File Coordinator
4 days ago
SERVPRO of Wheaton/Glen Ellyn/Lisle - 9347 Naperville, United StatesSERVPRO of Wheaton/Glen Ellyn/Lisle is hiring a **Restoration Job File Coordinator** · **Benefits** · SERVPRO of Wheaton/Glen Ellyn/Lisle offers: · - Competitive compensation · - Superior benefits · - Career progression · - Professional development · And more · The **Restoration ...
-
Information Protection Cui Analyst
1 week ago
Argonne National Laboratory Lemont, United StatesThe Information Protection Controlled Unclassified Information (CUI) Analyst is responsible for identifying, monitoring, and protecting CUI residing within the Laboratory. The Laboratory's Information Protection Program includes strategic planning, program coordination, program m ...
-
Argonne National Laboratory Lemont, United StatesThe Nuclear Technologies and National Security Directorate (NTNS) and the Advanced Energy Technologies (AET) Directorate are seeking a highly motivated postdoctoral appointee. The position will support both NTNS and AET directorates with development of databases, supply chain mod ...
-
Director Digital Products
5 days ago
Ulta Beauty Bolingbrook, United StatesOverview: · At Ulta Beauty, we're forever imagining. Forever striving. Forever investing in next-gen-with deep and rich opportunities for ongoing learning, growth and advancement. We encourage you to take control of your career and set your own ceiling. For curious and big-pictur ...
-
Financial Analyst
2 weeks ago
Stampede Culinary Partners Bridgeview, United States**Financial Analyst - AP** · **Summary** · Conducts financial activities for the Finance Department by performing the following duties: · AP Responsibilities · - Invoice Authorization Review · - Invoice verification through 3-way Match: Invoice to PO to Receiving Documents · - In ...
-
Financial Analyst I
3 weeks ago
State of Illinois Chicago, United States**Agency**: Governor's Office of Management and Budget · **Closing Date/Time**:04/15/2024 · **Salary**:$5,375 - $6,875 monthly · **Job Type**:Salaried Full Time · **County**:Cook · **Number of Vacancies**:1 · The Governor's Office of Management and Budget is seeking to hire eithe ...
-
Analyst, Industrial
2 weeks ago
Spencer Stuart Chicago, United StatesSpencer Stuart seeks to recruit an Analyst for our Industrial Practice. This Analyst will be based in New York City, Washington DC, or Chicago. Analysts play a critical and visible role on the team. Working closely with Associates, Senior Associates, and Consultants, Analysts ope ...
-
Financial Operations Analyst
3 weeks ago
Lake Shore Associates Chicago, United States**Financial Operations Analyst** · Lake Shore Associates (LSA) is seeking a Financial Operation Analyst that will provide accurate, timely, and data-based information on organization's financial budget, chargebacks and reconciliation of invoices and charges, and review and contra ...
-
Remote Business Analyst
3 weeks ago
Reyes Holdings Rosemont, United StatesOverview: · Come join the largest beer distributor in the United States and be a part of our Performance Promise where we live out our company's purpose of connecting customers, consumers and brands every day, everywhere we operate. · At Reyes Beverage Group, we're proud to be th ...
-
Quality Control Analyst
3 weeks ago
Dimona Tee Elk Grove Village, United States**About Dimona Tee**: · Dimona Tee holds modern infrastructure with the latest technology. We specialize in t-shirt personalization, catering for both unit orders and bulk orders, from cutting and sewing to printing. · **Position Overview**: As a Quality Analyst at Dimona Tee you ...
-
Financial Analyst
3 weeks ago
AbbVie North Chicago, United States**Company Description** · The Financial Analyst is responsible for consolidating, analyzing, and reporting Global capital authorizations and expenditures, and supporting International Therapeutics affiliates with their RCE submissions. The Financial Analyst will also assist with ...
Vendor QA Analyst, Authorization - Downers Grove, Illinois, United States - Duly Health and Care
Description
Overview:
Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We challenge assumptions and invite dissent to accomplish bold goals and unleash the most extraordinary work of your career. We see and support the remarkable in every person within and beyond the walls of our work.
Duly Health and Care works to understand what matters most to you.
We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives.
We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your markHolistic benefits designed to help our team members flourish in all aspects of their lives, including:
Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
$5,250 Tuition Reimbursement per year.
40 hours paid volunteer time off.
A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact
12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members.
401(k) Match
Profit-sharing program
Are you ready to challenge the expected to deliver the extraordinary?
The QA Analyst for Authorization will coordinate, train, optimize and perform QA on the day-to-day activities of vendor management process.
Based on the observations from quality audit identify training needs and work with vendors to create curriculum and optimize existing training documents.
This position will facilitate training and quality review within the Authorization Department of Duly Revenue Cycle Management. This position trains, implements, monitors procedures/processes for maximum efficiency, productivity, and cost containment.Ensures internal procedures for all areas are in compliance with contractual standards, industry standards, and accepted guidelines of regulatory agencies.
Responsibilities:
The Journeys and Adventures that Await:
MAJOR RESPONSIBILITIES
Monitor vendor performance against service level agreements (SLAs) and key performance indicators (KPIs) to ensure they meet operational and compliance standards.
Perform quality control reviews to monitor the accuracy and timeliness of HPS authorization. (25%)
Based upon observations from quality audits, identify training needs and collaborate to train internal clinical operational areas and vendor teams, such as billing, coding, and patient care, to integrate the authorization services smoothly into the overall RCM process.
Identify and resolve issues related to vendor performance and HPS authorization processes. (15%)
Drive continuous improvement initiatives with vendors to enhance service delivery and patient outcomes. (10%)
Develop and maintain strong relationships with external vendors specializing in the HPS authorization services. (5%)
Facilitate regular reviews and audits to ensure adherence to healthcare regulations and standards, including HIPAA. (5%)
Stay updated with changes in healthcare regulations and industry best practices to ensure vendor services remain compliant and effective.
Performs other duties as necessary
Qualifications:
The Experience You Bring:
MINIMUM EDUCATION AND EXPERIENCE REQUIRED
Level of Education: 5 years or more of experience in i the Registration, Eligibility & Benefit Estimation Healthcare field for large multi-specialty group practice.
Years of Experience: 5+ years
Describe Type of Experience
MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES
Strong understanding of healthcare processes, especially patient registration, eligibility, benefit estimation and compliance requirements.
Excellent training and relationship management skills.
Strong analytical and problem-solving abilities.
Exceptional communication and interpersonal skills.
Proficiency in healthcare IT systems and software.
Desirable Experience:
Experience with electronic health records (EHR) systems-preferably Epic