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- Job Title Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial...CmsContract workWork at office
Decatur Memorial Hospital
Springfield, IL2 days ago - ...Medical Surgical (Med Surg) experience DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through...CmsRelocation packageFlexible hoursDay shiftAfternoon shift
DaVita
Springfield, IL2 days ago $135k
...professional experience required. - Equivalent combination of education and experience considered in lieu of degree. - Experience with CMS Medicaid Streamline Modular Certification (SMC) and related outcomes required. - Experience researching state Medicaid enrollment...CmsMinimum wageFull timeContract workTemporary workWork experience placementCurrently hiringImmediate startRemote workHome officeShift workMaximus
Springfield, IL2 days ago- ...point of service. Educate patients regarding billing, insurance coverage, and payment options. Regulatory Compliance: Adhere to CMS Conditions of Participation, obtaining necessary signatures (ABN, consent forms) as required by CMS regulations. Cross-...CmsContract workWork at officeFlexible hoursShift workNight shiftWeekend work
Decatur Memorial Hospital
Springfield, IL2 days ago $16 per hour
...financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs. Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and...CmsContract workWork at officeFlexible hoursNight shiftWeekend workMemorial Health University Medical Center
Springfield, IL2 days ago$35 - $45 per hour
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network...CmsHourly payFull timeInterim roleRemote workRelocation packageFlexible hoursDatavant
Springfield, IL2 days ago$37.31 - $58.75 per hour
...negative trends in coding, charge capture and/or editing processes to improve teams' performance. Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. Audits and...CmsHourly payWork at officeRemote workFlexible hoursIntermountain Health
Springfield, IL2 days ago$4,954 per month
...incorporated and related to any of the job duties as listed in the job description. ABOUT THE AGENCY Central Management Services (CMS) is the operational engine working behind the scenes to enable the State’s more than 60 agencies, universities, boards, and...CmsFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shiftState of Illinois
Springfield, IL23 hours ago$71.1k - $97.8k
...delivery, timing, activities, and content based on feedback and outcomes. Stay current on Medicare Advantage regulatory changes, CMS guidance updates, and carrier productupdates. Participate in train-the-trainer sessions and professional development to continuously...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeImmediate startRemote workWork from homeHome officeHumana, Inc.
Springfield, IL2 days ago$35 - $40 per hour
...Agency Conduct initial reviews of budgets and deliverables for accuracy Submit documents in the Contracts Management System (CMS) and monitor their status throughout the approval process Act as the liaison between the Office of Special Education, the...CmsContract workPart timeWork at officeLocal areaRemote workWorldwide- ...Project Management methodologies and of contract stipulations and requirements. Become knowledgeable of the ER&R/1095-A project and CMS policies and standards. Ensure all project-identified processes and methodologies are executed and followed as applicable....CmsContract workRemote work
- Provider Practice Coding Consultant Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the ...CmsRemote workFlexible hours
$40.11 - $62.17 per hour
...termination. Ensures compliance with all Human Resource and department policies and procedures. Ensures compliance with appropriate CMS, OSHA, EPA, NFPA, The Joint Commission, IDPH, infection prevention, safety regulations, codes and other regulatory standards....Cms- Job Title Performs a wide variety of customer service duties related to medical supplies, equipment, and products. Duties will be performed mainly in an office setting via fax or phone directly with customers, physician offices, facility case managers including hospitals...CmsWork at office
$68.64k - $89.54k
...preparations and post-visit chart reviews Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines Work closely with Coding Supervisor in identifying opportunities for HCC coding...CmsWork at office$85k - $95k
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system...CmsWork at officeImmediate start$25.02 - $39.41 per hour
Job Posting Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. The HIM Hospital Emergency Room Coder is responsible for accurately assigning ICD-10 CM (Clinical Modification) diagnosis codes...CmsHourly payShift work$8,750 - $10,750 per month
...and appropriation authority; prepare economic analysis for bargaining unit negotiations and other ad hoc reports requested by GOMB, CMS, Governor’s Office and other agency senior staff; prepare hiring requests, staffing and contingency plans. We welcome all qualified and...CmsFull timeWork at officeRemote workMonday to FridayFlexible hours- ...heavier items. Education and Licenses: High School diploma or G.E.D. required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. All appropriate state...CmsHourly payWork experience placementImmediate start
- ...preferred Experience developing content for a Learning Management System (LMS) preferred Experience using a Content Management System (CMS) preferred Microsoft Office, Word, Excel, and SharePoint experience required What else does it take to be successful at...CmsWork at officeLocal areaFlexible hours
Briljent
Springfield, IL3 days ago $45 per hour
...application. Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at CMS.****@*****.*** or call (***) ***-**** for further information and to request or discuss an accommodation....CmsHourly payPermanent employmentFull timePart timeFor contractorsH1bWork at officeFlexible hoursNight shiftIllinois Department of Natural Resources
Springfield, IL2 days ago- ...cost ranges: for single: $120.00 - $321.00 monthly; for family: $293.00 - $68.50 monthly For more information on benefits: visit cms.illinois.gov/benefits/stateemployee.html Illinois Attorney General (IL) 500 S. 2nd St. Springfield, Illinois, 62701 (***) ***-****...CmsFull timePart timeWork at officeFlexible hours
$107.72k - $161k
Job Summary The Manager, Clinical Operations works closely with the OPDC Monitoring Oversight Lead to manage monitoring oversight activities including managing Clinical Monitoring Consultants (CMC) contracted to perform monitoring oversight duties as well as escalating...CmsTemporary workInterim roleLocal areaFlexible hours$9,174 - $9,900 per month
...application. Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at CMS.****@*****.*** or call (***) ***-**** for further information and to request or discuss an accommodation....CmsPermanent employmentFull timeFor contractorsH1bWork at officeLocal areaImmediate startMonday to FridayFlexible hoursNight shift$4,756 per month
...applications. Evaluates bidder financial disclosures during the construction bidding process. Serves as liaison for contractors, CMS's, AE's, CDB staff, and client agencies regarding the contractor, CM and AE prequalification process. Updates and maintains...CmsFull timeContract workFor contractorsWork experience placementFor subcontractorWork at officeImmediate startMonday to FridayFlexible hours$9.5k
Job Requisition ID: 52415 Closing Date: 01/20/2026 Agency: Department of Healthcare and Family Services BPIS: 09117 Class Title: PUBLIC SERVICE ADMINISTRATOR - 37015 Skill Option: Health and Human Services Bilingual Option: None Salary: Anticipated...CmsFull timeWork at officeRemote workMonday to FridayFlexible hours$130k - $145k
...rewarding career and lasting future with the State of Illinois. POSITION SUMMARY The State of Illinois Central Management Services (CMS), Bureau of Property Management is looking for an Assistant Deputy Director of Facilities Administration to oversee the Transaction...CmsFull timeTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift$4,414 per month
...incorporated and related to any of the job duties as listed in the job description. ABOUT THE AGENCY Central Management Services (CMS) is the operational engine working behind the scenes to enable the State’s more than 60 agencies, universities, boards, and...CmsFull timeContract workWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift$9,174 per month
...application. Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at CMS.****@*****.*** or call (***) ***-**** for further information and to request or discuss an accommodation....CmsPermanent employmentFull timeH1bWork at officeRemote workMonday to FridayFlexible hoursNight shift$5,637 per month
...incorporated and related to any of the job duties as listed in the job description. About The Agency Central Management Services (CMS) is the operational engine working behind the scenes to enable the State's more than 60 agencies, universities, boards, and...CmsFull timeWork at officeLocal areaMonday to FridayFlexible hoursNight shiftWeekend workAfternoon shiftState of Illinois
Springfield, IL27 days ago
