Chicago, IL · Remote
$16.25 - $21.75/hr
This may include developing schedules and monitoring deadlines; maintaining team process ... claims data. * Additional duties depending on project placement.
Chicago, IL · Remote
$16.25 - $21.75/hr
This may include developing schedules and monitoring deadlines; maintaining team process ... claims data. * Additional duties depending on project placement.
Familiar with the process of referring claims for over-authority review and approval to the carrier ... Knowledge in COB, Medicare rules, CPT codes, REV codes, ICD-10 codes, HCPCS codes, J-codes
Quick apply
Familiar with the process of referring claims for over-authority review and approval to the carrier ... Knowledge in COB, Medicare rules, CPT codes, REV codes, ICD-10 codes, HCPCS codes, J-codes
Provide expert guidance regarding Medicare Set-Asides, Independent Medical Examinations, rated age ... Actively pursues and identifies ways to reduce inefficiencies in claims processes. * Utilizes oral ...
Provide expert guidance regarding Medicare Set-Asides, Independent Medical Examinations, rated age ... Actively pursues and identifies ways to reduce inefficiencies in claims processes. * Utilizes oral ...
Provide expert guidance regarding Medicare Set-Asides, Independent Medical Examinations, rated age ... Actively pursues and identifies ways to reduce inefficiencies in claims processes. * Utilizes oral ...
Provide expert guidance regarding Medicare Set-Asides, Independent Medical Examinations, rated age ... Actively pursues and identifies ways to reduce inefficiencies in claims processes. * Utilizes oral ...
Chicago, IL · Hybrid
The program uses Medicare claims, national surveys, and other secondary data to measure disease ... Support grant applications, progress reports, and disclosure review processes. * Produce analytic ...
Chicago, IL · Hybrid
The program uses Medicare claims, national surveys, and other secondary data to measure disease ... Support grant applications, progress reports, and disclosure review processes. * Produce analytic ...
Chicago, IL · On-site
$106K - $115K/yr
The program uses Medicare claims, national surveys, and other secondary data to measure disease ... Support grant applications, progress reports, and disclosure review processes. * Produce analytic ...
Chicago, IL · On-site
$106K - $115K/yr
The program uses Medicare claims, national surveys, and other secondary data to measure disease ... Support grant applications, progress reports, and disclosure review processes. * Produce analytic ...
... Social Security and Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client.Skills Required:Claims, Customer ...
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... Social Security and Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client.Skills Required:Claims, Customer ...
... Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client. Skills Required: Claims, Customer Service Experience Required: 3-5 ...
... Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client. Skills Required: Claims, Customer Service Experience Required: 3-5 ...
... Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client. Skills Required: Claims, Customer Service Experience Required: 3-5 ...
... Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client. Skills Required: Claims, Customer Service Experience Required: 3-5 ...
Countryside, IL · On-site
$29.82/hr
Review and triage Medicare and Medicaid paper claims, update Laserfiche records, and facilitate processing through the CMS electronic submission channel when appropriate. * Monitor and track ICOB ...
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Countryside, IL · On-site
$29.82/hr
Review and triage Medicare and Medicaid paper claims, update Laserfiche records, and facilitate processing through the CMS electronic submission channel when appropriate. * Monitor and track ICOB ...
Harwood Heights, IL · On-site
$26/hr
... processes. Experience with Medicare, Medicaid, commercial payers, and laboratory-specific ... Review laboratory claims for appropriate CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers ...
Harwood Heights, IL · On-site
$26/hr
... processes. Experience with Medicare, Medicaid, commercial payers, and laboratory-specific ... Review laboratory claims for appropriate CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers ...
Oak Brook, IL · On-site
$20.36 - $24.97/hr
Handles the end to end process of Medicare Secondary Payer (MSP) files * Processes Personal Injury Protection (PIP) claims * Requests overpayment refunds, maintains corresponding files and performs ...
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Oak Brook, IL · On-site
$20.36 - $24.97/hr
Handles the end to end process of Medicare Secondary Payer (MSP) files * Processes Personal Injury Protection (PIP) claims * Requests overpayment refunds, maintains corresponding files and performs ...
... Medicare Reporting, Adjuster Licensing, SOX etc.) and achieving theappropriate financialoutcomes. * Effectuates claims resolution and process improvement while maximizing cost effectiveness and ...
... Medicare Reporting, Adjuster Licensing, SOX etc.) and achieving theappropriate financialoutcomes. * Effectuates claims resolution and process improvement while maximizing cost effectiveness and ...
Aurora, IL · On-site
$43.58 - $65.37/hr
... outcome processes, and the delivery of claim information to interested parties. • Builds ... Act, OSHA, Medicare, etc. • Excellent written and oral communication skills are necessary to ...
Aurora, IL · On-site
$43.58 - $65.37/hr
... outcome processes, and the delivery of claim information to interested parties. • Builds ... Act, OSHA, Medicare, etc. • Excellent written and oral communication skills are necessary to ...
Aurora, IL · On-site
$90K - $135K/yr
... processes, and the delivery of claim information to interested parties. * Builds, maintains and ... Act, OSHA, Medicare, etc. * Excellent written and oral communication skills are necessary to ...
Aurora, IL · On-site
$90K - $135K/yr
... processes, and the delivery of claim information to interested parties. * Builds, maintains and ... Act, OSHA, Medicare, etc. * Excellent written and oral communication skills are necessary to ...
Aurora, IL · On-site
$35K/yr
... outcome processes, and the delivery of claim information to interested parties. • Builds ... Act, OSHA, Medicare, etc. • Excellent written and oral communication skills are necessary to ...
Aurora, IL · On-site
$35K/yr
... outcome processes, and the delivery of claim information to interested parties. • Builds ... Act, OSHA, Medicare, etc. • Excellent written and oral communication skills are necessary to ...
Be Seen First
Chicago, IL · On-site
$33.25/hr
... and Medicare offsets. * Report claims to the excess carrier. * Communicate claim activity and processing with the claimant and the client. * Ensure claim files are properly documented, and claims ...
Quick apply
Be Seen First
Chicago, IL · On-site
$33.25/hr
... and Medicare offsets. * Report claims to the excess carrier. * Communicate claim activity and processing with the claimant and the client. * Ensure claim files are properly documented, and claims ...
Chicago, IL · On-site
... process gaps, and opportunities to improve financial outcomes. * Hold TPAs and internal claim ... return-to-work, settlement valuation, Medicare considerations, litigation management ...
Chicago, IL · On-site
... process gaps, and opportunities to improve financial outcomes. * Hold TPAs and internal claim ... return-to-work, settlement valuation, Medicare considerations, litigation management ...
Provide deep subject matter expertise in Medicare Part C and/or Part D operations, with the ability to assess compliance risks within core functional areas (e.g., claims processing, utilization ...
Provide deep subject matter expertise in Medicare Part C and/or Part D operations, with the ability to assess compliance risks within core functional areas (e.g., claims processing, utilization ...
Harwood Heights, IL · On-site
$26/hr
... processes. Experience with Medicare, Medicaid, commercial payers, and laboratory-specific ... Review laboratory claims for appropriate CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers ...
Harwood Heights, IL · On-site
$26/hr
... processes. Experience with Medicare, Medicaid, commercial payers, and laboratory-specific ... Review laboratory claims for appropriate CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers ...
$12.38 - $13.73
2% of jobs
$13.73 - $15.08
6% of jobs
$15.08 - $16.43
9% of jobs
$17.14 is the 25th percentile. Wages below this are outliers.
$16.43 - $17.78
14% of jobs
$17.78 - $19.14
18% of jobs
The median wage is $19.18 / hr.
$19.14 - $20.49
17% of jobs
$21.23 is the 75th percentile. Wages above this are outliers.
$20.49 - $21.84
16% of jobs
$21.84 - $23.19
7% of jobs
$23.19 - $24.54
4% of jobs
$24.54 - $25.89
4% of jobs
$25.89 - $27.24
2% of jobs
$12
$19
$27
A Medicare Claims Processor is responsible for reviewing, assessing, and processing Medicare insurance claims for healthcare services. They ensure that claims comply with Medicare regulations, verify patient and provider information, and determine payment eligibility. This role requires attention to detail, knowledge of medical billing codes, and an understanding of healthcare regulations. Processors may also communicate with providers or patients to resolve errors and discrepancies.
A Medicare Claims Processor is responsible for reviewing and verifying insurance claims, ensuring that all submitted information is complete and accurate before processing. Daily tasks often include entering claim details into specialized software, checking for errors or inconsistencies, and communicating with healthcare providers to resolve billing issues. You may also need to interpret Medicare guidelines to determine claim eligibility and handle appeals or denials. The role requires a blend of independent work and collaboration with team members in billing, customer service, or compliance departments.
A Medicare Claims Processor should possess strong attention to detail, analytical skills, and a solid understanding of healthcare billing and Medicare regulations. Familiarity with claims processing software, electronic data interchange (EDI) systems, and medical coding (such as ICD-10/CPT codes) is often required, and certification in medical billing can be a plus. Excellent communication, time management, and problem-solving abilities help individuals excel in this role. These skills ensure accurate processing, minimize errors, and support efficient operations in a highly regulated environment.
For Medicare Claims Processor jobs in Chicago, IL, the most frequently searched job titles are:
The top searched job categories for Medicare Claims Processor jobs in Chicago, IL are:
$16.25 - $21.75/hr
Full-time
Posted 8 days ago
Mathematica seeks a passionate, early career PolicyAssociate to join our Medicare Value-Based Care team. Mathematica partners withfederal agencies to test innovative policies and initiatives intended toimprove the delivery of high-quality Medicare services while controllinghealthcare costs. Teams within this portfolio facilitate Medicare incentivepayments to encourage high-quality care; technical support for Medicareproviders and physicians; and research to drive improvements to value-basedcare practice.
As a part of a project team, the Associate will support arange of project activities including client support and consulting, programimplementation, stakeholder training, and research. Ideal candidates are self-motivated;highly organized and detail-oriented; strong writers and oral communicators;passionate about learning new skills and topics; comfortable with ambiguity; collaborative;and creative problem-solvers.
Mathematica is invested in staff career growth across alllevels. The role will include opportunities to develop healthcare policysubject matter knowledge, research and consulting skills, and receivementorship and coaching from leading industry experts.
Key Responsibilities:
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Scientific research and development services
1,001 - 5,000 Employees
Princeton, NJ, US
