Denials Management Specialist-1
$22.14/h-$33.21/h
a day ago
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OnsiteFull-timeEntry
Summary
Endeavor Health is seeking a Denials Management Specialist-1 to join their team in Warrenville, IL. The role involves reviewing and resolving denied patient insurance claims and collaborating with various stakeholders.
About the Role
As a Denials Management Specialist, you will be responsible for reviewing claim denials related to medical necessity, pre-certification, authorization, and level of care requirements. Your daily tasks will include resolving denied claims, contacting insurance companies for information, sending appeals, providing process improvement recommendations, and maintaining positive working relationships with internal and external parties.
About You
Required:
- High School diploma or equivalent.
- 2 years of previous patient billing or managed care experience.
- Extensive computer knowledge and experience.
- Knowledge of standard billing guidelines, CPT/ICD9 coding, and usual and customary (U&C) schedules.
Benefits
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health
NorthShore University HealthSystem, Swedish Hospital, Northwest Community Healthcare and Edward-Elmhurst Health are now united under one name: Endeavor Health. Together, we’re driven by our mission to help everyone in our communities be their best and our commitment to setting a new standard for healthcare by delivering a truly personal patient experience combined with convenient access to pioneering, world-class care. We are proud to be Illinois’ third-largest health system with more than 27,000 team members, nine award-winning hospitals and more than 300 clinic locations based in the communities we call home.
Warrenville, IL