Top 138 Claims specialist Jobs in Aurora, Il

Provider Enrollment Specialist
Nephrology Associates of Northern Illinois and Indiana —Oak Brook, IL
- $27 - $28 an hour
- Full-time
- Research
- Mid-level
- Office
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Asset Protection Specialist
HelloFresh —Aurora, IL
- $24.50 an hour
- Full-time
- 18 years or older
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Food Labeling Compliance Specialist
The MOHR Enterprises LLC —Woodridge, IL
- $75,000 - $85,000 a year
- Monday to Friday
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
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Pharmacy Prior Authorization Specialist
Onco360 —Woodridge, IL
- From $23 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
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Senior Workers' Compensation Claims Specialist
CorVel Corporation —Downers Grove, IL
- $61,053 - $98,334 a year
- Full-time
- Hybrid work
- Customer service
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
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Support Specialist (Chat, Emails, Calls) Remote
Inspira Financial Trust, LLC —Oak Brook, IL
- $18.50 an hour
- Monday to Friday
- Remote
- Bachelor's degree
- No degree
- Typing
- Paid training
- Commuter assistance
Pharmacy Claims Adjudication Specialist
Onco360 —Woodridge, IL
- From $24 an hour
- Full-time
- Hybrid work
- Customer service
- Basic math
- Mid-level
- Paid holidays
- Disability insurance
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9d
Claims Specialist -- Trucking
Spotter —Lemont, IL
- Remote
- Mid-level
- Analysis skills
- Organizational skills
- Opportunities for advancement
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Liability Claims Specialist
CorVel Corporation —Downers Grove, IL
- $52,999 - $85,473 a year
- Full-time
- Hybrid work
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
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12d
Auto and General Liability Claims Specialist
The Hartford —Naperville, IL
- $107,600 - $161,400 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
Professional Medical Collector (In-Person)
Metro Infectious Disease Consultants —Burr Ridge, IL
- $80,000 - $90,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- Dental insurance
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Logistics Specialist
Formerra LLC —Romeoville, IL
- Mid-level
- High school diploma or GED
- Bachelor's degree
Technical Specialist
TEC Specialty —Aurora, IL
- Marketing
- 5 years
- Engineering
Mental Health Billing Specialist
A New Day Family Counseling —Plainfield, IL
- $23 - $27 a year
- Mid-level
- Health insurance
- Dental insurance
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Collections Specialist
ASPS PARENT LLC —Villa Park, IL
- $25 - $32 an hour
- Full-time
- Microsoft Word
- Basic math
- Mid-level
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Fulfillment Specialist
International Motors, LLC —Lisle, IL
- $62,400 - $93,600 a year
- Online Application
- Customer service
- No experience needed
- Office
9d
Customer Service & Sales Operation Specialist
Wedi Corporation —Batavia, IL
- $75,000 - $80,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- ERP systems
- Paid holidays
- Health insurance
Quick Apply
13d
Senior Claims Specialist
Liberty Mutual —Hoffman Estates, IL
- $67,000 - $126,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
6d
Claim Specialist - Complex Liability Solutions
The Hartford —Naperville, IL
- $107,600 - $161,400 a year
- Full-time
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
Medical Benefits Verification Specialist
Onco360 —Woodridge, IL
- From $23 an hour
- Monday to Friday
- Basic math
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
13d

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Provider Enrollment Specialist

Nephrology Associates of Northern Illinois and Indiana -
Oak Brook, IL

Quick Apply

Job Details

Full-time
$27 - $28 an hour

Qualifications

Contract management
Defect resolution root cause analysis
Medicare
Provider database maintenance for medical credentialing
Provider enrollment for medical credentialing
Research
Medicare regulations
Medicaid
Root cause analysis
Medical claim denial management

Full Job Description

Provider Enrollment Specialist with RCM focus

Department: Credentialing

Reports To: Director of Revenue Cycle

Location: In-office

We are seeking a highly motivated and detail-oriented Provider Enrollment Specialist with Revenue Cycle Management focus to join our Revenue Cycle department. This position is responsible for all aspects of provider and facility payer enrollment while serving as the operational bridge between Credentialing, Contracting, and Revenue Cycle Management (RCM).

The ideal candidate will possess a strong background in payer enrollment, provider contracting, and healthcare revenue cycle operations. This individual must understand how enrollment and credentialing directly impact claim reimbursement and have hands-on experience investigating and resolving payer denials resulting from enrollment, credentialing, contracting, and provider data issues.

This role requires an individual proactively working with Revenue Cycle teams to minimize revenue loss caused by enrollment-related issues. Success in this role requires exceptional follow-through, strong analytical skills, and the ability to independently identify root causes, resolve payer issues, and prevent future denials.

Responsibilities

Revenue Cycle and Denial Resolution

Serve as the subject matter expert for payer enrollment and credentialing-related claim denials.
Review and work enrollment-related denials received from Revenue Cycle teams to identify root causes and implement corrective actions.
Research payer denials involving provider participation, effective dates, credentialing status, taxonomy, billing group assignments, contracting discrepancies, or enrollment errors.
Partner closely with Billing, Coding, Patient Accounts, Contracting, and Revenue Cycle leadership to resolve enrollment issues impacting reimbursement.
Coordinate timely claim corrections and resubmissions after enrollment issues have been resolved.
Identify recurring denial trends and recommend process improvements to reduce future enrollment-related denials.
Assist with root cause analysis for enrollment failures impacting reimbursement and responsible for developing preventive solution

Contracting Support

Collaborate with the Contracting team to ensure provider enrollments align with executed payer agreements and contract effective dates.
Understand payer contract implementation requirements and ensure providers are enrolled under the appropriate networks and products.
Review contract participation requirements that impact provider enrollment and reimbursement.
Assist in coordinating payer implementations for newly executed contracts and acquisitions.

Minimum Qualifications

Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
Minimum 3–5 years of provider enrollment experience.
Minimum 2 years of Revenue Cycle Management (RCM), billing, accounts receivable, or payer denial resolution experience.
Working knowledge of provider contracting and payer implementation processes.
Demonstrated experience investigating and resolving credentialing, enrollment, and contracting-related claim denials.
Strong understanding of Medicare, Medicaid, and commercial payer enrollment requirements.
Experience working with provider enrollment systems, payer portals, and credentialing software.
Proficiency with CAQH ProView, PECOS, NPPES, and payer-specific enrollment systems.

Preferred Qualifications

Previous experience working in both Credentialing and Revenue Cycle Management.
Experience with payer contracting or provider network management.
Experience supporting physician practices, nephrology groups, dialysis organizations, or multi-specialty healthcare organizations.
Experience with delegated credentialing and payer roster management.
Knowledge of claim adjudication and payer reimbursement methodologies.
Credentialing certification (NAMSS CPCS or CPMSM) preferred but not required.

Skills & Competencies

Strong understanding of how provider enrollment, credentialing, contracting, and payer participation impact claims processing and reimbursement.
Ability to independently investigate enrollment-related denials and identify root causes.
Working knowledge of healthcare billing, payer claim adjudication, and denial management processes.
Strong analytical and critical thinking skills with a proactive problem-solving approach.
Exceptional organizational skills with the ability to manage multiple priorities and meet deadlines.
Excellent attention to detail and accuracy when maintaining provider and payer information.
Ability to collaborate effectively across Credentialing, Contracting, Revenue Cycle and Provider Operations.
Excellent written and verbal communication skills.
Strong initiative, accountability, and ownership of assigned work.
High level of professionalism and discretion when handling confidential information.

About NANI

NANI is the nation’s largest Nephrology practice. We have provided excellence in specialty kidney care for over 50 years. NANI’s nephrology practices are primarily operated in northern Illinois and throughout northern and central Indiana, with additional locations in New Jersey. NANI’s scope of care and services include difficult-to-control hypertension, kidney disease, kidney injury, kidney transplant, and related services, as well as groundbreaking and lifesaving clinical research and consulting services.

Mission: To transform the lives of people living with kidney disease by providing the highest quality care.

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Refine Your Search

claims specialist jobs in aurora, il

Provider Enrollment Specialist

Asset Protection Specialist

Food Labeling Compliance Specialist

Pharmacy Prior Authorization Specialist

Senior Workers' Compensation Claims Specialist

Support Specialist (Chat, Emails, Calls) Remote

Pharmacy Claims Adjudication Specialist

Claims Specialist -- Trucking

Liability Claims Specialist

Auto and General Liability Claims Specialist

Professional Medical Collector (In-Person)

Logistics Specialist

Technical Specialist

Mental Health Billing Specialist

Collections Specialist

Fulfillment Specialist

Customer Service & Sales Operation Specialist

Senior Claims Specialist

Claim Specialist - Complex Liability Solutions

Medical Benefits Verification Specialist

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