Top 175 Health specialist Jobs in Chicago, Il

Provider Enrollment Specialist
Nephrology Associates of Northern Illinois and Indiana —Oak Brook, IL
- $27 - $28 an hour
- Full-time
- Research
- Mid-level
- Office
Quick Apply
Enrollment Specialist (Remote - Work From Home)
Lumata Health Inc —Chicago, IL
- $23 - $26 an hour
- Full-time
- Remote
- Writing skills
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
11d
Health Insurance Specialist
Oak Street Health —Chicago, IL
- $21.10 - $44.99 an hour
- Full-time
- Sales
- Clinic
- Bachelor's degree
- Health insurance
- Dental insurance
1d
Utilization Review Specialist
Compass Health Center —Chicago, IL
- $45,000 - $55,000 a year
- Remote
- Microsoft Outlook
- Mid-level
- Bachelor's degree
- Continuing education credits
- Health insurance
Quick Apply
5h
Clinical Office Specialist-Behavioral Health
Thousand Branches Wellness —Chicago, IL
- $20 - $25 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Health savings account
- Disability insurance
PRE-REGISTRATION SPECIALIST
Cook County Health & Hospitals System —Chicago, IL
- $23.02 an hour
- Full-time
- Basic math
- Pass drug screening
- HIPAA
- Paid holidays
- Health insurance
Health Information Technology Specialist Central
IQVIA —Chicago, IL
- $125,000 - $135,000 a year
- Full-time
- System design
- Mid-level
- Master's degree
Imaging Authorization & Scheduling Specialist
Affiliated Oncologists —Orland Park, IL
- $20 - $28 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Wellness program
- Commuter assistance
Provider Enrollment Specialist
NOCD —Chicago, IL
- $60,000 - $75,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid parental leave
- Health insurance
Quick Apply
Outbound Patient Enrollment Specialist
Cadence Health —Chicago, IL
- $23 - $24 an hour
- Remote
- HIPAA
- Mid-level
- 2 years
- Paid parental leave
- Health insurance
Quick Apply
Specialist, Patient Support
TAPESTRY 360 HEALTH —Chicago, IL
- $20.00 - $29.50 an hour
- Full-time
- Bilingual
- Computer literacy
- Organizational skills
- AD&D insurance
- Paid holidays
Quick Apply
Administrative Specialist II
The University of Chicago —Chicago, IL
- $24.04 - $31.25 an hour
- Full-time
- Background check
- 5 years
- Pass drug screening
- Health insurance
- Paid time off
EHR APPLICATION SPECIALIST
Alivio Medical Center —Berwyn, IL
- $60,000 - $70,000 a year
- Temporary
- Microsoft Word
- Microsoft Excel
- Computer Science
- Disability insurance
- Health insurance
Charge Capture Specialist I
Saint Anthony Hospital —Chicago, IL
- $22.88 - $26.88 an hour
- Full-time
- Remote
- 1 year
- Entry level
- Free parking
- Health insurance
Quick Apply
2d
Launch Specialist I (Hybrid / Chicago, IL)
FreedomCare —Chicago, IL
- $23 - $25 an hour
- Hybrid work
- HIPAA
- Office
- Home Health
- Health insurance
- Retirement plan
Quick Apply
Patient Access Specialist Full Time Days
Northwestern Memorial Healthcare —Chicago, IL
- $18.40 - $27.59 an hour
- Full-time
- Background check
- Hospital
- Computer literacy
- Tuition reimbursement
- 401(k) matching
Quick Apply
Patient Access Specialist
Northwestern Memorial Healthcare —Chicago, IL
- $18.40 - $27.59 an hour
- Part-time
- Background check
- Hospital
- Computer literacy
- Tuition reimbursement
- 401(k) matching
Quick Apply
9d
HEALTH INSURANCE SPECIALIST
Law Offices of Bradley S Dworkin P C —Chicago, IL
- $21 - $23 an hour
- Full-time
- Remote
- Mid-level
- Communication skills
- Health savings account
- Health insurance
Quick Apply
eHI Release and Compliance Specialist
Franciscan Health —Hammond, IN
- Full-time
- Hybrid work
- Customer service
- HIPAA
- Mid-level
- Work from home
Patient Registration Specialist I - second shift
Ann & Robert H. Lurie Children’s Hospital of Chicago —Streeterville, IL
- $19.00 - $28.50 an hour
- Full-time
- Bachelor of Science
- Medical office experience
- High school diploma or GED
- 403(b) matching
- Paid parental leave

I want to receive the latest job alert for health specialist in chicago, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

health specialist jobs near chicago, il

Insurance Specialist jobs in Chicago, IL

Registration Specialist jobs in Chicago, IL

Enrollment Specialist jobs in Chicago, IL

Patient Access Specialist jobs in Chicago, IL

Information Technology Specialist jobs in Chicago, IL

Support Specialist jobs in Chicago, IL

Utilization Review Nurse jobs in Chicago, IL

Office Specialist jobs in Chicago, IL

Administrative Specialist jobs in Chicago, IL

Seo Specialist jobs in Finland, PA

Insurance Specialist jobs in Fort Worth, TX

Insurance Specialist jobs in Madison, WI

Insurance Specialist jobs in Kittanning, PA

Insurance Specialist jobs in Sartell, MN

Work From Home Insurance jobs in California

Ese Specialist jobs in Florida

Registration Specialist jobs in Dothan, AL

Medicaid Specialist jobs in New Jersey

Registration Specialist jobs in Casselberry, FL

Registration Specialist jobs in Tucson, AZ

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.

Quick Apply

Refine Your Search

health specialist jobs in chicago, il

Provider Enrollment Specialist

Enrollment Specialist (Remote - Work From Home)

Health Insurance Specialist

Utilization Review Specialist

Clinical Office Specialist-Behavioral Health

PRE-REGISTRATION SPECIALIST

Health Information Technology Specialist Central

Imaging Authorization & Scheduling Specialist

Provider Enrollment Specialist

Outbound Patient Enrollment Specialist

Specialist, Patient Support

Administrative Specialist II

EHR APPLICATION SPECIALIST

Charge Capture Specialist I

Launch Specialist I (Hybrid / Chicago, IL)

Patient Access Specialist Full Time Days

Patient Access Specialist

HEALTH INSURANCE SPECIALIST

eHI Release and Compliance Specialist

Patient Registration Specialist I - second shift

I want to receive the latest job alert for health specialist in chicago, il

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected