Top 340 Provider enrollment 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
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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
7d
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
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Benefits Enrollment Specialist
GREATER CHICAGO FOOD DEPOSITORY —Chicago, IL
- $26 an hour
- Evenings as needed
- Hybrid work
- Mid-level
- Office
- Driver's License
- Disability insurance
- Health insurance
Patient Care Navigator - IR
Hospital: Rush University Medical Center —Chicago, IL
- $18.87 - $29.73 an hour
- 8 hour shift
- Bilingual
- Customer service
- High school diploma or GED
Community Health Worker
Hospital: Rush University Medical Center —Chicago, IL
- $21.61 - $30.53 an hour
- 8 hour shift
- Spanish
- High school diploma or GED
- Organizational skills
Outbound Patient Enrollment Specialist
Cadence Health —Chicago, IL
- $23 - $24 an hour
- Remote
- HIPAA
- Mid-level
- 2 years
- Paid parental leave
- Health insurance
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Medicaid Researcher, Healthcare Innovations
American Institutes for Research —Chicago, IL
- $96,100 - $128,100 a year
- Email
- Remote
- Master's degree
- SQL
- Doctor of Philosophy
BENEFITS CLAIMS SUPVSR
City of Chicago —Chicago, IL
- $78,768 a year
- Monday to Friday
- Management
- High school
- Research
3d
Credentialing & Patient Accounts Specialist
Joint Relief Institute —Orland Park, IL
- $55,000 - $65,000 a year
- Full-time
- Hybrid work
- Mid-level
- Communication skills
- Commercial
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Benefits Eligibility Specialist
Allied Benefit Systems —Chicago, IL
- $20 - $21 an hour
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Disability insurance
- Health insurance
9d
Patient Care coordinator (Medical Assistant) - Onsite
Neolytix —Chicago, IL
- $65,000 - $85,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Dental insurance
- 401(k)
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ERSEA-FCE Coordinator
Henry Booth House —Chicago, IL
- $40,000 - $52,000 a year
- Full-time
- Microsoft PowerPoint
- Bilingual
- Background check
- Health insurance
- Dental insurance
Quick Apply
Adherence Counselor
Project Vida Inc. —Chicago, IL
- $50,000 - $60,000 a year
- Weekends as needed
- Background check
- Spanish
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
7d
Human Resources Generalist - Bilingual (English/Spanish) - Food Manufacturing
Authentico Foods —Chicago, IL
- $85,000 a year
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
1d
Compounding Pharmacy Technician - Overnight Shift - Itasca
Option Care Health —Itasca, IL
- $21.07 - $35.12 an hour
- Overnight shift
- Background check
- Microsoft Excel
- Customer service
- Health insurance
- Dental insurance
Quick Apply
8d
FCCH Bilingual Family Engagement Coach
SGA YOUTH & FAMILY SERVICES NFP —Chicago, IL
- $45,000 - $48,000 a year
- Weekends as needed
- Spanish
- English
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Director of Value Based Care
PHYSICIANS REVENUE GROUP INC —Downers Grove, IL
- $120,000 - $150,000 a year
- Full-time
- 5 years
- HIPAA
- Bachelor's degree
Quick Apply
9d
Credentialing Team Lead
Orthodontic Experts Management LLC —Des Plaines, IL
- $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Health savings account
Quick Apply
Flexible Housing Pool (FHP) Case Manager
The Boulevard of Chicago —Chicago, IL
- $50,000 - $55,000 a year
- Full-time
- Background check
- Mid-level
- 3 years
- Mileage reimbursement
- Paid holidays
Quick Apply
11d

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provider enrollment jobs near chicago, il

Provider Enrollment Specialist

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

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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

provider enrollment jobs in chicago, il

Provider Enrollment Specialist

Enrollment Specialist (Remote - Work From Home)

Provider Enrollment Specialist

Benefits Enrollment Specialist

Patient Care Navigator - IR

Community Health Worker

Outbound Patient Enrollment Specialist

Medicaid Researcher, Healthcare Innovations

BENEFITS CLAIMS SUPVSR

Credentialing & Patient Accounts Specialist

Benefits Eligibility Specialist

Patient Care coordinator (Medical Assistant) - Onsite

ERSEA-FCE Coordinator

Adherence Counselor

Human Resources Generalist - Bilingual (English/Spanish) - Food Manufacturing

Compounding Pharmacy Technician - Overnight Shift - Itasca

FCCH Bilingual Family Engagement Coach

Director of Value Based Care

Credentialing Team Lead

Flexible Housing Pool (FHP) Case Manager

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