Top 45 Revenue cycle specialist Jobs in Crest Hill 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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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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Medical Insurance Specialist
Affiliated Oncologists —Orland Park, IL
- $27.85 - $36.00 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
2d
COLLECTIONS SPECIALIST
Morris Hospital —Morris, IL
- $18.90 - $28.35 an hour
- Full-time
- Hospital
- High school diploma or GED
- Data entry
- Wellness program
- Disability insurance
12d
Registration Specialist Team Lead
UChicago Medicine AdventHealth Bolingbrook —Bolingbrook, IL
- $20.21 - $32.34 an hour
- Weekends as needed
- Spanish
- High school
- Hospital
- Paid parental leave
- Disability insurance
Billing Specialist -Full-Time
ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC —Tinley Park, IL
- $18 - $20 an hour
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- 1 year
- Employee assistance program
Quick Apply
Revenue Integrity Team Lead
The University of Chicago —Burr Ridge, IL
- $80,000 - $105,000 a year
- Full-time
- Background check
- Microsoft Access
- Computer literacy
- Health insurance
- Paid time off
5d
Medical Billing and Coding Specialist
ELITE MED URGENT CARE —Hickory Hills, IL
- $23 - $30 an hour
- Full-time
- Medical office experience
- Mid-level
- Organizational skills
- 401(k)
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Medical Coding Specialist
Affiliated Oncologists —Orland Park, IL
- $26 - $39 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Ob/Gyn
- Wellness program
- Commuter assistance
Surgery Scheduler Specialist
Primus Ortho —Tinley Park, IL
- Full-time
- Surgery
- Mid-level
- Perioperative Care
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Billing Specialist
Nephrology Associates of Northern Illinois and Indiana —Oak Brook, IL
- $25 - $27 an hour
- Full-time
- Microsoft Outlook
- HIPAA
- Office
Quick Apply
Prior Authorization Specialist
Midwest Comprehensive Medical Center —Elmhurst, IL
- From $22 an hour
- Full-time
- Spanish
- Customer service
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
2d
Medicaid Billing and Credentialing Coordinator
Lutheran Child and Family Services of Illinois —Oak Brook, IL
- $20 - $25 an hour
- Full-time
- Hybrid work
- HIPAA
- Research
- Mid-level
Quick Apply
Medical Coder II
Endeavor Health —Warrenville, IL
- $24.86 - $37.29 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Continuous improvement
- Free parking
- Wellness program
Healthcare Administrative Assistant-Client Experience Personnel (Mental Health)
Growth & Guidance Counseling Services —Oak Lawn, IL
- $20 - $21 an hour
- Part-time
- Hybrid work
- Bilingual
- Background check
- Microsoft Outlook
- Free parking
- Paid training
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Front Office Coordinator - Burr Ridge, IL
Athletico Physical Therapy —Burr Ridge, IL
- $16.60 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
1d

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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.

Quick Apply

Refine Your Search

revenue cycle specialist jobs in crest hill il

Provider Enrollment Specialist

Credentialing & Patient Accounts Specialist

Medical Insurance Specialist

COLLECTIONS SPECIALIST

Registration Specialist Team Lead

Billing Specialist -Full-Time

Revenue Integrity Team Lead

Medical Billing and Coding Specialist

Medical Coding Specialist

Surgery Scheduler Specialist

Billing Specialist

Prior Authorization Specialist

Medicaid Billing and Credentialing Coordinator

Medical Coder II

Healthcare Administrative Assistant-Client Experience Personnel (Mental Health)

Front Office Coordinator - Burr Ridge, IL

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