Top 105 Revenue cycle specialist Jobs in Whiting, In

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
Revenue Cycle Coding Edit Specialist
CommonSpirit Health —Chicago, IL
- $37.40 - $61.71 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
Billing Specialist
Mediaocean —Chicago, IL
- $65,000 - $70,000 a year
- Hybrid work
- Customer service
- Office
- Analysis skills
- Paid parental leave
- Health savings account
6d
Payment Specialist
Paradigm Corp —Chicago, IL
- $24.42 - $26.50 an hour
- Full-time
- Remote
- Microsoft Access
- English
- Research
- Health savings account
- Paid holidays
14h
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
23h
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
Billing Specialist -Full-Time
ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC —Dolton, IL
- $18 - $20 an hour
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- 1 year
- Employee assistance program
Quick Apply
Medical Office Specialist
Columbia Medical Center DBA Medical Associates of Highland —Highland, IN
- Full-time
- Medical office experience
- Computer skills
- In-person
- 401(k)
- 401(k) matching
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13d
Specialist: Billing
Mayer Brown LLP —Chicago, IL
- $77,000 - $102,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Bachelor's degree
- AD&D insurance
- Health insurance
Assoc Financial Specialist
Hospital: Rush University Medical Center —Chicago, IL
- $23.12 - $36.41 an hour
- 8 hour shift
- Microsoft Word
- Mid-level
- Finance
6d
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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Revenue Cycle Specialist
Healthcare Alternative Systems —Chicago, IL
- $28 - $31 an hour
- Bilingual
- Microsoft Word
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
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
Medical Billing Specialist
Bone & Joint Specialists, P.C. —Merrillville, IN
- $18 - $22 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
Admission Registration Specialist 1
Hospital: Rush Oak Park Hospital —Oak Park, IL
- $17.63 - $27.77 an hour
- Part-time
- Anatomy knowledge
- Microsoft Excel
- Hospital
Revenue Cycle Certified Coder
Orthopedic Specialists of Northwest Indiana, LLC —Munster, IN
- $20 - $25 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- Writing skills
Quick Apply
Insurance Authorization Specialist/Scheduler
Forest City Diagnositc Imaging —Merrillville, IN
- $18 - $20 an hour
- Part-time
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
- Paid time off
Quick Apply
Access Specialist 1
Hospital: Rush University Medical Center —Chicago, IL
- $18.87 - $29.73 an hour
- 8 hour shift
- Bilingual
- Microsoft Outlook
- Medical office experience
18h
Credentialing & Patient Accounts Specialist
La Rabida Children's Hospital —Chicago, IL
- $21 - $29 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Administrative experience
Quick Apply
Facility Biller
Insight —Chicago, IL
- $46,000 - $62,000 a year
- Microsoft Outlook
- Hospital
- English
- Disability insurance
- Health insurance
Quick Apply

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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 whiting, in

Provider Enrollment Specialist

Revenue Cycle Coding Edit Specialist

Billing Specialist

Payment Specialist

Utilization Review Specialist

Charge Capture Specialist I

Billing Specialist -Full-Time

Medical Office Specialist

Specialist: Billing

Assoc Financial Specialist

Credentialing & Patient Accounts Specialist

Revenue Cycle Specialist

Medical Insurance Specialist

Medical Billing Specialist

Admission Registration Specialist 1

Revenue Cycle Certified Coder

Insurance Authorization Specialist/Scheduler

Access Specialist 1

Credentialing & Patient Accounts Specialist

Facility Biller

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