Our growth is creating great opportunities! Our team is growing and we want to hire the most talented people we can. Once you've had a chance to explore our current open positions, please apply to the one you feel best suits you! You can keep track of your progress in the selection process as well as stay updated on new positions that might interest you. 

Shift

Day Shift, Various Hours

Scheduled Weekly Hours

40

POSITION PURPOSE:         

This position supports the denial management team by reviewing claims for root causes for all types of denials, as well as proposing process improvements to mitigate future denials. Tracks and trends why denials are occurring and communicates information along with recommendations for improvement to the Denials Manager.  Represents CGH Medical Center in a positive professional manner, educating the physician, staff and community on various issues pertaining to denial management.

ESSENTIAL FUNCTIONS:

• Performs retrospective and prospective account reviews to ensure accurate reimbursement.   
• Processes each denial appropriately to resolution including but not limited to contacting and rebilling insurance, requesting medical records, compiling an appeal letter, and account statusing.   
• Analyzes denials to identify trends and root causes.   
• Develops suggestions for process improvements, based on denial analysis.   
• Distills data into clear reports to denial management leadership.   
• Partners with denial management leaders to develop and implement process improvements.   
• Proactively maintains current knowledge of applicable regulations, requirements, changes, and best practices by following industry sources.
• Develops and maintains relationships with all revenue-generating departments, third party payers, attorneys, denial management partners, and patients.
• Maintains expertise in the financial management system and the electronic billing software.

SPECIALIZED KNOW-HOW & REQUIREMENTS:

• High School Diploma or equivalent required.
• Associates degree preferred.

• Current coding certification preferred.
• Extensive knowledge of reimbursement systems; federal, state and payer-specific regulations and policies pertaining to hospital and physician documentation, coding, and billing.
• AAHAM Certified Revenue Cycle Specialist preferred.
• Computer literacy including Microsoft applications required.
• Excellent communications, customer service and organizational skills required.

Compensation Range

$16.91 - $25.37

Available Benefits for Benefit Eligible Positions

Health and Dental Insurance

IMRF (Illinois Municipal Retirement Fund)

Retirement Fund (457 and 401A Plan)

Medical and Dependent Care Flexible Spending

Life Insurance

Short and Long Term Disability

Optional Insurances

Paid Time Off

Tuition Reimbursement and Loan Forgiveness

Gift Shop Discount

CGH Day Care Discount

CGH Dietary Discount

Employee Assistance Program

CGH Pharmacy Discount

CGH Vision Center Discount

Thank you for your interest in a career at CGH Medical Center.