Managed Care & Coverage Specialist I

Omnia Healthcare Group; Lincolnwood (IL); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

401(k) with company match

Blue Cross Blue Shield Medical

Dental, Vision, and Disability

Paid Time Off

Opportunities for Growth and Advancing

Job summary

Omnia Healthcare Group in Lincolnwood, IL is seeking a Benefit Specialist I to join our team. The role supports managed care and value-based program activities by coordinating enrollments, authorizations, and payer updates.

You will ensure accurate records, compliance with payer requirements, and collaborate with staff and external partners to resolve coverage or payment issues. Responsibilities include monitoring census, payer assignments, and benefit utilization; managing documentation such as

Qualifications

• Must have a high school diploma or equivalent.
• Experience in skilled nursing preferred.
• Strong communication and interpersonal skills.

Responsibilities

• Coordinate and support managed care and value-based program activities.
• Monitor census, payer assignments, and benefit utilization.
• Manage documentation such as authorizations, concurrent requests, appeals, and regulatory notifications.
• Collaborate with facility staff, therapy teams, billing/AR, and external partners to resolve coverage or payment issues.
• Participate in meetings, trainings, and outreach activities to support program operations.
• Support evaluation and implementation of new programs or processes.

Skills

Communication

Relationship building

Teamwork

Mentorship

Education

High school diploma or equivalent

Job description

Omnia Healthcare Group in Lincolnwood, IL is seeking a Benefit Specialist I to join our team. The role supports managed care and value-based program activities by coordinating enrollments, authorizations, and payer updates.

You will ensure accurate records, compliance with payer requirements, and collaborate with staff and external partners to resolve coverage or payment issues. Responsibilities include monitoring census, payer assignments, and benefit utilization; managing documentation such as