Medical Billing Denials & Appeals Specialist

Northwesternmedicine; Warrenville (IL); On-site; USD 52,000 - 72,000; Full time

Job summary

Northwestern Medicine is seeking a Professional Billing Denials Specialist to handle denial management, payer follow-up, and compliant communications with payers. The role emphasizes timely filing, accuracy in claims, and adherence to HIPAA privacy.

The position requires a high school diploma and 1 year of related experience or college coursework, with strong skills in Microsoft Office, Excel, and medical billing practices. Equal opportunity employer.

Qualifications

• High School diploma.
• One year related work experience or college degree.
• Ability to perform mathematical calculations.
• Basic knowledge of medical terminology and billing practices.
• Extensive experience and knowledge of PC applications, including Microsoft Office and Excel.
• Learn quickly and meet continuous timelines.
• Exhibit behaviors consistent with principles of excellent service.

Responsibilities

• Resolve claim edits and ensure timely filing and clean submission of claims.
• Follow up on third party payer receivables and overturn denials when possible.
• Send compliant follow-up correspondence to payers (statements, letters, emails, faxes, etc.).
• Support AR across managed care, commercial, Medicare/Medicaid, and other plans.
• Perform daily reviews of work lists to complete tasks.
• Adhere to HIPAA privacy standards and participate in process improvement.

Skills

Microsoft Office

Excel

Medical terminology

Billing practices

Customer service

Time management

Education

Two or more years of college

College degree

Tools

Epic Systems

Job description

Northwestern Medicine is seeking a Professional Billing Denials Specialist to handle denial management, payer follow-up, and compliant communications with payers. The role emphasizes timely filing, accuracy in claims, and adherence to HIPAA privacy.

The position requires a high school diploma and 1 year of related experience or college coursework, with strong skills in Microsoft Office, Excel, and medical billing practices. Equal opportunity employer.