Denials Resolution Specialist

7 days ago


Waukegan, Illinois, United States AHS Vista LLC Full time
Job Summary

AHS Vista LLC is seeking a highly skilled Denials Coordinator to join our team. As a key member of our revenue cycle team, you will be responsible for researching and preventing denials from all payers, as well as appealing accounts deemed appropriate for appeal.

Key Responsibilities
  • Denial Research and Prevention: Conduct thorough research to identify opportunities for workflow improvements and prevent denials from all payers.
  • Appeals Coordination: Coordinate first, second, and third-level appeals, ensuring timely submissions and proper documentation of all denials into billing systems.
  • Collaboration and Communication: Collaborate with other departments to ensure timely resolution of issues or appeals, and consult with managers on problem cases.
  • Quality Improvement: Monitor and report QI activities of the appeals department, and prepare and present information on appeals to applicable committees and personnel.
  • Documentation and Data Entry: Ensure proper documentation of all denials into billing systems, and enter all data related to appeals and case reviews into a database.
Requirements
  • Education: Bachelor's Degree in Nursing preferred or actively pursuing.
  • Licensure: Licensed as a Nurse in the State of IL.
  • Experience: Graduate of an accredited nursing school.


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job SummaryAHS Vista LLC is seeking a highly skilled Denials Coordinator to join our team. As a key member of our revenue cycle team, you will be responsible for researching and preventing denials from all payers, as well as appealing accounts deemed appropriate for appeal.Key ResponsibilitiesDenial Research and Prevention: Conduct thorough research to...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job SummaryAHS Vista LLC is seeking a skilled Clinical Review Specialist to join our team. In this role, you will play a critical part in ensuring the quality and accuracy of patient care by analyzing medical records and determining the legitimacy of treatment and length of stay.Key Responsibilities:Conduct thorough reviews of patient records to ensure...


  • Waukegan, Illinois, United States Precise Solutions Full time

    Job Title: IBM Turbonomic SpecialistPrecise Solutions is seeking a highly motivated Turbonomic Specialist to join our team. As a Turbonomic Specialist, you will be responsible for the engineering, implementation, and operations of optimization solutions for on-prem and cloud environments.Key Responsibilities:Utilize the Turbonomic platform to monitor and...

  • Referral Coordinator

    4 weeks ago


    Waukegan, Illinois, United States Vista Health System Full time

    About the RoleVista Health System is seeking a highly skilled Referral Coordinator to join our team. As a key member of our healthcare team, you will be responsible for ensuring accurate and timely verification of insurance for patients being admitted into our hospital for care.Key ResponsibilitiesPre-verify insurance coverage for patients to ensure...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job Summary:AHS Vista LLC is seeking a skilled Clinical Informatics Specialist to join our team. As a key member of our organization, you will play a critical role in providing support for clinically focused applications and serving as a liaison between our Information Systems department, clinical departments, and physicians.Key Responsibilities:Application...

  • SAP OTC

    3 days ago


    Waukegan, Illinois, United States Abbott Laboratories Full time

    About the RoleWe are seeking a highly skilled SAP OTC & SCM Functional Specialist to join our team at Abbott Laboratories. As a key member of our Global Information Services unit, you will provide technical expertise and direction in the development and support of client area application systems/programming requirements and processes.Key...

  • SAP OTC

    4 weeks ago


    Waukegan, Illinois, United States Abbott Laboratories Full time

    About the RoleWe are seeking a highly skilled SAP OTC & SCM Functional Specialist to join our team at Abbott Laboratories. As a key member of our Global Information Services unit, you will provide technical expertise and direction in the development and support of client area application systems/programming requirements and processes.Key...


  • Waukegan, Illinois, United States Abbott Full time

    About AbbottAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines.Job DescriptionAt Abbott, you can do work that matters, grow,...


  • Waukegan, Illinois, United States Abbott Laboratories company Full time

    About Abbott LaboratoriesAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines.Job SummaryWe are seeking an IT Technical...

  • SAP OTC

    1 week ago


    Waukegan, Illinois, United States Abbott Laboratories Full time

    About Abbott LaboratoriesAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than...


  • Waukegan, Illinois, United States Overture Promotions Full time

    Job OverviewAbout Us: Overture Promotions is a distinguished promotional product agency recognized for its excellence. We specialize in creating and producing promotional items for various occasions, including events, onboarding kits, brand activations, and corporate stores. Our unique capability lies in providing comprehensive services all under one roof,...


  • Waukegan, Illinois, United States TEKsystems Full time

    About the RoleWe are seeking a skilled Desktop Support Technician to join our team at TEKsystems. As a Desktop Support Technician, you will be responsible for providing technical assistance and support to our employees, ensuring that they have the necessary tools and resources to perform their jobs effectively.Key ResponsibilitiesProvide technical support to...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job SummaryThe Nurse Auditor is a critical role within our organization, responsible for ensuring the highest standards of patient care and regulatory compliance. As a key member of our team, you will be responsible for auditing charts for gaps in care and documentation deficiencies, monitoring and reporting trends, and elevating deficiencies to nursing...


  • Waukegan, Illinois, United States AHS Vista LLC Full time

    Job Summary:AHS Vista LLC is seeking a skilled Clinical Informatics Specialist to join our team. As a key member of our organization, you will be responsible for providing support for clinically focused applications and serving as a liaison between our Information Systems department, clinical departments, and physicians.Key Responsibilities:Application...

  • SAP OTC

    6 days ago


    Waukegan, Illinois, United States Abbott Laboratories Full time

    About Abbott LaboratoriesAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines.At Abbott, you can do work that matters, grow, and...


  • Waukegan, Illinois, United States IG Personnel Full time

    Job OverviewIG Personnel is seeking a skilled Fabrication Machine Operator to oversee operational activities and ensure exceptional quality control in our plant.We offer 1st and 2nd shift openings for this role.Key ResponsibilitiesOperational Oversight: Coordinate plant operations and activities to ensure seamless production.Troubleshooting and Resolution:...


  • Waukegan, Illinois, United States SKF Full time

    About the RoleWe are seeking a highly motivated and experienced HR Manager to join our team at SKF in Waukegan, IL. As the HR Leader for our facility, you will be responsible for advising leaders on complex strategic operational and business goals, as well as managing the Labor/Management relationship and collective bargaining agreement.Key...


  • Waukegan, Illinois, United States Woodland Foods Full time

    Customer Experience RepresentativesLocation: RemoteEmployment Type: Full TimeDepartment: Customer ServiceExperience Level: Mid LevelThe role of Customer Experience Representatives is crucial in assisting Sales Account Managers to deliver exceptional service and innovative solutions to our partners at Woodland Foods. The primary responsibility is to...


  • Waukegan, Illinois, United States Abbott Laboratories Full time

    About the RoleAbbott Laboratories is seeking a highly skilled SAP QM/MES Module Configurator to join our team. As a key member of our IT department, you will be responsible for providing technical expertise and direction in the development and support of client area application systems/programming requirements and processes.Key ResponsibilitiesPartner with...


  • Waukegan, Illinois, United States Woodland Foods Full time

    Customer Experience RepresentativesLocation: RemoteEmployment Type: Full TimeDepartment: Customer ServiceExperience Level: Mid LevelAs a vital component of the Woodland Foods team, Customer Experience Representatives play a crucial role in assisting Sales Account Managers by delivering exceptional service and tailored solutions to our partners. This position...